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Associations of sleep duration with obesity and serum lipid profile in children and adolescents
Abstract
Introduction The association between sleep duration, obesity, and serum lipid profile in the youth population is under-explored.Objective To evaluate the association between sleep duration, obesity and serum lipid profile in the youth population.Methods We conducted a cross-sectional population-based study with students recruited from primary and secondary schools in Hong Kong. Anthropometric measurements, fasting lipid profiles and validated questionnaires on sleep duration were performed. A subgroup (n=138) was randomly selected for both questionnaires and actigraphy to assess the agreement between subjective and objective measurements of sleep duration.Results We studied 2053 healthy children and adolescents aged 6-20 years. Their mean ages were 13.0±3.3 (boys) and 13.6±3.3 (girls) years. The average sleep duration during schooldays, weekends, and long holidays was 8.0±1.1, 9.6±1.2, and 9.8±1.2h in boys and 7.7±1.1, 9.9±1.2, and 10.1±1.2h in girls, respectively. Using logistic regression, age, and pubertal stage were associated with obesity in secondary school students, whereas male gender and short sleep duration were associated with obesity in primary school children. In secondary school children, those with long sleep duration, as compared to those with short sleep duration, were significantly associated with reduced risk to have high TC and LDL-C levels after adjustment for age, gender, BMI, and pubertal stage. There was no significant association between sleep duration and lipid levels in primary school children.Conclusion Reduced sleep duration was associated with obesity and atherogenic dyslipidemia in young school children in Hong Kong.
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“Both self-reported short and long sleep duration have been associated with elevated risk of obesity in both children and adults[1-7]”
From Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors (2014) · cites this paper as [7]
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A Systematic Review on Sleep Duration and Dyslipidemia in Adolescents: Understanding Inconsistencies
Abreu, G. D. A., Barufaldi, L. A., Bloch, K. V., & Szklo, M. (2015) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20150121 · Cited by 23
Sleeping Time, BMI, and Body Fat in Chinese Freshmen and Their Interrelation
Yang, Y., Miao, Q., Zhu, X., Qin, L., Gong, W., Zhang, S., Zhang, Q., Lü, B., Ye, H., & Li, Y. (2020) · Obesity Facts · doi:10.1159/000506078 · Cited by 22
Familial Aggregation and Heritability of Obstructive Sleep Apnea Using Children Probands
Au, C. T., Zhang, J., Cheung, J. Y. F., Chan, K. C. C., Wing, Y. K., & Li, A. M. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8012 · Cited by 22
“Those without habitual snoring were recruited from a cohort established by a previous epidemiologic study, which assessed the relationship between sleep disturbance and neurohormonal dysregulation in a random sample of primary and secondary school students, 17 to serve as suspected control probands.”
Chan, N. P. T., Choi, K. C., Nelson, E. A. S., Chan, J. C. N., & Kong, A. P. S. (2015) · BMC Pediatrics · doi:10.1186/s12887-015-0446-0 · Cited by 20
“This study was a sub-study of a large, school-based, crosssectional study funded by the Hong Kong Research Grants Council (CUHK4465/06 M) and was conducted between 2007 and 2008 [14].”
A scoping review of sleep discrepancy methodology: What are we measuring and what does it mean?
Walton, T. F., Ree, M. J., Fueggle, S. N., & Bucks, R. S. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.11.016 · Cited by 19
Lehmann, S., Askeland, K. G., & Hysing, M. (2020) · Child & Family Social Work · doi:10.1111/cfs.12794 · Cited by 19
Effects of sleep deprivation on coronary heart disease
Wei, R., Duan, X., & Guo, L. (2022) · Korean Journal of Physiology and Pharmacology · doi:10.4196/kjpp.2022.26.5.297 · Cited by 18
“[73] published a cross-sectional study of a sample from Hong Kong, China.”
BackgroundThe Effect of Sleep Deprivation on Coronary Heart Disease
Yuan, R., Wang, J., & Guo, L. (2016) · Chinese Medical Sciences Journal · doi:10.1016/s1001-9294(17)30008-1 · Cited by 19
Longer Sleep – Slimmer Kids: The ENERGY-Project
Altenburg, T. M., Chinapaw, M. J. M., van der Knaap, E. T. W., Brug, J., Μanios, Y., & Singh, A. S. (2013) · PLoS ONE · doi:10.1371/journal.pone.0059522 · Cited by 19
Byrne, E. M., Gehrman, P., Trzaskowski, M., Tiemeier, H. W., & Pack, A. I. (2016) · SLEEP · doi:10.5665/sleep.6168 · Cited by 19
Sleep in adolescence: Considering family structure and family complexity
Nilsen, S. A., Bergström, M., Sivertsen, B., Stormark, K. M., & Hysing, M. (2022) · Journal of Marriage and the Family · doi:10.1111/jomf.12844 · Cited by 18
Gender Differences in the Relationship Between Sleep Problems and Suicide Attempt in Adolescents
Wan, Y., Xu, H., Wang, S., Boyda, D., McFeeters, D., Sun, Y., Zhang, S., Chen, R., & Tao, F. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00133 · Cited by 18
“Although it was impractical to assess sleep via experimental methods in large-scale populationbased studies, self-reported sleep behavior has been shown to have good concordance with objectively-measured sleep (38, 39).”
