Short sleep duration is related to emerging cardiovascular risk factors in obese children
Abstract
OBJECTIVE: The aim of the present study was to evaluate the influence of sleep duration on cardiovascular risk factors in obese children. METHODS: Cross-sectional analysis of 90 obese children ages 7 to 16 years. Anthropometric and clinical evaluation with specification of dietary and lifestyle habits was carried out during an office visit. Sleep duration was evaluated by the BEARS (B = bedtime issues, E = excessive daytime sleepiness, A = night awakening, R = regularity and duration of sleep, S = snoring) questionnaire on children's sleep characteristics. Sleep time adequacy by age was assessed according to the criteria of the National Sleep Foundation. Biochemical blood variables indicative of metabolic risk (glucose, lipid profile, and insulin) were obtained. Emergent new factors of metabolic risk, including high-sensitive C-reactive protein, γ-glutamyltranspeptidase, homocysteine, retinol-binding protein 4 (RBP4), thyroid-stimulating hormone (TSH), inflammatory markers, and the adipokines leptin, adiponectin, and ghrelin were also evaluated. The relations between the duration of sleep and these variables were analyzed by general lineal model analysis. Significant variables were introduced in logistic regression analysis to determine the odds ratio (OR) and 95% confidence interval (CI) of cardiometabolic factors with respect to sleep. RESULTS: Children who slept for short duration were significantly more at risk of severe central obesity. In the regression model, the mean arterial pressure (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.02-1.17, P = 0.008), homocysteine (OR 1.41, 95% CI 1.08-1.84, P = 0.013), RBP4 (OR 1.78, 95% CI 1.15-2.78, P = 0.010), and TSH (OR 2.01, 95% CI 1.21-3.34, P = 0.007) remain as significant independent predictors related to short sleep duration. We did not find any association between sleep duration and inflammatory markers or adipokines. CONCLUSIONS: Short sleep duration increases the severity of obesity and is related to cardiovascular risk factors in children.
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Short sleep duration in obese children is associated with elevated homocysteine levels compared to obese children who obtain sufficient sleep.
“A recent cross-sectional study has also identified that short sleep duration in obese children is associated with elevated homocysteine levels compared to obese children who obtain sufficient sleep (193).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [193]
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- Authors
- Navarro‐Solera, M., Carrasco‐Luna, J., Pin‐Arboledas, G., González‐Carrascosa, R., Soriano, J. M., & Codoñer‐Franch, P.
- Affiliations
- Universitat de València (ES)
- Valencia Catholic University Saint Vincent Martyr (ES)
- Sleep Unit Hospital Quirón Valencia Spain
- Hospital Universitario Doctor Peset (ES)
- Corresponding author
- Navarro‐Solera, María
- González‐Carrascosa, Rebeca
- Venue
- Journal of Pediatric Gastroenterology and Nutrition
- Publisher
- Wiley
- Published
- 2015-11
- Volume
- 61
- Issue
- 5
- Pages
- 571-576
- ISSN
- 0277-2116 (ISSN-L)
- 1536-4801
- OpenAlex
- W2399761940
- Cited by
- 46
- References
- 40
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 9 · 2015: 1
- FWCI
- 11.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- short sleep duration, childhood obesity, cardiovascular risk factors, abdominal obesity, homocysteine, retinol-binding protein 4, thyroid-stimulating hormone, mean arterial pressure, adipokines, inflammatory markers, cardiometabolic risk, sleep adequacy
- MeSH terms
- Adolescent, Blood Glucose, Blood Pressure, C-Reactive Protein, Cardiovascular Diseases, Child, Cross-Sectional Studies, Female, Homocysteine, Humans, Insulin, Male, Surveys and Questionnaires, Risk Factors, Sleep, Sleep Wake Disorders, Thyrotropin, Body Mass Index, Metabolic Syndrome, Adipokines, Retinol-Binding Proteins, Plasma, Obesity, Abdominal, Pediatric Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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