Cited by 156Sleep and related disordersObesity, Physical Activity, DietSleep and Wakefulness Research

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Sleep Duration and Adolescent Obesity

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Mitchell, Jonathan A., Rodriguez, Daniel, Schmitz, Kathryn H., Audrain-McGovern, Janet·2013·PEDIATRICS

DOI 10.1542/peds.2012-2368PMC PMC3639456

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Abstract

OBJECTIVES: Short sleep has been associated with adolescent obesity. Most studies used a cross-sectional design and modeled BMI categories. We sought to determine if sleep duration was associated with BMI distribution changes from age 14 to 18. METHODS: Adolescents were recruited from suburban high schools in Philadelphia when entering ninth grade (n = 1390) and were followed-up every 6 months through 12th grade. Height and weight were self-reported, and BMIs were calculated (kg/m(2)). Hours of sleep were self-reported. Quantile regression was used to model the 10th, 25th, 50th, 75th, and 90th BMI percentiles as dependent variables; study wave and sleep were the main predictors. RESULTS: BMI increased from age 14 to 18, with the largest increase observed at the 90th BMI percentile. Each additional hour of sleep was associated with decreases in BMI at the 10th (-0.04; 95% confidence interval [CI]: -0.11, 0.03), 25th (-0.12; 95% CI: -0.20, -0.04), 50th (-0.15; 95% CI: -0.24, -0.06), 75th (-0.25; 95% CI: -0.38, -0.12), and 90th (-0.27; 95% CI: -0.45, -0.09) BMI percentiles. The strength of the association was stronger at the upper tail of the BMI distribution. Increasing sleep from 7.5 to 10.0 hours per day at age 18 predicted a reduction in the proportion of adolescents >25 kg/m(2) by 4%. CONCLUSIONS: More sleep was associated with nonuniform changes in BMI distribution from age 14 to 18. Increasing sleep among adolescents, especially those in the upper half of the BMI distribution, may help prevent overweight and obesity.

