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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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“Both self-reported short and long sleep duration have been associated with elevated risk for obesity in children and adults [1–7], as well as cardiovascular disease [8–10], diabetes mellitus (DM) [4,11,12], hypertension [2,13,14], and other negative health outcomes [2,15–17] (i.”
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BackgroundResult
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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