Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Association between sleep duration and obesity is age- and gender-dependent in Chinese urban children aged 6–18 years: a cross-sectional study

Authors: Muqing Cao, Yanna Zhu, Baoting He, Wenhan Yang, Yajun Chen, Jun Ma, Jin Jing

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

Information on the relationship between sleep duration and obesity among children in urban Guangzhou, China is limited. This study aims to examine the relationship between sleep duration and obesity in children aged 6–18 years.

Methods

The sample consisted of 11,830 children aged 6–18 years. The children were randomly selected from 13 schools in three urban districts of Guangzhou. The study was conducted from September to November 2013. The height and weight of the children were measured. Adiposity status was estimated using body mass index and according to the cut point in China criteria. In the structured questionnaire, children reported daily sleep hours (less than 7 h, 7–9 h and more than 9 h), weekly food intake amount (including vegetables, fruit, sugar beverages and meat), physical activity and sedentary time. A caretaker would answer the questionnaire on behalf of a child aged below nine.

Results

A total of 8,760 children (49.0 % boys) completed the study. The prevalence of obesity was 8.4 % (9.8 % in boys and 5.7 % in girls). Adjusted for age, diet and physical activity/sedentary behaviour, the odds ratio (OR) for obesity comparing sleeping <7 h (short sleep duration, SSD) with ≥9 h (long sleep duration, LSD) was 0.70 (95 % CI: 0.69–0.72) among boys and 1.73 (95 % CI: 1.71–1.74) among girls. Stratified by age, OR for boys aged 6–12 years comparing SSD with LSD was 0.60 (95 % CI: 0.55–0.66); by contrast, OR was 1.33 (95 % CI: 1.30–1.37) for boys aged 13–18 years.

