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Sleep Restriction and Weekend Sleep Compensation Relate to Eating Behavior in School-Aged Children
Rodrigo Chamorro1, Marcelo Garrido-González2, Mariolly Gutierrez3
1Department of Nutrition, Faculty of Medicine, University of Chile, Santiago, Chile.
Insights
Shortened sleep duration in children is linked to increased appetite and reduced satiety. Catching up on sleep during weekends may positively influence children's eating behaviors, especially in those with obesity.
Area of Science:
- Pediatric Sleep Science
- Childhood Obesity Research
- Nutritional Psychology
Background:
- Shortened sleep duration and sleep debt are established risk factors for childhood obesity.
- Understanding the interplay between sleep patterns and eating behaviors is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the association between habitual sleep restriction and eating behavior in school-aged children.
- To compare these associations in children with and without obesity.
Main Methods:
- 131 school-aged children underwent actigraphic sleep monitoring for 4 days.
- Eating behavior was assessed using the Child Eating Behavior Questionnaire (CEBQ).
- Children were categorized based on sleep restriction (<8 hours nightly) and sleep compensation (≥1 hour weekend catch-up).
Main Results:
- Sleep-restricted children exhibited higher pro-ingestion eating scores and lower satiety responsiveness.
- In children with obesity, sleep restriction was linked to slower eating, lower satiety responsiveness, and increased food fussiness, particularly on weekends.
- Children without sleep compensation showed higher pro-ingestion and lower anti-ingestion eating scores.
Conclusions:
- Habitual sleep restriction in school-aged children is associated with altered eating behaviors, including increased appetite and reduced satiety.
- Sleep compensation during weekends may positively influence eating behaviors.
- Targeting sleep duration could be a potential strategy in managing childhood obesity and disordered eating patterns.
Purpose:
Several studies showed that shortened sleep duration and subsequent sleep debt are related to obesity risk in children. We evaluated the association between habitual sleep restriction and eating behavior in school-aged children with and without obesity.
Patients And Methods:
In 131 school-aged children (mean [±SD] age 10.2 ± 2.0 years), we assessed eating behavior through the Child Eating Behavior Questionnaire (CEBQ). Actigraphic recordings measured sleep patterns for 4 consecutive days, including a weekend day. CEBQ scores were calculated in sleep-restricted children (having a nighttime sleep duration <8 hours) during week and weekend days and compared for those with (n = 67) and without obesity (n = 64). CEBQ scores were also compared between children with and without sleep compensation (a weekend catch-up in sleep duration ≥1 hour compared to weekdays' sleep duration).
Results:
The mean sleep duration was 8.0 ± 1.3 h, and about 70% of children slept less than the daily sleep recommendation. Children having sleep restriction had higher scores in the four CEBQ pro-ingestion dimensions (all P<0.021) as well as lower "satiety responsiveness" but higher "emotional undereating" scores (both P<0.049). No differences in CEBQ were found in the normal-weight group when comparing children with or without sleep restriction. In the group with obesity, however, those sleep-restricted showed lower ratings in "slowness of eating" (P<0.015), "satiety responsiveness", and "food fussiness" (both P<0.035) compared to non-restricted, particularly during weekend days. Finally, children showing no sleep compensation on weekend days had higher pro-ingestion (all P<0.020) and lower anti-ingestion scores (all P<0.041).
Conclusion:
Sleep duration was lower than the recommended sleep in this sample of school-aged children. Sleep restriction was associated with enhanced pro-ingestion eating behavior scores and reduced anti-ingestion scores. Sleep compensation appears to have a positive effect on eating behavior scores.
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