The association between sleep duration and cardiometabolic risk among children and adolescents in the United States (US): A NHANES study

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-05-13 DOI:10.1111/cch.13273

Timothy Morgan, Abby Basalely, Pamela Singer, Laura Castellanos, Christine B. Sethna

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Abstract

Purpose

This work aims to assess the association of sleep duration with cardiometabolic risk (adiposity, blood pressure, lipids, albuminuria and A1C) and to investigate lifestyle factors (physical activity, light exposure, caffeine consumption and sugar consumption) associated with sleep duration in children.

Methods

A nationally representative sample of 3907 children ages 6–17 years enrolled in NHANES from 2011 to 2014 was included in this cross-sectional study. Sleep duration was defined as the daily average time spent sleeping over 7 days as measured by a physical activity monitor (PAM). Participants without valid sleep data for ≥95% of the study were excluded. Regression models were adjusted for age, sex, race, body mass index (BMI) Z score, physical activity and light exposure.

Results

In adjusted regression models, longer sleep duration was associated with lower systolic blood pressure index (β = −3.63 * 10⁻⁵, 95% CI −6.99 * 10⁻⁵, −2.78 * 10⁻⁶, p = 0.035) and BMI Z score (β = −0.001, 95% CI −0.001, 0.000, p = 0.002). In logistic regression models, longer sleep duration was associated with lower odds of obesity (OR = 0.998, 95% CI 0.997, 0.999, p < 0.001) and overweight status (OR = 0.998, 95% CI 0.997, 0.999, p = 0.004). Greater light exposure (β = 6.64 * 10⁻⁵, 95% CI 3.50 * 10⁻⁵, 9.69 * 10⁻⁵, p < 0.001) and physical activity (β = 0.005, 95% CI 0.004, 0.006, p < 0.001) were associated with longer sleep.

Conclusion

Longer sleep duration was associated with lower blood pressure and adiposity measures in children. Improving sleep quality by increasing physical activity and light exposure in childhood may decrease the lifetime risk of cardiometabolic disease.

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美国儿童和青少年的睡眠时间与心脏代谢风险之间的关系：NHANES 研究。

目的：本研究旨在评估睡眠时间与心脏代谢风险（脂肪率、血压、血脂、白蛋白尿和 A1C）之间的关系，并调查与儿童睡眠时间相关的生活方式因素（体育锻炼、光照、咖啡因摄入量和糖摄入量）：这项横断面研究纳入了 2011 年至 2014 年参加 NHANES 的 3907 名具有全国代表性的 6-17 岁儿童样本。睡眠时间定义为通过体力活动监测仪（PAM）测量的 7 天内每天平均睡眠时间。没有≥95%有效睡眠数据的参与者将被排除在外。回归模型根据年龄、性别、种族、体重指数 Z 值、体力活动和光照进行了调整：在调整后的回归模型中，较长的睡眠时间与较低的收缩压指数（β = -3.63 * 10-5，95% CI -6.99 * 10-5，-2.78 * 10-6，p = 0.035）和体重指数 Z 值（β = -0.001，95% CI -0.001，0.000，p = 0.002）相关。在逻辑回归模型中，睡眠时间越长，肥胖几率越低（OR = 0.998，95% CI 0.997，0.999，p -5，95% CI 3.50 * 10-5，9.69 * 10-5，p 结论：睡眠时间越长，肥胖几率越低：延长睡眠时间与降低儿童血压和脂肪含量有关。在儿童时期通过增加体育锻炼和光照来改善睡眠质量，可降低终生罹患心脏代谢疾病的风险。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.