Conclusion

Short sleep duration is associated with increased chances of obesity among girls and 13- to 18-year-old boys, but the chances of obesity are decreased among 6- to 12-year-old boys. Age and gender should be regarded as specific characteristics for the effects of short sleep on obesity.
Literature
1.
go back to reference Mindell JA, Owens JA, Carskadon MA. Developmental features of sleep. Child Adolesc Psychiatr Clin N Am. 1999;8:695–725.PubMed Mindell JA, Owens JA, Carskadon MA. Developmental features of sleep. Child Adolesc Psychiatr Clin N Am. 1999;8:695–725.PubMed
3.
go back to reference Kripke DF, Simons RN, Garfinkel L, Hammond EC. Short and long sleep and sleeping pills. Is increased mortality associated? Arch Gen Psychiatry. 1979;36:103–16.CrossRefPubMed Kripke DF, Simons RN, Garfinkel L, Hammond EC. Short and long sleep and sleeping pills. Is increased mortality associated? Arch Gen Psychiatry. 1979;36:103–16.CrossRefPubMed
4.
go back to reference Organization G: Sleep in america: 1995 gallup poll., Princeton, 1995. Organization G: Sleep in america: 1995 gallup poll., Princeton, 1995.
5.
go back to reference Drobnich D. A National Sleep Foundation’s conference summary: The National Summit to Prevent Drowsy Driving and a new call to action. Ind Health. 2005;43:197–200.CrossRefPubMed Drobnich D. A National Sleep Foundation’s conference summary: The National Summit to Prevent Drowsy Driving and a new call to action. Ind Health. 2005;43:197–200.CrossRefPubMed
6.
7.
go back to reference Li S, Zhu S, Jin X, Yan C, Wu S, Jiang F, et al. Risk factors associated with short sleep duration among Chinese school-aged children. Sleep Med. 2010;11:907–16.CrossRefPubMed Li S, Zhu S, Jin X, Yan C, Wu S, Jiang F, et al. Risk factors associated with short sleep duration among Chinese school-aged children. Sleep Med. 2010;11:907–16.CrossRefPubMed
8.
go back to reference Bornhorst C, Hense S, Ahrens W, Hebestreit A, Reisch L, Barba G, et al. From sleep duration to childhood obesity--what are the pathways? Eur J Pediatr. 2012;171:1029–38.CrossRefPubMed Bornhorst C, Hense S, Ahrens W, Hebestreit A, Reisch L, Barba G, et al. From sleep duration to childhood obesity--what are the pathways? Eur J Pediatr. 2012;171:1029–38.CrossRefPubMed
9.
go back to reference Stamatakis KA, Brownson RC. Sleep duration and obesity-related risk factors in the rural Midwest. Prev Med. 2008;46:439–44.CrossRefPubMed Stamatakis KA, Brownson RC. Sleep duration and obesity-related risk factors in the rural Midwest. Prev Med. 2008;46:439–44.CrossRefPubMed
10.
go back to reference Martinez SM, Tschann JM, Greenspan LC, Deardorff J, Penilla C, Flores E, et al. Is it time for bed? Short sleep duration increases risk of obesity in Mexican American children. Sleep Med. 2014;15:1484–9.CrossRefPubMedPubMedCentral Martinez SM, Tschann JM, Greenspan LC, Deardorff J, Penilla C, Flores E, et al. Is it time for bed? Short sleep duration increases risk of obesity in Mexican American children. Sleep Med. 2014;15:1484–9.CrossRefPubMedPubMedCentral
11.
go back to reference Chaput JP, Lambert M, Gray-Donald K, McGrath JJ, Tremblay MS, O’Loughlin J, et al. Short sleep duration is independently associated with overweight and obesity in Quebec children. Can J Public Health. 2011;102:369–74.PubMed Chaput JP, Lambert M, Gray-Donald K, McGrath JJ, Tremblay MS, O’Loughlin J, et al. Short sleep duration is independently associated with overweight and obesity in Quebec children. Can J Public Health. 2011;102:369–74.PubMed
12.
go back to reference Kong AP, Wing YK, Choi KC, Li AM, Ko GT, Ma RC, et al. Associations of sleep duration with obesity and serum lipid profile in children and adolescents. Sleep Med. 2011;12:659–65.CrossRefPubMed Kong AP, Wing YK, Choi KC, Li AM, Ko GT, Ma RC, et al. Associations of sleep duration with obesity and serum lipid profile in children and adolescents. Sleep Med. 2011;12:659–65.CrossRefPubMed
13.
go back to reference Hitze B, Bosy-Westphal A, Bielfeldt F, Settler U, Plachta-Danielzik S, Pfeuffer M, et al. Determinants and impact of sleep duration in children and adolescents: Data of the Kiel Obesity Prevention Study. Eur J Clin Nutr. 2009;63:739–46.CrossRefPubMed Hitze B, Bosy-Westphal A, Bielfeldt F, Settler U, Plachta-Danielzik S, Pfeuffer M, et al. Determinants and impact of sleep duration in children and adolescents: Data of the Kiel Obesity Prevention Study. Eur J Clin Nutr. 2009;63:739–46.CrossRefPubMed
14.
go back to reference Fatima Y, Doi SA, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: A systematic review and bias-adjusted meta-analysis. Obes Rev. 2015;16:137–49.CrossRefPubMed Fatima Y, Doi SA, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: A systematic review and bias-adjusted meta-analysis. Obes Rev. 2015;16:137–49.CrossRefPubMed
