Childhood Sleep Time and Long-Term Risk for Obesity: A 32-Year Prospective Birth Cohort Study
Abstract
OBJECTIVE. Associations between short sleep duration and increased BMI have been found in children and adults. However, it is not known whether short sleep time during childhood has long-term consequences. We assessed the association between sleep time in childhood and adult BMI in a birth cohort. METHODS. Study members were a general-population birth cohort of 1037 participants (502 female) who were born in Dunedin, New Zealand, between April 1972 and March 1973. Parental reports of bedtimes and rising times collected at ages 5, 7, 9, and 11 years were used to estimate childhood sleep time. Linear regression analysis was used to analyze the association between childhood sleep time and BMI measured at 32 years of age. RESULTS. Shorter childhood sleep times were significantly associated with higher adult BMI values. This association remained after adjustment for adult sleep time and the potential confounding effects of early childhood BMI, childhood socioeconomic status, parental BMIs, child and adult television viewing, adult physical activity, and adult smoking. In logistic regression analyses, more sleep time during childhood was associated with lower odds of obesity at 32 years of age. This association was significant after adjustment for multiple potential confounding factors. CONCLUSIONS. These findings suggest that sleep restriction in childhood increases the long-term risk for obesity. Ensuring that children get adequate sleep may be a useful strategy for stemming the current obesity epidemic.
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In pediatric populations, all 12 longitudinal studies found a positive association between short sleep and later obesity risk.
“This pattern is particularly consistent in pediatric populations (all 12 studies had positive findings; reviewed in [80]; additional references: [21, 38, 89, 150]).”
From Sleep and metabolic function (2012) · cites this paper as [89]
Among 28 longitudinal studies on short sleep and later obesity risk in children and adults, 22 found that short sleep was linked to greater weight gain, obesity, or fat mass after a few years.
“Of the 28 longitudinal studies that examined the impact of short sleep on obesity risk in children and adults, 22 reported that short sleep is associated with an increased risk of weight gain or development of obesity and/or increased fat mass a few years later”
From Sleep and metabolic function (2012) · cites this paper as [89]
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- Authors
- Landhuis, C. E., Poulton, R., Welch, D., & Hancox, R. J.
- Affiliations
- University of Otago (NZ)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2008-11-01
- Volume
- 122
- Issue
- 5
- Pages
- 955-960
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1981369842
- Cited by
- 237
- References
- 45
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 9 · 2022: 9 · 2021: 15 · 2020: 8 · 2019: 7 · 2018: 12 · 2017: 15 · 2016: 21 · 2015: 12 · 2014: 21 · 2013: 25 · 2012: 20
- FWCI
- 23.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (MH-49414)
- 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
- obesity risk, body mass index, long-term follow-up, sleep restriction, adult obesity, Dunedin birth cohort
- MeSH terms
- Adult, Child, Child Development, Child, Preschool, Female, Humans, Life Style, Male, New Zealand, Obesity, Prospective Studies, Risk Factors, Sleep, Social Class, Time Factors, Body Mass Index
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