Is shortened sleep duration a risk factor for overweight and obesity during adolescence? A review of the empirical literature

Guidolin, Matthew; Gradisar, Michael

doi:10.1016/j.sleep.2012.03.016

Cited by 79 publications

(88 citation statements)

References 46 publications

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“…Rather, we sought to illustrate some of the causes and consequences of adolescent sleep difficulties as well as to highlight some of the most recent findings in this area. Nonetheless, in order to limit the scope of this article we were unable to discuss sleep disorder diagnoses or several important research areas that are connected to adolescent sleep, including obesity (Guidolin and Gradisar 2012;Hart et al 2011), caffeine use (Bartel et al 2014;Roehrs and Roth 2008), the hypothalamic-pituitary-adrenal (HPA) axis and associated cortisol awakening response (CAR) (Elder et al 2014), cognition and memory (Beebe 2011;Kopasz et al 2010), and potential moderating factors such as sex and race/ ethnicity (Gregory and Sadeh 2012;Olds et al 2010). These too are clearly important areas for ongoing empirical attention and several articles in this Special Issue focus on these topics.…”

Section: Bit By Bit Putting It Togethermentioning

confidence: 99%

Advancing a Biopsychosocial and Contextual Model of Sleep in Adolescence: A Review and Introduction to the Special Issue

Becker

Langberg

Byars

2015

J Youth Adolescence

154

130

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Sleep problems in adolescence have been identified as an international public health issue. Over the past few decades, notable advances have been made in our understanding of the patterns and consequences of sleep in adolescence. Despite these important gains, there is much about the role of sleep in adolescence that remains to be understood. This Special Issue brings together studies that examine sleep as it specifically pertains to adolescent development and adjustment. In this introductory article, we argue for the importance of grounding the study of sleep and adolescence in developmental science and a developmental psychopathology framework. First, a review of the literature is used to outline a biopsychosocial and contextual model of sleep in adolescence. Second, attention-deficit/hyperactivity disorder (ADHD) is used as an exemplar of the proposed model given the pervasiveness of sleep problems among youth with ADHD and the likelihood that sleep problems and ADHD symptoms are interconnected in complex ways. Finally, a brief introduction to the empirical articles included in the Special Issue is provided, with particular attention given to how these articles fit within the proposed biopsychosocial and contextual model. Along with the framework proposed in this article, the studies included in this Special Issue advance the current literature and point to critical directions for future research.

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Section: Bit By Bit Putting It Togethermentioning

confidence: 99%

Advancing a Biopsychosocial and Contextual Model of Sleep in Adolescence: A Review and Introduction to the Special Issue

Becker

Langberg

Byars

2015

J Youth Adolescence

154

130

View full text Add to dashboard Cite

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“…Four longitudinal studies have also examined this link, but the results were inconsistent regarding short sleep duration as an independent risk factor for later obesity among adolescents [9-12]. In a more recent meta-analysis [13], reviewing 15 studies on adolescents (10–19 years) investigating the effect of short sleep duration on overweight and obesity, it was concluded that the current evidence was inconclusive as to whether sleep duration was related to adolescent overweight, mainly due to methodological concerns. In addition to the link between obesity and sleep duration, there is ample evidence for obesity as a risk factor for sleep disordered breathing in clinical samples [14].…”

Section: Introductionmentioning

confidence: 99%

Sleep and body mass index in adolescence: results from a large population-based study of Norwegian adolescents aged 16 to 19 years