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Bao, Z., Chen, C., Zhang, W., Jiang, Y., Zhu, J., & Lai, X. (2018) · Journal of School Health · doi:10.1111/josh.12608 · Cited by 17
Characteristics of sleep habits among adolescents living in the city of Ribeirão Preto (SP)
Ciampo, L. A. D., Louro, A. L., Ciampo, I. R. L. D., & Ferraz, I. S. (2017) · Journal of Human Growth and Development · doi:10.7322/jhgd.107097 · Cited by 18
Sufficient sleep duration in autistic children and the role of physical activity
Smidt, S. D. E., Gooneratne, N. S., Brodkin, E. S., Bućan, M., & Mitchell, J. A. (2022) · Autism · doi:10.1177/13623613211053671 · Cited by 16
“In addition, we controlled for being overweight because this has been associated with shorter sleep duration (Mitchell et al., 2013; Padez et al., 2009), physical inactivity (Miller et al., 2018), and ASD diagnosis (Must et al., 2017).”
Background
Effect of catch-up sleep on obesity in Korean adolescents: a nationwide cross-sectional study
Choi, Y., Kim, S., Lee, M., Lee, H. I., Song, K., Suh, J., Chae, H. W., Kim, H.-S., & Kwon, A. (2023) · Frontiers in Pediatrics · doi:10.3389/fped.2023.1213558 · Cited by 18
Modeling the dynamics of BMI changes during adolescence. The Oporto Growth, Health and Performance Study
de Souza, M. C., Eisenmann, J. C., Santos, D., de Chaves, R. N., Forjaz, C. L. M., & Maia, J. A. R. (2015) · International Journal of Obesity · doi:10.1038/ijo.2015.60 · Cited by 15
Sleep 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
The diagnosis and management of common sleep disorders in adolescents
Reiter, J. M., & Rosen, D. (2014) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000000113 · Cited by 14
Mental health and sleep habits/problems in children aged 3–4 years: a population study
Horiuchi, F., Kawabe, K., Oka, Y., Nakachi, K., Hosokawa, R., & Ueno, S. (2021) · BioPsychoSocial Medicine · doi:10.1186/s13030-021-00213-2 · Cited by 16
“Several studies have indicated that the most marked reduction in sleep duration and the highest prevalence of daytime sleepiness occur in adolescents [15, 16].”
Background
Neural recruitment related to threat perception differs as a function of adolescent sleep
Tashjian, S. M., & Galván, A. (2019) · Developmental Science · doi:10.1111/desc.12933 · Cited by 13
Text Message Behavioral Intervention for Teens on Eating, Physical Activity and Social Wellbeing (TEXTBITES): Protocol for a Randomized Controlled Trial
Partridge, S. R., Raeside, R., Singleton, A. C., Hyun, K. K., Latham, Z., Grunseit, A. M., Steinbeck, K. S., Chow, C. K., & Redfern, J. (2020) · JMIR Research Protocols · doi:10.2196/16481 · Cited by 12
Psychometric Properties of Sleep Hygiene Index in Indonesian Adolescents
Setyowati, A., Chung, M., Yusuf, A., & Haksama, S. (2020) · Journal of Public Health Research · doi:10.4081/jphr.2020.1806 · Cited by 12
Longitudinal trajectories of sleep quality in correlation with maltreatment in early childhood: A cohort of Chinese early adolescents
Cao, L., Wang, S., Li, Y., Li, Y., Yuan, M., Chang, J.-J., Wang, G., & Su, P. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.08.057 · Cited by 11
Childhood obesity in South Asian population
Pahuja, V., & Sanghvi, S. (2024) · Obesity Pillars · doi:10.1016/j.obpill.2024.100148 · Cited by 15
“Ensuring a quiet, electronic-free environment for sleep is also crucial [80].”
Associations of adolescent lifestyle behaviors with body mass index within a nationally representative sample of US adolescents: a quantile regression analysis
Burns, R. D., Bai, Y., Fu, Y., & Brusseau, T. A. (2019) · Public Health · doi:10.1016/j.puhe.2019.10.002 · Cited by 11
Sleep duration and overweight: is there a relationship in adolescence?
Corrêa, M. M., Borges, M. A. D. S., & de Oliveira, E. R. A. (2021) · Revista Brasileira de Epidemiologia · doi:10.1590/1980-549720210031 · Cited by 11
Sleep quality is mediated by physical activity level in adolescents
Pano-Rodríguez, Á., Beltrán-Garrido, J. V., Hernández‐González, V., Bueno‐Antequera, J., Oviedo‐Caro, M. Á., Mayolas-Pi, C., Legaz‐Arrese, A., & Masià, J. R. (2023) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.23.14494-x · Cited by 11
Relación entre el déficit de sueño nocturno, el exceso de peso y las alteraciones metabólicas en adolescentes
Ruiz, N., Rangel, A., Rodríguez, C., Rodríguez, L., & Rodríguez, V. (2014) · Archivos Argentinos de Pediatria · doi:10.5546/aap.2014.511 · Cited by 15
Targeting Sleep Duration and Timing for Prevention of Adolescent Obesity
Mitchell, J. A., Williamson, A. A., & Fiks, A. G. (2019) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2019.3080 · Cited by 10
Sleep Duration and Blood Pressure in Youth Referred for Elevated Blood Pressure Evaluation
Kogon, A. J., Maqsood, A. M., LoGuidice, J., Amaral, S. G., Meyers, K. E. C., & Mitchell, J. A. (2024) · PEDIATRICS · doi:10.1542/peds.2023-062940 · Cited by 15
Weekday time in bed and obesity risk in adolescence
Danielsen, Y. S., Pallesen, S., Sivertsen, B., Stormark, K. M., & Hysing, M. (2020) · Obesity Science & Practice · doi:10.1002/osp4.455 · Cited by 11
Understanding drivers of micro-level disparities in childhood body mass index, overweight, and obesity within low-income, minority communities
Datar, A., Shier, V., & Liu, Y. (2023) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2023.102143 · Cited by 9
Nutrition and food security
Walden, N., Zimmerman, R., Crenshaw, D., & Iannotti, L. L. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-96023-6.00136-6 · Cited by 9
Stressed and Losing Sleep: Sleep Duration and Perceived Stress Among Affluent Adolescent Females
Mousseau, A. M. D., Lund, T. J., Liang, B., Spencer, R., & Walsh, J. (2016) · Peabody Journal of Education · doi:10.1080/0161956x.2016.1227186 · Cited by 8
“It is not uncommon for sleep duration to be measured via one or two self-report items in current research (e.g., Kalak et al., 2014; Mitchell et al., 2013).”
Method
Association between sleep quality and obesity in adolescents
Sagala, N. J., Sofyani, S., & Supriatmo, S. (2017) · Paediatrica Indonesiana · doi:10.14238/pi57.1.2017.41-6 · Cited by 8
Combined Influence of Screen based Sedentary Behavior and Sleep Duration on Obesity, Depression, and Suicidal ideation in Korean Adolescents
Ra, J. S., & Cho, Y. H. (2014) · Journal of Korean Public Health Nursing · doi:10.5932/jkphn.2014.28.2.241 · Cited by 8
Influence of Sleep Time on the Consumption of Ultra-Processed Foods in Adolescents in a Capital of Brazil: A Longitudinal Study
Barreto, E. M. D. A., de Almeida, A. T. C., Neta, A. D. C. P. D. A., & Ferreira, F. E. L. D. L. (2024) · Nutrients · doi:10.3390/nu17010022 · Cited by 7
“The weighted average sleep time per day was calculated from the following equation: ((class nights × 5) + (weekend nights × 2)/7) [13].”
Adolescents’ Lifestyle Determinants in Relation to Their Nutritional Status during COVID-19 Pandemic Distance Learning in the North-Western Part of Romania—A Cross-Sectional Study
Năsui, B. A., Ungur, R. A., Nasui, G. A., Popescu, C. A., Hofer, A. M., Dersidan, S., Popa, M., Silaghi, H., & Silaghi, C. A. (2023) · Children · doi:10.3390/children10060922 · Cited by 6
Personal, social, and environmental correlates of physical activity and sport participation in an adolescent Turkish population
Timurtaş, E., Selçuk, H., Çınar, E., Demırbüken, İ., Sertbaş, Y., & Polat, M. G. (2022) · Bulletin of Faculty of Physical Therapy · doi:10.1186/s43161-022-00070-2 · Cited by 8
“related to sedentary behavior of children [27, 28].”
Sleep Habits, Academic Performance and Health Behaviors of Adolescents in Southern Greece
Alexopoulou, C., Fountoulaki, M., Papavasileiou, A., & Kondili, Ε. (2024) · Healthcare · doi:10.3390/healthcare12070775 · Cited by 8
Performance of an automated sleep scoring approach for actigraphy data in children and adolescents
Chen, P.-W., Jansen, E. C., Cielo︎, C. M., Williamson, A. A., Banker, M. M., Kaye, M., Song, P. X. ‐., Peterson, K. E., Cantoral, A., Téllez‐Rojo, M. M., et al. (2025) · SLEEP · doi:10.1093/sleep/zsaf282 · Cited by 7
Evaluating the feasibility of delivering a sleep education programme in secondary schools
McCrory, S., Crawford, M., & Fleming, L. (2023) · Health Education Journal · doi:10.1177/00178969231152960 · Cited by 6
“…sleep during adolescence has been associated with increased emotional reactivity, mental and physical ill health, poorer cognitive functioning and impaired academic performance (Beebe et al., 2010; Goldstein and Walker, 2014; McGlinchey et al., 2017; Mitchell et al., 2013; Titova et al., 2015).”
Background
Characteristics of sleep habits among adolescents living in the city of Ribeirão Preto (SP)
Ciampo, L. A. D., Louro, A. L., Ciampo, I. R. L. D., & Ferraz, I. S. (2016) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2016-0012 · Cited by 7
Retracted

