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Reduced risk for overweight and obesity in 5- and 6-y-old children by duration of sleep—a cross-sectional study

Abstract

Objective: To assess the relationship between sleep duration and adiposity in 5- and 6-y-old Bavarian children.

Design: Cross-sectional study.

Subjects: A total of 6862 German children aged 5–6 y participating in the obligatory health examination in Bavaria, southern Germany.

Measurements: Routine data were collected on the height and weight of children at the time of school entry in six public health offices in 1999 and in another two in 2000. Body fat mass was estimated by BIA performed in three of those offices. An extensive questionnaire was given to all children's parents in order to assess risk factors for overweight and obesity. The main outcome measures were overweight, defined by a body mass index (BMI) above the 90th centile and obesity, defined by a BMI above the 97th centile for the German children in Bavaria. Excessive body fat was defined as fat mass above the 90th centile for all German children seen in this survey. The main exposure was usual sleeping hours on week days.

Results: The prevalence of obesity decreased by duration of sleep: ≤10 h, 5.4% (95% CI 4.1–7.0), 10.5–11.0 h, 2.8% (95% CI 2.3–3.3), and ≥11.5 h, 2.1% (95% CI 1.5–2.9). Similar relations were found with the prevalence of overweight and excessive body fat. These effects could not be explained by confounding due to a wide range of constitutional, sociodemographic and lifestyle factors. The adjusted odds ratio for obesity were: for sleeping 10.5–11.0 h, 0.52 (95% CI 0.34–0.78) and 0.46 (95% CI 0.28–0.75) for sleeping 11.5 h.

Conclusion: The effect of sleep duration on obesity in children reflects a higher body fat composition and appears to be independent of other risk factors for childhood obesity.

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References

  1. Klink ME, Dodge R, Quan SFR . The relation of sleep complaints to respiratory symptoms in a general population Chest 1994 105: 151–154.

    Article  CAS  PubMed  Google Scholar 

  2. Kagamimori S, Yamagami T, Sokejima S, Numata N, Handa K, Nanrik S et al. The relationship between lifestyle, social characteristics and obesity in 3-year-old Japanese children Child Care Health Dev 1999 25: 235–247.

    Article  CAS  PubMed  Google Scholar 

  3. Locard E, Mamelle N, Billette A, Miginiac M, Munoz F, Rey S . Risk factors of obesity in a five year old population. Parental versus environment factors Int J Obes Relat Metab Disord 1992 16: 721–729.

    CAS  PubMed  Google Scholar 

  4. von Kries R, Koletzko B, Sauerwald T, von Mutius E, Barnet D, Grunert V et al. Breast feeding and obesity: cross sectional study Br Med J 1999 319: 147–150.

    Article  CAS  Google Scholar 

  5. Rolland-Cachera MF, Cole TJ, Sempe M, Tichet J, Rossignol C, Charraud A . Body mass index variations: centiles from birth to 87 years Eur J Clin Nutr 1991 45: 13–21.

    CAS  PubMed  Google Scholar 

  6. Kromeyer-Hauschild K, Jaeger U . Zunahme der Hufigkeit von bergewicht und Adipositas bei Jenaer Kindern. [Increasing prevalence of overweight and obesity among Jena children] Monatsschr Kinderheilkd 1998 146: 1192–1196.

    Article  Google Scholar 

  7. Deurenberg P, van der Kooy K, Paling A, Withagen P . Assessment of body composition in 8–11 year old children by bioelectrical impedance Eur J Clin Nutr 1989 43: 623–629.

    CAS  PubMed  Google Scholar 

  8. Rasmussen F, Johansson M . The relation of weight, length and ponderal index at birth to body mass index and overweight among 18-year-old males in Sweden Eur J Epidemiol 1998 14: 373–380.

    Article  CAS  PubMed  Google Scholar 

  9. Stunkard AJ, Sorensen TI, Hanis C, Teasdale TW, Chakraborty R, Schull WJ et al. An adoption study of human obesity New Engl J Med 1986 314: 193–198.

    Article  CAS  PubMed  Google Scholar 

  10. Lissau I, Sorensen TI . Parental neglect during childhood and increased risk of obesity in young adulthood Lancet 1994 343: 324–327.

    Article  CAS  PubMed  Google Scholar 

  11. Baranowski T, Bryan GT, Rassiin DK, Harrison JA, Henske JC . Ethnicity, infant-feeding practices, and childhood adiposity J Devl Behav Pediatr 1990 11: 234–239.

    CAS  Google Scholar 

  12. Voigt M, Schneider KTM, Jährig K . Analyse des Geburtengutes des Jahrgangs 1992 der Bundesrepublik Deutschland Geburtsch u Frauenkeilkd 1996 56: 550–558.

    Article  CAS  Google Scholar 

  13. Ong KK, Ahmed ML, Emmett PM, Preece MA, Dunger DB . Association between postnatal catch-up growth and obesity in childhood: prospective cohort study Br Med J 2000 320: 967–971.

    Article  CAS  Google Scholar 

  14. Dietz WH Jr, Gortmaker SL . Do we fatten our children at the television set? Obesity and television viewing in children and adolescents Pediatrics 1985 75: 807–812.

    PubMed  Google Scholar 

  15. Moore LL, Nguyen US, Rothman KJ, Cupples LA, Ellison RC . Preschool physical activity level and change in body fatness in young children. The Framingham Children's Study Am J Epidemiol 1995 142: 982–988.