et al. 2014

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BackgroundThe aim of this study was to examine the association between body mass index (BMI) and sleep duration, insomnia and symptoms of obstructive sleep apnea (OSA) in adolescents.MethodsData were taken from a large population based study of 9,875 Norwegian adolescents aged 16–19. BMI was calculated from the self-reported body weight and categorized according to recommended age and gender specific cut offs for underweight, overweight and obesity. Detailed sleep parameters (sleep duration, insomnia, and OSA symptoms) were reported separately for weekdays and weekends. Data were analyzed using Pearson’s chi-squared test and ANOVAs for simple categorical and continuous comparisons, and multinomial logistic regressions for analyses adjusting for known confounders.ResultsThere was evidence for a curvilinear relationship between BMI and both sleep duration and insomnia for girls, whereas the relationship was linear for boys. Compared to the average weekday sleep duration among adolescents in the normal weight range (6 hrs 29 min), both underweight (5 hrs 48 min), overweight (6 hrs 13 min) and obese (5 hrs 57 min) adolescents had shorter sleep duration. OSA symptoms were linearly associated with BMI. Controlling for demographical factors as well as physical activity did not attenuate the associations. Additional adjustment for depression reduced the association between insomnia and obesity to a non-significant level. The evidence for a link between both underweight and overweight/obesity, and short sleep duration and OSA symptoms remained in the fully adjusted analyses. The associations were generally stronger for girls.ConclusionsThis is one of the first population-based studies to investigate the relationship between sleep and BMI in adolescents while simultaneously controlling for important confounding factors. These findings require further research to investigate the temporal association between weights and sleep problems.

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“…Sleep contributes to both sides of the energy balance equation, and inadequate sleep has been suggested to be a risk factor for obesity [10,11]. …”

Section: Introductionmentioning

confidence: 99%

LINDA – a solution-focused low-intensity intervention aimed at improving health behaviors of young females: a cluster-randomized controlled trial

et al. 2013

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BackgroundWe aimed to develop and evaluate the effectiveness of an individualized, long-term support lifestyle counseling approach in promoting healthy physical activity, improving dietary and sleeping behaviors, and preventing weight gain in young females. The counseling approach’s intensity was designed to be low enough to be implementable in primary health care.MethodsYoung women (n = 3,059, age at baseline 17–21 years) attending a population-based human papilloma virus vaccination trial (clinicaltrials.gov identifier: NCT00122681) in 15 vaccination centers in different communities across Finland, were cluster-randomized into intervention and control arms of the LINDA intervention. Both intervention and control arms received counseling on sexual health and contraception from the study nurses as part of the vaccination trial. Additionally, the LINDA intervention arm (n = 1,537) received a 20-minute individualized lifestyle counseling session followed by further support at the six-monthly follow-up visits of the vaccination trial, in total for 1.5–2.5 years.The LINDA solution-focused brief therapy intervention focused on healthy physical activity, and dietary and sleeping behaviors, based on the needs and interests of the participants. Anthropometrics were measured, and data on health-related behaviors were collected using self-report questionnaires at baseline and after the intervention at 1.5–2.5 years.ResultsIn the intervention arm, 37% vs. 31% in the control arm made an overall improvement in their health behaviors concerning physical activity, meal regularity and/or earlier bedtime (NNT = 18, 95% CI = 11–50). The per-protocol analysis further revealed that 30% of those who actually received lifestyle change support on healthy physical activity behaviors improved their physical activity level vs. 23% in the control group (NNT = 15, 95% CI = 9–38). Respectively, 36% of those who received support on healthy sleeping behaviors went to sleep earlier before school-/work-days after the intervention vs. 28% in the control group (NNT = 13, 95% CI = 7–61). Dinner irregularity increased in both groups, but less in the intervention group among those who received support on healthy dietary behaviors (NNT = 15, 95%CI = 9–46). There was no effect on weight gain between baseline and study end-point.ConclusionsThe solution-focused brief therapy intervention, with individually tailored content, helped to make small, long-term overall improvements in health behaviors concerning physical activity, meal regularity and/or earlier bedtime.

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Is shortened sleep duration a risk factor for overweight and obesity during adolescence? A review of the empirical literature

Cited by 79 publications

References 46 publications

Advancing a Biopsychosocial and Contextual Model of Sleep in Adolescence: A Review and Introduction to the Special Issue

Advancing a Biopsychosocial and Contextual Model of Sleep in Adolescence: A Review and Introduction to the Special Issue

Sleep and body mass index in adolescence: results from a large population-based study of Norwegian adolescents aged 16 to 19 years

LINDA – a solution-focused low-intensity intervention aimed at improving health behaviors of young females: a cluster-randomized controlled trial

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