Authors: Mitchell, J. A., Rodriguez, D., Schmitz, K. H., & Audrain-McGovern, J.
Affiliations: Departments of Biostatistics and Epidemiology, and
University of Pennsylvania (US)
ORCID: Mitchell, Jonathan A.
Rodriguez, Daniel
Schmitz, Kathryn H.
Audrain-McGovern, Janet
Venue: PEDIATRICS
Publisher: American Academy of Pediatrics (AAP)
Published: 2013-05-01
Volume: 131
Issue: 5
Pages: e1428-e1434
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2012-2368
PMC: PMC3639456
OpenAlex: W2115614234
Cited by: 156
References: 40
Citations by year: 2026: 1 · 2025: 8 · 2024: 14 · 2023: 11 · 2022: 10 · 2021: 8 · 2020: 11 · 2019: 10 · 2018: 9 · 2017: 14 · 2016: 12 · 2015: 13 · 2014: 21 · 2013: 14
FWCI: 27.09
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: PEDIATRICS (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Cancer Institute (F32CA162847, R01CA126958)
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: sleep duration, adolescent obesity, body mass index distribution, body mass index percentiles, overweight prevention, adolescent weight gain, high school students
MeSH terms: Adolescent, Age Factors, Cross-Sectional Studies, Female, Humans, Life Style, Longitudinal Studies, Male, Obesity, Sleep, Sleep Wake Disorders, Time Factors, Body Mass Index, Prevalence, Confidence Intervals, Risk Assessment, Overweight

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