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Chronic Sleep Curtailment and Adiposity
Open accessAbstract
OBJECTIVES: To examine the extent to which chronic sleep curtailment from infancy to mid-childhood is associated with total and central adiposity. METHODS: We studied 1046 children participating in a prospective cohort study. At age 6 months and yearly from age 1 to 7 years, mothers reported their children's sleep duration in a usual 24-hour period. The main exposure was a sleep curtailment score from age 6 months to 7 years. The range of the total score was 0 to 13, where 0 indicated the maximal sleep curtailment and 13 indicated never having curtailed sleep. Outcomes in mid-childhood were BMI z score, dual X-ray absorptiometry total and trunk fat mass index (kg/m(2)), and waist and hip circumferences (cm). RESULTS: The mean (SD) sleep score was 10.2 (2.7); 4.4% scored a 0 to 4, indicating multiple exposures to sleep curtailment between age 6 months to 7 years, 12.3% scored 5 to 7, 14.1% scored 8 to 9, 28.8% scored 10 to 11, and 40.3% scored 12 to 13. In multivariable models, children who had a sleep score of 0 to 4 had a BMI z score that was 0.48 U (95% confidence interval, 0.13 to 0.83) higher than those who had a sleep score of 12 to 13. We observed similar associations of higher total and trunk fat mass index and waist and hip circumferences, and higher odds of obesity (odds ratio, 2.62; 95% confidence interval, 0.99 to 6.97) among children who had a score of 0 to 4 vs 12 to 13. CONCLUSIONS: Chronic sleep curtailment from infancy to school age was associated with higher overall and central adiposity in mid-childhood.
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“Sleep curtailment and short sleep duration have been linked to increased adiposity and elevated BMI in longitudinal studies spanning from infancy to adolescence (188, 189).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [188]
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Metadata
- Authors
- Taveras, E. M., Gillman, M. W., Peña, M.-M., Redline, S., & Rifas-Shiman, S. L.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Brigham and Women's Hospital (US)
- Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachussetts;
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2014-06-01
- Volume
- 133
- Issue
- 6
- Pages
- 1013-1022
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC4035591
- OpenAlex
- W2128352812
- Cited by
- 115
- References
- 59
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 9 · 2020: 9 · 2019: 14 · 2018: 11 · 2017: 16 · 2016: 17 · 2015: 13 · 2014: 3
- FWCI
- 22.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- PEDIATRICS (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (U54CA116847)
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R37HD034568, R01HD034568)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep duration, childhood obesity, abdominal obesity, body mass index, trunk fat mass, waist circumference, hip circumference, infancy, middle childhood, adiposity
- MeSH terms
- Age Factors, Anthropometry, Child, Child, Preschool, Female, Humans, Infant, Male, Prospective Studies, Sleep Deprivation, Statistics as Topic, Cohort Studies, Body Mass Index, Odds Ratio, Body Fat Distribution, Obesity, Abdominal, Pediatric Obesity
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