    Article  CAS  PubMed  Google Scholar 

  16. O B, rien T, Walley PB, Anderson-Smith S, Drabman RS . Naturalistic observation of the snack-selecting behavior of obese and nonobese children Addict Behav 1982 7: 75–77.

    Article  Google Scholar 

  17. Rosenbaum M, Leibel RL, Hirsch J . Obesity New Engl J Med 1997 337: 396–407.

    Article  CAS  PubMed  Google Scholar 

  18. CDC. National state, and urban area vaccination coverage levels among children aged 19–35 months—United States, July 1996–June 1997 Morbid Mortal Weekly Rep 1998 47: 108–116.

  19. Redline S, Tishler PV, Schluchter M, Aylor J, Clark K, Graham G . Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems Am J Respirk Crit Care Med 1999 159: 1527–1532.

    Article  CAS  Google Scholar 

  20. Mallory GB Jr, Fiser DH, Jackson R . Sleep-associated breathing disorders in morbidity obese children and adolescents J Pediatr 1989 115: 892–897.

    Article  PubMed  Google Scholar 

  21. Dahl RE, Holttum J, Trubnick L . A clinical picture of child and adolescent narcolepsy J Am Acad Child Adolesc Psychiat 1994 33: 834–841.

    Article  CAS  Google Scholar 

  22. Punjabi NM, O'Hearn DJ, Neubauer DN, Nieto FJ, Schwartz AR, Smith PL et al. Modeling hypersomnolence in sleep-disordered breathing. A novel approach using survival analysis Am J Respir Crit Care Med 1999 159: 1703–1709.

    Article  CAS  PubMed  Google Scholar 

  23. Vgontzas AN, Kales A . Sleep and its disorders A Rev Med 1999 50: 387–400.

    Article  CAS  Google Scholar 

  24. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S . The occurrence of sleep-disordered breathing among middle-aged adults New Engl J Med 1993 328: 1230–1235.

    Article  CAS  PubMed  Google Scholar 

  25. Klink ME, Quan SF, Kaltenborn WT, Lebowitz MD . Risk factors associated with complaints of insomnia in a general adult population. Influence of previous complaints of insomnia Arch Intern Med 1992 152: 1634–1637.

    Article  CAS  PubMed  Google Scholar 

  26. Rising R, Keys A, Ravussin E, Bogardus C . Concomitant interindividual variation in body temperature and metabolic rate Am J Physiol 1992 263: E730–734.

    CAS  PubMed  Google Scholar 

  27. Van Someren EJ . More than a marker: interaction between the circadian regulation of temperature and sleep, aged-related changes, and treatment possibilities Chronobiol Int 2000 17: 313–354.

    Article  CAS  PubMed  Google Scholar 

  28. Gilbert SS, Burgess HJ, Kennaway DJ, Dawson D . Attenuation of sleep propensity, core hypothermia, and peripheral heat loss after temazepam tolerance Am J Physiol Regul Integr Comp Physiol 2000 279: R1980–1987.

    Article  CAS  PubMed  Google Scholar 

  29. Owens J, Maxim R, McGuinn M, Nobile C, Msall M, Alario A . Television-viewing habits and sleep disturbance in school children Pediatrics 1999 104: e27.

    Article  CAS  PubMed  Google Scholar 

  30. Micozzi MS, Albanes D, Jones DY, Chumlea WC . Correlations of body mass indices with weight, stature, and body composition in men and women in NHANES I and II Am J Clin Nutr 1986 44: 725–731.

    Article  CAS  PubMed  Google Scholar 

  31. Daniels SR, Khoury PR, Morrison JA . The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender Pediatrics 1997 99: 804–807.

    Article  CAS  PubMed  Google Scholar 

  32. Goran MI, Sun M . Total energy expenditure and physical activity in prepubertal children: recent advances based on the application of the doubly labeled water method Am J Clin Nutr 1998 68: 944S–949S.

    Article  CAS  PubMed  Google Scholar 

  33. van Cauter E, Copinschi G . Interrelationships between growth hormone and sleep Growth Horm IGF Res 2000 10 (Suppl B): S57–62.

    Article  PubMed  Google Scholar 

  34. van Cauter E, Leproult R, Plat L . Age-related changes in slow wave sleep and REM sleep and relationship with growth hormone and cortisol levels in healthy men JAMA 2000 284: 861–868.

    Article  CAS  PubMed  Google Scholar 

  35. Clark RW, Schmidt HS, Malarkey WB . Disordered growth hormone and prolactin secretioin in primary disorders of sleep Neurology 1979 29: 855–861.

    Article  CAS  PubMed  Google Scholar 

  36. Binkin NJ, Yip R, Fleshood L, Trowbridge FL . Birth weight and childhood growth Pediatrics 1988 82: 828–834.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by the Bayerisches Staatsministerium für Arbeit und Sozialordnung, Familie, Frauen und Gesundheit, Stiftung Kindergesundheit and the Democh Mauermaier Stiftung.

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Correspondence to B Koletzko.

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von Kries, R., Toschke, A., Wurmser, H. et al. Reduced risk for overweight and obesity in 5- and 6-y-old children by duration of sleep—a cross-sectional study. Int J Obes 26, 710–716 (2002). https://doi.org/10.1038/sj.ijo.0801980

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