Sleep duration and incidence of obesity in infants, children, and adolescents: a systematic review and meta-analysis of prospective studies

Abstract Study Objectives To assess the prospective relationship between sleep and obesity in a paediatric population. Methods We performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year,...

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Published inSleep (New York, N.Y.) Vol. 41; no. 4
Main Authors Miller, Michelle A, Kruisbrink, Marlot, Wallace, Joanne, Ji, Chen, Cappuccio, Francesco P
Format Journal Article
LanguageEnglish
Published US Oxford University Press 01.04.2018
Subjects
Body mass index
Meta-analysis
Obesity
Sleep
Systematic review
Teenagers
sleep deprivation
infants
adolescents
body mass index
meta-analysis
overweight
obesity
prospective
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Abstract Abstract Study Objectives To assess the prospective relationship between sleep and obesity in a paediatric population. Methods We performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year, had duration of sleep at baseline, and measures of incidence of overweight or obesity and/or changes in body mass index (BMI) z-score and BMI during follow-up. We extracted relative risks or changes in BMI z-score or BMI and 95% confidence intervals (CI) and pooled them using a random effect model. Results Forty-two studies were included but, as there was significant heterogeneity, results are presented by age strata. Short sleep was associated with a greater risk of developing overweight or obesity in infancy (seven studies, 14738 participants, risk ratio [RR]: 1.40; 95% CI 1.19 to 1.65; p < .001), early childhood (eight studies, 31104 participants, RR: 1.57; 1.40 to 1.76; p < .001), middle childhood (three studies, 3005 participants, RR: 2.23; 2.18 to 2.27; p < .001), and adolescence (three studies, 26652 participants, RR: 1.30; 1.11 to 1.53; p < .002). Sleep duration was also associated with a significant change in BMI z-score (14 studies, 18 cohorts, 31665 participants; mean difference −0.03; −0.04 to −0.01 per hour sleep; p = .001) and in BMI (16 studies, 24 cohorts, 24894 participants; mean difference −0.03 kg/m2; −0.04 to −0.01 for every hour of increase in sleep; p = .001) Conclusions Short sleep duration is a risk factor or marker of the development of obesity in infants, children, and adolescents.
AbstractList To assess the prospective relationship between sleep and obesity in a paediatric population. We performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year, had duration of sleep at baseline, and measures of incidence of overweight or obesity and/or changes in body mass index (BMI) z-score and BMI during follow-up. We extracted relative risks or changes in BMI z-score or BMI and 95% confidence intervals (CI) and pooled them using a random effect model. Forty-two studies were included but, as there was significant heterogeneity, results are presented by age strata. Short sleep was associated with a greater risk of developing overweight or obesity in infancy (seven studies, 14738 participants, risk ratio [RR]: 1.40; 95% CI 1.19 to 1.65; p < .001), early childhood (eight studies, 31104 participants, RR: 1.57; 1.40 to 1.76; p < .001), middle childhood (three studies, 3005 participants, RR: 2.23; 2.18 to 2.27; p < .001), and adolescence (three studies, 26652 participants, RR: 1.30; 1.11 to 1.53; p < .002). Sleep duration was also associated with a significant change in BMI z-score (14 studies, 18 cohorts, 31665 participants; mean difference -0.03; -0.04 to -0.01 per hour sleep; p = .001) and in BMI (16 studies, 24 cohorts, 24894 participants; mean difference -0.03 kg/m2; -0.04 to -0.01 for every hour of increase in sleep; p = .001). Short sleep duration is a risk factor or marker of the development of obesity in infants, children, and adolescents.
