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Changes in objectively measured sleep after a multidisciplinary lifestyle intervention in children with abdominal

Ana Catalán-Lambán1, Ana Ojeda-Rodríguez2, Amelia Marti Del Moral3

  • 1Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain.

Sleep Medicine
|July 24, 2023
PubMed

Insights

A lifestyle intervention improved sleep quality in obese children and adolescents. The study found better sleep latency and efficiency after 2 years, demonstrating the intervention

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Nutritional Science

Background:

  • Childhood obesity is linked to sleep disorders, but intervention effects on sleep are understudied.
  • Abdominal obesity in children and adolescents requires effective management strategies.
  • Understanding the impact of lifestyle changes on pediatric sleep quality is crucial.

Purpose of the Study:

  • To assess the impact of a 2-year lifestyle intervention on the sleep quality of children and adolescents with abdominal obesity.
  • To compare objective sleep parameters between an intervention group and a usual care group.

Main Methods:

  • 122 participants (7-16 years) with abdominal obesity were randomized to a Mediterranean diet intervention or usual care.
  • Objective sleep assessment via triaxial accelerometry.
  • Key sleep parameters analyzed: latency, efficiency, wake after sleep onset, total time in bed, total sleep time, and awakenings.

Main Results:

  • The intervention group showed significant improvements in sleep latency (12 & 24 months) and sleep efficiency (2 & 12 months) versus usual care.
  • Reduced wake after sleep onset and fewer awakenings were observed at 24 months in the intervention group.
  • Associations found between sleep parameters, leptin, triglycerides, and metabolic score, highlighting metabolic links to sleep.

Conclusions:

  • A multidisciplinary lifestyle intervention effectively reduced anthropometric measures in obese children and adolescents.
  • The intervention significantly improved objective sleep habits, including reduced sleep latency and increased sleep efficiency.
  • Lifestyle interventions are a promising strategy for managing pediatric obesity and associated sleep disturbances.
Abstract

Keywords:
Integral therapyMediterranean dietMetabolic risk factorsSleep dimensions

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