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Published on: April 29, 2013
Sleep patterns are associated with cardiometabolic risk factors in nine-year-old Swedish children
Ellinor Nilsson1, Christine Delisle Nyström1, Jairo H Migueles1,2
1Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.
Insights
Good sleep patterns in children, including sufficient sleep duration and early bedtime, are linked to better cardiometabolic health. Meeting sleep guidelines is associated with lower risks of metabolic syndrome and insulin resistance.
Area of Science:
- Pediatrics
- Cardiology
- Metabolic Health
Background:
- Limited research exists on the impact of sleep duration and bedtime on children's cardiometabolic health.
- Understanding these associations is crucial for early intervention and prevention strategies.
Purpose of the Study:
- To investigate the relationship between sleep patterns and cardiometabolic risk factors in nine-year-old children.
- To determine if adherence to sleep guidelines and early bedtimes influence metabolic health indicators.
Main Methods:
- Cross-sectional study involving 411 nine-year-olds (51% boys) using data from 2016-2020.
- Sleep was objectively measured using wrist-worn accelerometers and subjectively via sleep journals.
- Children were categorized based on meeting sleep duration guidelines (9-11 hours) and early/late bedtimes relative to the median.
Main Results:
- Children meeting sleep guidelines and having earlier bedtimes showed a significantly lower metabolic syndrome score compared to those with later bedtimes.
- Adherence to sleep recommendations was associated with reduced insulin resistance and lower insulin levels.
- These associations persisted even after adjusting for total sleep time, particularly for the metabolic syndrome score.
Conclusions:
- The study suggests that optimal sleep patterns, characterized by adequate duration and timely bedtimes, play a significant role in promoting positive cardiometabolic health in children.
- These findings highlight the potential of sleep interventions to improve children's metabolic well-being.
Aim:
Sleep duration and bedtime may play a role in children's cardiometabolic health, but research is lacking. This study examined associations between sleep patterns and cardiometabolic risk factors in Swedish nine-year-olds.
Methods:
This cross-sectional study used data from three studies, where identical outcome measures were conducted in 411 nine-year-olds, 51% boys, between 2016 and 2020. Sleep was assessed with wrist-worn accelerometers and sleep journals. Children were grouped based on meeting the sleep guidelines of 9-11 h and going to bed early or late based on the median bedtime. Analysis of covariance was used to examine associations between sleep patterns and cardiometabolic risk factors.
Results:
Meeting sleep guidelines and going to bed early were associated with lower metabolic syndrome score (-0.15 vs. 0.42, p = 0.029), insulin resistance (0.30 vs. 0.60, p = 0.025) and insulin levels (6.80 vs. 8.87 mIU/L, p = 0.034), compared with their peers who did not meet the guidelines and went to bed later. When adjusting for total sleep time, analyses still showed associations with the metabolic syndrome score (-0.19 vs. 0.50, p = 0.011).
Conclusion:
The findings indicate that good sleep patterns could help mediate positive overall cardiometabolic health in children.
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