Is obesity associated with poor sleep quality in adolescents?
Abstract
Obesity has reached epidemic proportions in the U.S. and more developed countries, particularly so among adolescents. A substantial impact on public health could be achieved if other factors causing obesity besides the conventional ones of diet and physical activity could be identified and acted upon. The present study investigates whether there is a link between low sleep quality and obesity in a tri‐ethnic, cross‐sectional sample (n = 383) of male and female adolescents ages 11–16 years old (Heartfelt Study). Sleep quality was expressed as two variables, total sleep time and sleep disturbance time obtained by 24‐hour wrist actigraphy. Percent body fat and body mass index (BMI) were used together to define obesity. The potential influence of demographic and behavioral confounders were considered in models that described the relation of sleep to obesity occurrence. Obese adolescents experienced less sleep than nonobese adolescents (P < 0.01). For each hour of lost sleep, the odds of obesity increased by 80%. Sleep disturbance was not directly related to obesity in the sample, but influenced physical activity level (P < 0.01). Daytime physical activity diminished by 3% for every hour increase in sleep disturbance. The above observations were independent of potential confounding variables. Inadequate and poor sleep quality in adolescents may be important factors to consider in the prevention of childhood obesity. Am. J. Hum. Biol. 14:762–768, 2002. © 2002 Wiley‐Liss, Inc.
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Four studies using objective measurements found a much stronger cross-sectional association than similar studies using self-reported data.
“In support of this hypothesis, four studies that performed objective measurements reported a much stronger cross-sectional association than other studies of similar cross-sectional design but using self-reported data [63, 125, 182, 190].”
From Sleep and metabolic function (2012) · cites this paper as [63]
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- Authors
- Gupta, N. K., Mueller, W. H., Chan, W., & Meininger, J. C.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- Corresponding author
- Mueller, William H.
- Venue
- American Journal of Human Biology
- Publisher
- Wiley
- Published
- 2002-10-24
- Volume
- 14
- Issue
- 6
- Pages
- 762-768
- ISSN
- 1042-0533 (ISSN-L)
- 1520-6300
- OpenAlex
- W2172000602
- Cited by
- 438
- References
- 36
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 12 · 2023: 7 · 2022: 10 · 2021: 12 · 2020: 17 · 2019: 19 · 2018: 17 · 2017: 16 · 2016: 27 · 2015: 26 · 2014: 34 · 2013: 34 · 2012: 33
- FWCI
- 9.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Human Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1r55nr003052-01a1, 5r01nr003052-03)
- National Institute of Nursing Research (R55 NR03052, R01 NR03052)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- adolescent obesity, sleep quality, total sleep time, sleep disorders, physical activity, body mass index, fat mass, obesity prevention
- MeSH terms
- Adolescent, Blood Pressure Determination, Child, Cross-Sectional Studies, Ethnicity, Female, Heart Rate, Humans, Life Style, Male, Obesity, Physical Examination, Physical Fitness, Probability, Regression Analysis, Sampling Studies, Sleep Wake Disorders, United States, Exercise, Body Mass Index, Multivariate Analysis, Age Distribution, Sex Distribution, Risk Assessment
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