Adolescents' chronotype and its association with obesity-related outcomes: The EHDLA study.

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-10-29 DOI:10.1111/ijpo.13184

Miguel Angelo Duarte Junior, Arthur Eumann Mesas, Sitong Chen, Júlio B Mello, Jorge Olivares-Arancibia, Aamir Raoof Memon, Rodrigo Yáñez-Sepúlveda, Ran Bao, Lee Smith, José Francisco López-Gil

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Abstract

Objective: This study aimed to assess associations between chronotype and obesity-related indicators in a sample of Spanish adolescents.

Methods: This cross-sectional study used data from The Eating Healthy and Daily Life Activities (EHDLA) Study, which included a representative sample of adolescents from Spain. A total of 820 adolescents (54.7% girls) aged 12-17 years were included in the analyses. The adolescents' chronotype was determined using the Morningness/Eveningness Scale in Children. Obesity-related indicators included body mass index, waist circumference, waist-to-height ratio, triceps and medial calf skinfolds, sum of skinfolds, and body fat percentage. Generalized linear models were used to examine the relationship between the Morningness-Eveningness score and chronotype status and the above-mentioned obesity-related indicators in adolescents. All analyses were adjusted for sex, age, socioeconomic status, sleep duration, physical activity, sedentary behaviour, adherence to the Mediterranean diet, and energy intake.

Results: The morningness chronotype was associated with higher abdominal obesity (odds ratio [OR] = 1.67, 95% confidence interval (CI) 1.12 to 2.50; p = 0.001), waist-to-height ratio (unstandardized beta coefficient [B] = 0.01, 95% CI 0.01 to 0.05; p = 0.029) and skinfold calves (B = 1.04 95% CI 0.24 to 1.94; p = 0.011), compared with the intermediate chronotype.

Conclusion: Adolescents with a morningness chronotype may be more prone to abdominal obesity than their counterparts with an intermediate chronotype. Effective intervention-related approaches can be applied to those with a morningness chronotype.

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青少年的时间型及其与肥胖相关结果的关系：EHDLA 研究。

研究目的本研究旨在评估西班牙青少年样本中时间型与肥胖相关指标之间的关联：这项横断面研究使用了 "饮食健康与日常生活活动研究"（EHDLA）的数据，该研究包括西班牙青少年的代表性样本。共有 820 名 12-17 岁的青少年（54.7% 为女孩）参与了分析。青少年的 "时间型 "是通过 "儿童早睡/晚睡量表"（Morningness/Eveningness Scale in Children）确定的。肥胖相关指标包括体重指数、腰围、腰围身高比、肱三头肌和小腿内侧皮褶、皮褶总和以及体脂百分比。研究采用了广义线性模型来检验青少年的 "早起-活力 "评分和慢性型状态与上述肥胖相关指标之间的关系。所有分析都对性别、年龄、社会经济地位、睡眠时间、体力活动、久坐行为、地中海饮食习惯和能量摄入进行了调整：结果：与中间时型相比，晨起时型与较高的腹部肥胖（几率比 [OR] = 1.67，95% 置信区间 (CI) 1.12 至 2.50；P = 0.001）、腰围与身高比（非标准化贝塔系数 [B] = 0.01，95% CI 0.01 至 0.05；P = 0.029）和小腿皮褶（B = 1.04，95% CI 0.24 至 1.94；P = 0.011）有关：结论：与中间时型的青少年相比，晨间时型的青少年可能更容易腹部肥胖。有效的干预方法可适用于具有晨醒时间型的青少年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.