MethodSleep‐disordered breathing in cystic fibrosis
Jagpal, S. K., Jobanputra, A. M., Ahmed, O., Santiago, T. V., & Ramagopal, M. (2020) · Pediatric Pulmonology · doi:10.1002/ppul.25028 · Cited by 17
Du, J., Chen, Y., Zhou, N., Song, Y., Wang, W., & Hong, X. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.04.004 · Cited by 16
Sleep patterns and cardiometabolic risk in schoolchildren from Cuenca, Spain
la Cruz, L. L., Espinosa, N. M. M., Cavero‐Redondo, I., González‐García, A., Díez‐Fernández, A., Martínez‐Vizcaíno, V., & Notario‐Pacheco, B. (2018) · PLoS ONE · doi:10.1371/journal.pone.0191637 · Cited by 17
dos Santos, E. D. S. G., & de Souza, O. F. (2020) · Revista Paulista de Pediatria · doi:10.1590/1984-0462/2021/39/2019225 · Cited by 18
Lin, C., Tsai, Y., & Yeh, M. C. (2015) · Journal of Advanced Nursing · doi:10.1111/jan.12844 · Cited by 17
Sleep-disordered breathing in cystic fibrosis
Shakkottai, A., Nasr, S. Z., Hassan, F., Irani, S., O'Brien, L. M., & Chervin, R. D. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.05.031 · Cited by 16
Monzon, A. D., Patton, S. R., & Koren, D. (2021) · Pediatric Pulmonology · doi:10.1002/ppul.25651 · Cited by 17
Evanger, L. N., Bjorvatn, B., Pallesen, S., Hysing, M., Sivertsen, B., & Saxvig, I. W. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13840 · Cited by 18
“Also, a previous study found sound agreement between adolescents' actigraph-assessed and subjectively assessed sleep duration (Kong et al., 2011).”
ResultImpact of commuting distance and school timing on sleep of school students
Pradhan, R. K., & Sinha, N. (2017) · Sleep and Biological Rhythms · doi:10.1007/s41105-017-0091-0 · Cited by 16
The potential impact of sleep duration on lipid biomarkers of cardiovascular disease
Araghi, M., Thomas, G. N., & Taheri, S. (2012) · Clinical Lipidology · doi:10.2217/clp.12.43 · Cited by 13
Zhou, W., Wang, T., Zhu, L., Wen, M., Hu, L., Huang, X. B., You, C., Li, J., Wu, Y., Wu, Q., et al. (2019) · International Journal of Hypertension · doi:10.1155/2019/9473182 · Cited by 15
“Moreover, our findings revealed that females with later AAM had a larger BMI, WC, BFP, and VAI during adulthood, with the similar conclusion reported in a large population-based investigation [22].”
MethodResultSleep and Obesity in Children and Adolescents
Hanlon, E. C., Dumin, M., & Pannain, S. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-812840-4.00013-x · Cited by 16
Lim, H. H. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.10.015 · Cited by 13
Réduction du temps de sommeil chez les adolescents : conséquences et prise en charge ?
Bat‐Pitault, F., & Fonséca, D. D. (2012) · Archives de Pédiatrie · doi:10.1016/j.arcped.2012.07.004 · Cited by 12
Chan, N., Lam, S. P., Zhang, J.-H., Yu, M., Li, S., Li, A., & Wing, Y. K. (2015) · Sleep and Biological Rhythms · doi:10.1007/s41105-015-0008-8
“4 h) among secondary school students, accompanied by a notable variability of weekday and weekend sleep-wake pattern [2].”
BackgroundThe social gradient of sleep in adolescence: results from the youth@hordaland survey
Hysing, M., Petrie, K. J., Bøe, T., Lallukka, T. M., & Sivertsen, B. (2016) · European Journal of Public Health · doi:10.1093/eurpub/ckw200 · Cited by 15
Lo, K., Keung, V. M. W., Cheung, C. K. M., Tam, W., & Lee, A. (2019) · Childhood Obesity · doi:10.1089/chi.2018.0319 · Cited by 12
Intermediate phenotypes of childhood obstructive sleep apnea
Au, C. T., Chan, K. C. C., Zhang, J., Liu, K. H., Chu, C. W., Wing, Y. K., & Li, A. M. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13191 · Cited by 13
“Non-snoring controls were recruited from participants of an epidemiological study that tested the association between sleep disturbance and neurohormonal dysregulation in a random sample of local school students (Kong et al., 2011).”
MethodBhattacharjee, R., Hakim, F., & Gozal, D. (2012) · Clinical Lipidology · doi:10.2217/clp.12.11 · Cited by 12
Metadata
- Authors
- Kong, A. P., Wing, Y.-K., Choi, K. C., Li, A. M., Ko, G. T. C., Ma, R. C., Tong, P. C., Ho, C.-S., Chan, M. H., Ng, M. H., Lau, J., & Chan, J. C.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- Ko, Gary T.C.
- ORCID
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 12
- Issue
- 7
- Pages
- 659-665
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2151004981
- Cited by
- 152
- References
- 47
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 8 · 2020: 14 · 2019: 17 · 2018: 13 · 2017: 6 · 2016: 12 · 2015: 21 · 2014: 15 · 2013: 11 · 2012: 11
- FWCI
- 15.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Hong Kong
- Chinese University of Hong Kong
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, childhood obesity, adolescent obesity, lipid profile, atherogenic dyslipidemia, total cholesterol, LDL cholesterol, elementary school students, pubertal stage, sex differences
- MeSH terms
- Adolescent, Child, Female, Hong Kong, Humans, Lipids, Male, Obesity, Surveys and Questionnaires, Random Allocation, Sleep, Sleep Wake Disorders, Prevalence, Asian People, Dyslipidemias, Young Adult, Actigraphy
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