15.
go back to reference Collings PJ, Wijndaele K, Corder K, Westgate K, Ridgway CL, Sharp SJ, et al. Magnitude and determinants of change in objectively-measured physical activity, sedentary time and sleep duration from ages 15 to 17.5y in UK adolescents: The ROOTS study. Int J Behav Nutr Phys Act. 2015;12:61.CrossRefPubMedPubMedCentral Collings PJ, Wijndaele K, Corder K, Westgate K, Ridgway CL, Sharp SJ, et al. Magnitude and determinants of change in objectively-measured physical activity, sedentary time and sleep duration from ages 15 to 17.5y in UK adolescents: The ROOTS study. Int J Behav Nutr Phys Act. 2015;12:61.CrossRefPubMedPubMedCentral
16.
go back to reference Nugent R, Althouse A, Yaqub Y, Nugent K, Raj R. Modeling the relation between obesity and sleep parameters in children referred for dietary weight reduction intervention. South Med J. 2014;107:473–80.CrossRefPubMed Nugent R, Althouse A, Yaqub Y, Nugent K, Raj R. Modeling the relation between obesity and sleep parameters in children referred for dietary weight reduction intervention. South Med J. 2014;107:473–80.CrossRefPubMed
17.
go back to reference Li H, Zong XN, Ji CY, Mi J. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2–18 years (in Chinese). Zhonghua Liu Xing Bing Xue Za Zhi. 2010;31:616–20.PubMed Li H, Zong XN, Ji CY, Mi J. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2–18 years (in Chinese). Zhonghua Liu Xing Bing Xue Za Zhi. 2010;31:616–20.PubMed
18.
go back to reference Kelly-Pieper K, Lamm C, Fennoy I. Sleep and obesity in children: A clinical perspective. Minerva Pediatr. 2011;63:473–81.PubMed Kelly-Pieper K, Lamm C, Fennoy I. Sleep and obesity in children: A clinical perspective. Minerva Pediatr. 2011;63:473–81.PubMed
19.
go back to reference Kjeldsen JS, Hjorth MF, Andersen R, Michaelsen KF, Tetens I, Astrup A, et al. Short sleep duration and large variability in sleep duration are independently associated with dietary risk factors for obesity in Danish school children. Int J Obes (Lond). 2014;38:32–9.CrossRef Kjeldsen JS, Hjorth MF, Andersen R, Michaelsen KF, Tetens I, Astrup A, et al. Short sleep duration and large variability in sleep duration are independently associated with dietary risk factors for obesity in Danish school children. Int J Obes (Lond). 2014;38:32–9.CrossRef
20.
go back to reference Magee C, Caputi P, Iverson D. Lack of sleep could increase obesity in children and too much television could be partly to blame. Acta Paediatr. 2014;103:e27–31.CrossRefPubMed Magee C, Caputi P, Iverson D. Lack of sleep could increase obesity in children and too much television could be partly to blame. Acta Paediatr. 2014;103:e27–31.CrossRefPubMed
21.
go back to reference Perrier B. [in children, obesity and lack of sleep are linked]. Rev Med Suisse. 2014;10:1637.PubMed Perrier B. [in children, obesity and lack of sleep are linked]. Rev Med Suisse. 2014;10:1637.PubMed
22.
go back to reference Chaput JP, Brunet M, Tremblay A. Relationship between short sleeping hours and childhood overweight/obesity: Results from the ‘Quebec en Forme’ Project. Int J Obes (Lond). 2006;30:1080–5.CrossRef Chaput JP, Brunet M, Tremblay A. Relationship between short sleeping hours and childhood overweight/obesity: Results from the ‘Quebec en Forme’ Project. Int J Obes (Lond). 2006;30:1080–5.CrossRef
23.
go back to reference Skelton JA. Family intervention focused on effective parenting is associated with decreased child obesity prevalence 3–5 years later. Evid Based Med. 2013;18:e5.CrossRefPubMedPubMedCentral Skelton JA. Family intervention focused on effective parenting is associated with decreased child obesity prevalence 3–5 years later. Evid Based Med. 2013;18:e5.CrossRefPubMedPubMedCentral
24.
go back to reference Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: A systematic review and meta-analysis of prospective studies. Sleep. 2010;33:585–92.PubMedPubMedCentral Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: A systematic review and meta-analysis of prospective studies. Sleep. 2010;33:585–92.PubMedPubMedCentral
25.
go back to reference Vgontzas AN, Bixler EO. Short sleep and obesity: Are poor sleep, chronic stress, and unhealthy behaviors the link? Sleep. 2008;31:1203.PubMedPubMedCentral Vgontzas AN, Bixler EO. Short sleep and obesity: Are poor sleep, chronic stress, and unhealthy behaviors the link? Sleep. 2008;31:1203.PubMedPubMedCentral
26.