To assess the prospective relationship between sleep and obesity in a paediatric population.Study ObjectivesTo assess the prospective relationship between sleep and obesity in a paediatric population.We performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year, had duration of sleep at baseline, and measures of incidence of overweight or obesity and/or changes in body mass index (BMI) z-score and BMI during follow-up. We extracted relative risks or changes in BMI z-score or BMI and 95% confidence intervals (CI) and pooled them using a random effect model.MethodsWe performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year, had duration of sleep at baseline, and measures of incidence of overweight or obesity and/or changes in body mass index (BMI) z-score and BMI during follow-up. We extracted relative risks or changes in BMI z-score or BMI and 95% confidence intervals (CI) and pooled them using a random effect model.Forty-two studies were included but, as there was significant heterogeneity, results are presented by age strata. Short sleep was associated with a greater risk of developing overweight or obesity in infancy (seven studies, 14738 participants, risk ratio [RR]: 1.40; 95% CI 1.19 to 1.65; p < .001), early childhood (eight studies, 31104 participants, RR: 1.57; 1.40 to 1.76; p < .001), middle childhood (three studies, 3005 participants, RR: 2.23; 2.18 to 2.27; p < .001), and adolescence (three studies, 26652 participants, RR: 1.30; 1.11 to 1.53; p < .002). Sleep duration was also associated with a significant change in BMI z-score (14 studies, 18 cohorts, 31665 participants; mean difference -0.03; -0.04 to -0.01 per hour sleep; p = .001) and in BMI (16 studies, 24 cohorts, 24894 participants; mean difference -0.03 kg/m2; -0.04 to -0.01 for every hour of increase in sleep; p = .001).ResultsForty-two studies were included but, as there was significant heterogeneity, results are presented by age strata. Short sleep was associated with a greater risk of developing overweight or obesity in infancy (seven studies, 14738 participants, risk ratio [RR]: 1.40; 95% CI 1.19 to 1.65; p < .001), early childhood (eight studies, 31104 participants, RR: 1.57; 1.40 to 1.76; p < .001), middle childhood (three studies, 3005 participants, RR: 2.23; 2.18 to 2.27; p < .001), and adolescence (three studies, 26652 participants, RR: 1.30; 1.11 to 1.53; p < .002). Sleep duration was also associated with a significant change in BMI z-score (14 studies, 18 cohorts, 31665 participants; mean difference -0.03; -0.04 to -0.01 per hour sleep; p = .001) and in BMI (16 studies, 24 cohorts, 24894 participants; mean difference -0.03 kg/m2; -0.04 to -0.01 for every hour of increase in sleep; p = .001).Short sleep duration is a risk factor or marker of the development of obesity in infants, children, and adolescents.ConclusionsShort sleep duration is a risk factor or marker of the development of obesity in infants, children, and adolescents.
Study Objectives To assess the prospective relationship between sleep and obesity in a paediatric population. Methods We performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year, had duration of sleep at baseline, and measures of incidence of overweight or obesity and/or changes in body mass index (BMI) z-score and BMI during follow-up. We extracted relative risks or changes in BMI z-score or BMI and 95% confidence intervals (CI) and pooled them using a random effect model. Results Forty-two studies were included but, as there was significant heterogeneity, results are presented by age strata. Short sleep was associated with a greater risk of developing overweight or obesity in infancy (seven studies, 14738 participants, risk ratio [RR]: 1.40; 95% CI 1.19 to 1.65; p < .001), early childhood (eight studies, 31104 participants, RR: 1.57; 1.40 to 1.76; p < .001), middle childhood (three studies, 3005 participants, RR: 2.23; 2.18 to 2.27; p < .001), and adolescence (three studies, 26652 participants, RR: 1.30; 1.11 to 1.53; p < .002). Sleep duration was also associated with a significant change in BMI z-score (14 studies, 18 cohorts, 31665 participants; mean difference −0.03; −0.04 to −0.01 per hour sleep; p = .001) and in BMI (16 studies, 24 cohorts, 24894 participants; mean difference −0.03 kg/m2; −0.04 to −0.01 for every hour of increase in sleep; p = .001) Conclusions Short sleep duration is a risk factor or marker of the development of obesity in infants, children, and adolescents.
