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Short sleep duration at night in 2.5-year-old children is associated with childhood obesity at age 5.5 years: The Japanese children cohort study - 01/12/22

Doi : 10.1016/j.orcp.2022.10.001 
Gita Nirmala Sari a, b, Sachiko Baba c, d, Ehab S. Eshak a, e, h, Hiroyasu Iso a, f, g,
a Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan 
b Polytechnic of Health Ministry of Health Jakarta III, Jakarta, Indonesia 
c Center for International Relations, Osaka University Graduate School of Medicine, Osaka, Japan 
d Division of Community Health & Research, Osaka Women’s and Children’s Hospital, Osaka, Japan 
e Department of Public Health, Faculty of Medicine, Minia University, El-Minia, Egypt 
f Department of Public Health Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan 
g Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Shinjuku, Tokyo, Japan 
h Public Health, School of Health, Calvin University, Michigan, USA 

Correspondence to: 2 Chome-2 Yamadaoka, Suita, Osaka 565-0871, Japan.2 Chome-2 YamadaokaSuitaOsaka565-0871Japan

Abstract

Background

Obesity in children contributes to higher risks of various chronic diseases in adulthood and the prevalence has increased worldwide including Japan.

Objectives

This study aims to examine the association between sleep duration at night in children aged 2.5 years and the subsequent risk of obesity at age 5.5 years.

Methods

This study is embedded in the Longitudinal Survey on Babies Born in the 21st Century, which recruited families who had a child born in Japan in 2001. The multivariable logistic regression models were applied to calculate odds ratios (OR) and 95 % confidence intervals (CI) of childhood obesity at 5.5 years, defined as percentage of overweight (POW) ≥ 20 % and body mass index (BMI) ≥ 95th percentile of this study population according to sleep duration at night collected at 2.5 years child age.

Results

Among 25,378 children, 2.6 % and 3.7 % were obese at age 5.5 years defined by POW and BMI respectively. Compared with night sleep duration > 11 h/d, shorter sleep durations in 2.5 years-old children were associated with higher risk of obesity at 5.5 years; the multivariable ORs (95 %CI) were 1.05 (0.81–1.35), 1.23 (0.93–1.62) and 1.54 (1.04–2.31) for sleep duration 10, 9 and ≤ 8 h/d, respectively; p-trend = 0.03. The observed association differed according to the children (child’s sex, napping habits, and children frequently play at park), and family characteristics (mother’s age at delivery and mother’s level of education).

Conclusion

Short night sleep duration among girls aged 2.5 years was associated with risk of obesity at age 5.5 years, suggesting the importance of sufficient sleep duration at night for the prevention of obesity.

Le texte complet de cet article est disponible en PDF.

Highlights

Short night sleep aged 2.5 years was associated with risk of obesity at age 5.5 years.
Girls with poor night’s sleep duration appear to be at greater risk of obesity
Children with regular napping, who rarely or never played at a park, and whose mothers had younger ages at delivery and less education appear to be more at risk for obesity.

Le texte complet de cet article est disponible en PDF.

Keywords : Short sleep, Children obesity, Sex, Daily napping, Children characteristics, Family characteristics


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Vol 16 - N° 6

P. 457-463 - novembre 2022 Retour au numéro
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