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Epidemiology and Population Health

Associations of multiple sleep dimensions with overall and abdominal obesity among children and adolescents: a population-based cross-sectional study

International Journal of Obesity volume 47, pages 817–824 (2023)Cite this article

Subjects

Abstract

Background

The relationship of insufficient sleep with the increased risk of obesity has been reported, but less is known about other sleep dimensions in the sleep-obesity associations.

Objectives

To assess the associations of multiple sleep dimensions with overall and abdominal obesity among Chinese students.

Methods

This was a cross-sectional study involving 10,686 Han students aged 9–18 from Chinese National Survey on Students’ Constitution and Health (CNSSCH). We collected sex, age, regions, parental educational levels, physical activity duration and sleep-related information by questionnaire survey, and also conducted anthropometric measurements including height, weight and waist circumference (WC). Unadjusted and adjusted binary logistic regression models were used to estimate the associations of sleep-related dimensions with obesity-related indicators.

Results

Short sleep duration was associated with higher body mass index (BMI), larger WC and higher waist-to-height ratio (WHtR) in 9–12 and 16–18 age groups, whereas prolonged sleep duration on weekday was associated with higher BMI in 13–15 age group. Non-habitual midday napping and midday napping ≤0.5 h/d (vs 0.5 to 1 h/d) increased the risk of higher BMI in 13–15 age group, and the former was also associated with larger WC in 9–12 age group. Late bedtime was associated with larger WC and higher WHtR in 9–12 age group and with higher BMI and WHtR in 13–15 age group. Students aged 9–12 with social jet lag ≥2 h were found to have greater BMI after adjustment (Odds Ratio: 1.421; 95% confidence interval: 1.066–1.894).

Conclusions

Short or overlong sleep duration, late bedtime and great social jet lag were associated with higher prevalence of overall or abdominal obesity, while moderate midday napping can effectively decrease the risk. Those findings may assist in developing preventive strategies to combat obesity epidemic.

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Fig. 1: Associations of sleep with obesity among students aged 9–12.
Fig. 2: Associations of sleep with obesity among students aged 13–15.
Fig. 3: Associations of sleep with obesity among students aged 16–18.

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Data availability

Data generated or analyzed during this study can be applied under the data holder’s permission.

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Funding

This work was supported by the National Natural Science Foundation of China (Grant No.82003478).

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Author notes

  1. These authors contributed equally: Liu Yang, Shuo Han.

Authors and Affiliations

  1. College of Public Health, Zhengzhou University, No.100 Science Avenue, Zhengzhou, 450001, Henan, P. R. China

    Liu Yang, Shuo Han, Chengyuan Miao, Xiaomin Lou, Changfu Hao & Xian Wang

  2. Department of Nosocomial Infection Management, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, P. R. China

    Hao Lou

  3. The Education Department of Henan Province, Zhengzhou, 450018, Henan, P. R. China

    Genli Gao

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Contributions

XW designed the study, edited the writing and revised the manuscript; LY and SH independently carried out the literature search and screening of articles, analyzed the data and wrote the manuscript; CM participated in data analysis; XL designed the study, conducted field research and provided data; HL, GG, and CH conducted field research and provided data. All authors read and approved the final manuscript.

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Correspondence to Xian Wang.

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The authors declare no competing interests.

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The research protocol was approved by the Zhengzhou University Life Science Ethics Committee (ZZUIRB2021–56). Informed consent of parents and their children were obtained.

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Yang, L., Han, S., Miao, C. et al. Associations of multiple sleep dimensions with overall and abdominal obesity among children and adolescents: a population-based cross-sectional study. Int J Obes 47, 817–824 (2023). https://doi.org/10.1038/s41366-023-01324-2

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  • DOI: https://doi.org/10.1038/s41366-023-01324-2

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