Longitudinal associations between reported sleep duration in early childhood and the development of body mass index, fat mass index and fat free mass index until age 7
Abstract
OBJECTIVE: Epidemiological studies in children and adolescents have revealed short sleep duration as a risk factor for weight gain. However, only few studies have addressed sleep in early childhood. Our aim was to determine whether sleep in the second year of life is associated with the development of body composition throughout childhood. METHODS: Analysis included 481 DONALD participants with parental reported data on sleep duration and annually measured body composition until age 7. Using median splits of sleeping time at 1.5 and 2 years we defined sleep duration categories: consistently short (CS, n = 122), inconsistent (I, n = 143) and consistently long (CL, n = 216). Polynomial mixed effects regression models were used to analyze differences in the trajectories of body mass index (BMI, kg/m(2)), fat mass index (FMI, kg/m(2)) and fat free mass index (FFMI, kg/m(2)) from ages 2-7 years between the sleep duration categories. RESULTS: Compared to CL-children, CS-sleepers differed in their FMI development with respect to linear, quadratic and cubic trend (all p < 0.04), resulting in progressively higher FMI levels until age 7 independently of early life or socioeconomic factors. Trajectories of BMI and FFMI did not differ between the sleep duration categories. CONCLUSION: Consistently short sleep duration in the critical window of early childhood appears to exert a moderate but sustained adverse effect on the development of fat mass - but not fat free mass - until age 7.
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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 [38]
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 [38]
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- Authors
- Diethelm, K., Bolzenius, K., Cheng, G., Remer, T., & Buyken, A. E.
- Affiliations
- University of Bonn (DE)
- Venue
- International Journal of Pediatric Obesity
- Publisher
- Informa UK Limited
- Published
- 2011-06
- Volume
- 6
- Issue
- 2-2
- Pages
- e114-e123
- ISSN
- 1747-7166 (ISSN-L)
- 1747-7174
- OpenAlex
- W2130938877
- Cited by
- 48
- References
- 43
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 5 · 2019: 8 · 2018: 3 · 2017: 6 · 2016: 5 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Pediatric Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Innovative Research Group Project of the National Natural Science Foundation of China
- Uniscientia Foundation
- 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, early childhood, body mass index, fat mass index, fat-free mass index, body composition, childhood obesity, short sleep duration, longitudinal development
- MeSH terms
- Age Factors, Aging, Anthropometry, Child, Child Development, Child, Preschool, Female, Germany, Humans, Longitudinal Studies, Male, Risk Factors, Sleep, Time Factors, Body Mass Index, Chi-Square Distribution, Logistic Models, Odds Ratio, Risk Assessment, Adiposity, Overweight
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