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Updated: Jan 16, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Meeting Sleep Duration Recommendations is Associated With Lower Abdominal Adipose Tissue in 10-Year-Old Boys
Bernard Tang1, Suresh Anand Sadananthan1, Delicia Shu Qin Ooi2,3
1Institute for Human Development and Potential, Agency for Science, Technology and Research (A*STAR), Singapore.
Insights
Adequate sleep duration in children is linked to lower obesity risk, particularly in boys. Ensuring children meet sleep recommendations may help reduce overall and abdominal adiposity.
Area of Science:
- Pediatric endocrinology
- Sleep science
- Obesity research
Background:
- Childhood obesity is a growing public health concern.
- Sleep duration is a modifiable behavior with potential links to adiposity.
- Sex-specific differences in sleep and adiposity may exist in children.
Purpose of the Study:
- To investigate the relationship between recommended sleep duration and adiposity in 10-year-old children.
- To examine if this association differs between boys and girls.
- To assess various measures of adiposity, including BMI z-scores and fat mass.
Main Methods:
- Utilized data from the GUSTO cohort, including 10-year-old children.
- Assessed sleep duration using caregiver reports and actigraphy.
- Measured adiposity through BMI z-scores, quantitative magnetic resonance for fat mass, and MRI for abdominal adipose tissue volumes.
- Employed multivariable regression analyses adjusted for relevant covariates.
Main Results:
- Boys meeting recommended sleep duration throughout the week showed a significantly lower risk of obesity (OR=0.49).
- Caregiver-reported sleep duration adherence was associated with lower BMI z-scores, glycoprotein acetyls, total fat mass, and abdominal adipose tissue volumes in boys.
- No significant associations were found for girls meeting sleep recommendations.
Conclusions:
- Achieving recommended sleep duration, encompassing both weekdays and weekends, may be a key strategy for reducing adiposity in children.
- These findings highlight a potential sex-specific benefit, with boys showing a more pronounced association between adequate sleep and reduced adiposity.
- Interventions promoting sufficient sleep could play a role in childhood obesity prevention efforts.
Objective:
This study aimed to examine sex-stratified associations between meeting recommended sleep duration and adiposity in 10-year-old children.
Methods:
Using the GUSTO cohort (51% boys, 10.2 ± 0.2 years), we evaluated the associations of meeting sleep duration recommendations (total daily sleep duration of ≥ 9 h, caregiver-reported and actigraphy) throughout the week with obesity and BMI z-scores (N = 638), glycoprotein acetyls (n = 436), fat mass measured by quantitative magnetic resonance (n = 528), and abdominal adipose tissue volumes measured by magnetic resonance imaging (N = 377). Multivariable linear and logistic regressions were used, adjusted for ethnicity and maternal education.
Results:
Boys, but not girls, whose caregiver-reported sleep duration met recommendations throughout the entire week had a lower risk of obesity (BMIz > 2.0) (OR = 0.49, 95% CI 0.27-0.87), BMIz (0.34 ± 0.16 vs. 0.98 ± 0.12) (p = 0.001), glycoprotein acetyls levels (0.65 ± 0.01 mmol/L vs. 0.70 ± 0.01 mmol/L) (p < 0.001), total fat mass (8.77 ± 0.69 kg vs. 11.31 ± 0.51 kg) (p = 0.002), and deep subcutaneous (492 ± 86 mL vs. 729 ± 56 mL) (p = 0.014), superficial subcutaneous (651 ± 85 mL vs. 888 ± 55 mL) (p = 0.013), and visceral (415 ± 51 mL vs. 557 ± 33 mL) (p = 0.013) adipose tissue volumes.
Conclusions:
Interventions to help children attain recommended sleep duration for weekdays and weekends may reduce abdominal and total adiposity, especially in boys.
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