Longitudinal Associations Between Facets of Sleep and Adiposity in Youth

Overview

Journal Obesity (Silver Spring)

Specialties Endocrinology
Nutritional Sciences
Physiology

Date 2021 Nov 4

PMID 34734495

Citations 5

Authors

Sarah LeMay-Russell

Natasha A Schvey

Nichole R Kelly

Megan N Parker

Eliana Ramirez

Lisa M Shank

Meghan E Byrne

Taylor N Swanson

Esther A Kwarteng

Loie M Faulkner

Kweku G Djan

Anna Zenno

Sheila M Brady

Shanna B Yang

Susan Z Yanovski

Marian Tanofsky-Kraff

Jack A Yanovski

Affiliations

Soon will be listed here.

Abstract

Objective: Beyond sleep duration, other facets of sleep such as variability and timing may be associated with obesity risk in youth. However, data are limited. Using a longitudinal design, this study tested whether multiple facets of sleep were associated with fat mass gain over 1 year.

Methods: A convenience sample of non-treatment-seeking youth (age 8-17 years) wore actigraphy monitors for 14 days. Average weekly sleep duration, within-person sleep duration variability, weekend catch-up sleep, bedtime and wake time shift, social jet lag, bedtime, wake time, and sleep midpoint were calculated. The association of each facet of baseline sleep with 1-year fat mass, adjusting for baseline fat mass and height, was examined.

Results: A total of 137 youths (54.0% female; mean [SD], age 12.5 [2.6] years; 28.4% non-Hispanic Black or African American; baseline fat mass = 15.3 [8.9] kg; 1-year fat mass = 17.0 [10.0] kg; 28.5% with baseline overweight or obesity) were studied. Wake time (p = 0.03) and sleep midpoint (p = 0.02) were inversely associated with 1-year fat mass, such that earlier wake time and midpoint were associated with higher 1-year fat mass. No other facet of sleep was significantly associated with 1-year fat mass (p > 0.09).

Conclusions: Using objective measures, youth with earlier wake times and sleep midpoints had greater gains in fat mass. Additional research is needed to determine whether sleep timing may be a modifiable target to prevent pediatric obesity.

Citing Articles

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