Abstract Study Objectives To assess the prospective relationship between sleep and obesity in a paediatric population. Methods We performed a systematic search using PubMed, Embase, Web of Science, and Cochrane (up to September 25, 2017). Included studies were prospective, had follow-up of ≥1 year, had duration of sleep at baseline, and measures of incidence of overweight or obesity and/or changes in body mass index (BMI) z-score and BMI during follow-up. We extracted relative risks or changes in BMI z-score or BMI and 95% confidence intervals (CI) and pooled them using a random effect model. Results Forty-two studies were included but, as there was significant heterogeneity, results are presented by age strata. Short sleep was associated with a greater risk of developing overweight or obesity in infancy (seven studies, 14738 participants, risk ratio [RR]: 1.40; 95% CI 1.19 to 1.65; p < .001), early childhood (eight studies, 31104 participants, RR: 1.57; 1.40 to 1.76; p < .001), middle childhood (three studies, 3005 participants, RR: 2.23; 2.18 to 2.27; p < .001), and adolescence (three studies, 26652 participants, RR: 1.30; 1.11 to 1.53; p < .002). Sleep duration was also associated with a significant change in BMI z-score (14 studies, 18 cohorts, 31665 participants; mean difference −0.03; −0.04 to −0.01 per hour sleep; p = .001) and in BMI (16 studies, 24 cohorts, 24894 participants; mean difference −0.03 kg/m2; −0.04 to −0.01 for every hour of increase in sleep; p = .001) Conclusions Short sleep duration is a risk factor or marker of the development of obesity in infants, children, and adolescents.
Author Wallace, Joanne
Cappuccio, Francesco P
Ji, Chen
Miller, Michelle A
Kruisbrink, Marlot
Author_xml – sequence: 1
  givenname: Michelle A
  surname: Miller
  fullname: Miller, Michelle A
  email: Michelle.miller@warwick.ac.uk
  organization: Division of Health Sciences (Mental Health and Wellbeing), Warwick Medical School, University of Warwick, Coventry, UK
– sequence: 2
  givenname: Marlot
  surname: Kruisbrink
  fullname: Kruisbrink, Marlot
  organization: Division of Health Sciences (Mental Health and Wellbeing), Warwick Medical School, University of Warwick, Coventry, UK
– sequence: 3
  givenname: Joanne
  surname: Wallace
  fullname: Wallace, Joanne
  organization: Division of Health Sciences (Mental Health and Wellbeing), Warwick Medical School, University of Warwick, Coventry, UK
– sequence: 4
  givenname: Chen
  surname: Ji
  fullname: Ji, Chen
  organization: Division of Health Sciences (Mental Health and Wellbeing), Warwick Medical School, University of Warwick, Coventry, UK
– sequence: 5
  givenname: Francesco P
  surname: Cappuccio
  fullname: Cappuccio, Francesco P
  organization: Division of Health Sciences (Mental Health and Wellbeing), Warwick Medical School, University of Warwick, Coventry, UK
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29401314$$D View this record in MEDLINE/PubMed
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Sleep Research Society 2018. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.
Copyright_xml – notice: Sleep Research Society 2018. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. 2018
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Issue 4
Keywords sleep deprivation
infants
adolescents
body mass index
meta-analysis
overweight
obesity
prospective
Language English
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Snippet Abstract Study Objectives To assess the prospective relationship between sleep and obesity in a paediatric population. Methods We performed a systematic search...
To assess the prospective relationship between sleep and obesity in a paediatric population. We performed a systematic search using PubMed, Embase, Web of...
Study Objectives To assess the prospective relationship between sleep and obesity in a paediatric population. Methods We performed a systematic search using...
To assess the prospective relationship between sleep and obesity in a paediatric population.Study ObjectivesTo assess the prospective relationship between...
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pubmed
crossref
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SubjectTerms Body mass index
Meta-analysis
Obesity
Sleep
Systematic review
Teenagers
Title Sleep duration and incidence of obesity in infants, children, and adolescents: a systematic review and meta-analysis of prospective studies
URI https://www.ncbi.nlm.nih.gov/pubmed/29401314
https://www.proquest.com/docview/2303843117
https://www.proquest.com/docview/1995164436
Volume 41
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