go back to reference Gishti O, Gaillard R, Durmus B, Abrahamse M, van der Beek EM, Hofman A, et al. Body mass index, total and abdominal fat distribution and cardiovascular risk factors in school-age children. Pediatr Res. 2015;10–1038. Gishti O, Gaillard R, Durmus B, Abrahamse M, van der Beek EM, Hofman A, et al. Body mass index, total and abdominal fat distribution and cardiovascular risk factors in school-age children. Pediatr Res. 2015;10–1038.
27.
go back to reference Reilly JJ, Ness AR, Sherriff A. Epidemiologic and physiologic approaches to understanding the etiology of pediatric obesity: Finding the needle in the haystack. Pediatr Res. 2007;61:646–52.CrossRefPubMed Reilly JJ, Ness AR, Sherriff A. Epidemiologic and physiologic approaches to understanding the etiology of pediatric obesity: Finding the needle in the haystack. Pediatr Res. 2007;61:646–52.CrossRefPubMed
30.
go back to reference Weiss A, Xu F, Storfer-Isser A, Thomas A, Ievers-Landis CE, Redline S. The association of sleep duration with adolescents’ fat and carbohydrate consumption. Sleep. 2010;33:1201–9.PubMedPubMedCentral Weiss A, Xu F, Storfer-Isser A, Thomas A, Ievers-Landis CE, Redline S. The association of sleep duration with adolescents’ fat and carbohydrate consumption. Sleep. 2010;33:1201–9.PubMedPubMedCentral
31.
32.
go back to reference Baranowski T, Mendlein J, Resnicow K, Frank E, Cullen KW, Baranowski J. Physical activity and nutrition in children and youth: An overview of obesity prevention. Prev Med. 2000;31:S1–10.CrossRef Baranowski T, Mendlein J, Resnicow K, Frank E, Cullen KW, Baranowski J. Physical activity and nutrition in children and youth: An overview of obesity prevention. Prev Med. 2000;31:S1–10.CrossRef
33.
go back to reference Guidolin M, Gradisar M. Is shortened sleep duration a risk factor for overweight and obesity during adolescence? A review of the empirical literature. Sleep Med. 2012;13:779–86.CrossRefPubMed Guidolin M, Gradisar M. Is shortened sleep duration a risk factor for overweight and obesity during adolescence? A review of the empirical literature. Sleep Med. 2012;13:779–86.CrossRefPubMed
34.
go back to reference Eisenmann J, Ekkekakis P, Holmes M. Sleep duration and overweight among Australian children and adolescents. Acta Paediatr. 2006;95:956–63.CrossRefPubMed Eisenmann J, Ekkekakis P, Holmes M. Sleep duration and overweight among Australian children and adolescents. Acta Paediatr. 2006;95:956–63.CrossRefPubMed
35.
go back to reference Keyes KM, Maslowsky J, Hamilton A, Schulenberg J. The great sleep recession: Changes in sleep duration among US adolescents, 1991–2012. Pediatrics. 2015;135:460–8.CrossRefPubMedPubMedCentral Keyes KM, Maslowsky J, Hamilton A, Schulenberg J. The great sleep recession: Changes in sleep duration among US adolescents, 1991–2012. Pediatrics. 2015;135:460–8.CrossRefPubMedPubMedCentral
37.
go back to reference Collings PJ, Wijndaele K, Corder K, Westgate K, Ridgway CL, Sharp SJ, et al. Prospective associations between sedentary time, sleep duration and adiposity in adolescents. Sleep Med. 2015;16:717–22.CrossRefPubMedPubMedCentral Collings PJ, Wijndaele K, Corder K, Westgate K, Ridgway CL, Sharp SJ, et al. Prospective associations between sedentary time, sleep duration and adiposity in adolescents. Sleep Med. 2015;16:717–22.CrossRefPubMedPubMedCentral
38.
go back to reference Asarnow LD, McGlinchey E, Harvey AG. Evidence for a possible link between bedtime and change in body mass index. Sleep 2015 Asarnow LD, McGlinchey E, Harvey AG. Evidence for a possible link between bedtime and change in body mass index. Sleep 2015
40.
go back to reference Bonuck K, Chervin RD, Howe LD. Sleep-disordered breathing, sleep duration, and childhood overweight: A longitudinal cohort study. J Pediatr. 2015;166:632–9.CrossRefPubMed Bonuck K, Chervin RD, Howe LD. Sleep-disordered breathing, sleep duration, and childhood overweight: A longitudinal cohort study. J Pediatr. 2015;166:632–9.CrossRefPubMed
41.
go back to reference Short MA, Gradisar M, Lack LC, Wright HR, Chatburn A. Estimating adolescent sleep patterns: Parent reports versus adolescent self-report surveys, sleep diaries, and actigraphy. Nat Sci Sleep. 2013;5:23–6.CrossRefPubMedPubMedCentral Short MA, Gradisar M, Lack LC, Wright HR, Chatburn A. Estimating adolescent sleep patterns: Parent reports versus adolescent self-report surveys, sleep diaries, and actigraphy. Nat Sci Sleep. 2013;5:23–6.CrossRefPubMedPubMedCentral
Metadata
Title
Association between sleep duration and obesity is age- and gender-dependent in Chinese urban children aged 6–18 years: a cross-sectional study
Authors
Muqing Cao
Yanna Zhu
Baoting He
Wenhan Yang
Yajun Chen
Jun Ma
Jin Jing
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2359-0

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue