Obesity and Altered Sleep: A Pathway to Metabolic Derangements in Children?

Hakim, Fahed; Kheirandish‐Gozal, Leila; Gozal, David

doi:10.1016/j.spen.2015.04.006

Cited by 67 publications

(48 citation statements)

References 139 publications

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“…Obesity is a risk factor for both the metabolic syndrome and SDB. Growing evidence suggests that OSAS is a risk factor for the metabolic syndrome in children and adolescents, independent of obesity . A cross‐sectional study of 270 adolescents reported a 6.5‐fold increased risk for the metabolic syndrome among participants with OSAS .…”

Section: Which Co‐existing Conditions May Improve When Treatment Formentioning

confidence: 99%

When and why to treat the child who snores?

Tan

Álvarez

Tsaoussoglou

et al. 2016

Pediatric Pulmonology

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Obstructive sleep-disordered breathing (SDB) can result in cardiovascular and neurocognitive morbidity as well as adversely affect behavior, growth, quality of life, and nocturnal continence. This article summarizes the latest evidence regarding the morbidity related to obstructive SDB, commenting on the impact of severity of obstruction, that is, the difference in effects seen of moderate to severe obstructive sleep apnea syndrome (OSAS) compared to those of mild OSAS or primary snoring. The impact of therapy is discussed, focusing on which children are likely to benefit from treatment interventions; namely those with moderate or severe OSAS irrespective of the presence of morbidity, children with mild OSAS with associated morbidity or predictors of SDB persistence such as obesity, and children with complex conditions accompanied by upper airway obstruction like craniosynostosis and Prader-Willi syndrome. The co-existing conditions which may improve when treatment for obstructive SDB is offered are reviewed, while the clinical parameters associated with spontaneous improvement or resolution of obstructive SDB are discussed. The intention being to enable clinicians to make informed decisions on who should be treated, when and why. Pediatr Pulmonol. 2017;52:399-412. © 2016 Wiley Periodicals, Inc.

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Section: Which Co‐existing Conditions May Improve When Treatment Formentioning

confidence: 99%

When and why to treat the child who snores?

Tan

Álvarez

Tsaoussoglou

et al. 2016

Pediatric Pulmonology

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“…Recent evidence has started to reveal the potential association of sleep or sleep disorders with obesity and its severity and obesity‐associated metabolic complications. Also, the role of obesity has been noted in the pathophysiology of sleep disorders (Hakim et al ., ). Specifically, evidence has supported the strong association between sleep duration and obesity globally.…”

Section: Introductionmentioning

confidence: 98%

Sleep duration is associated with body fat and muscle mass and waist‐to‐height ratio beyond conventional obesity parameters in Korean adolescent boys

Nam

Han

Kim

et al. 2017

Journal of Sleep Research

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While evidence has supported a strong association between sleep duration and obesity globally, results from studies of children and adolescents have been conflicting, and information about a sex-specific association has been limited. This study aimed to investigate the association of sleep duration with various parameters of obesity among South Korean adolescents. This population-based, cross-sectional study analysed the data obtained from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2009 and 2010. Data of 990 adolescents were analysed. Sleep duration was based on a self-reported questionnaire. Body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), body fat percentage (BFP) and skeletal muscle index (SMI, appendicular skeletal muscle mass as a percentage of body weight) were assessed as parameters of obesity. Mean sleep duration in boys was associated inversely with BMI, WC, WHtR and BFP and positively with SMI. Proportions of the highest quartile of BMI, WC, WHtR and BFP and the lowest quartile of SMI increased significantly with increased sleep duration only in boys. Also, in boys, decreased sleep duration was associated significantly with the increased risk of the highest quartile of BMI, WC, WHtR and BFP and the lowest quartile of SMI, even after adjusting for confounding factors. However, in girls, there was no significant association between sleep duration and obesity parameters except WC. Periodic assessment of sleep duration in relation to body fat or muscle mass in male adolescents may be considered, especially in those who are at risk for obesity or related disorders.

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“…With regard to the girls (Table 4) may be noticed that the situation and tendencies are similar with the boys: for each groups, the medium height of the girls patients has had an increasing 6 months and 12 months after the operation compared to measured height before the operation. Changes of the medium height values 12 months after the surgical intervention compared to the height before the operation reached the statistical significance for the age (4, 5, 6, 7, 8, 9) and we can say that there was a statistical significance within the limits for the girls subject aged 10. In this case the statistical significance and clinical ones strongly suggest that, these tendencies are very important, because to the girls whatever age they may be, there is a real increasing of medium height, 6 months and 12 months after the operation.…”

Section: Resultsmentioning

confidence: 59%

“…At the other organs, it is worth mentioning the immunogenic uveitis and general ones like febris rheumatica, systematically skin’s disease etc. The chronic tonsillitis, has also an impact in the patient’s weight and height, where the retardation varies about 10% from the children with normal development (5, 6). …”

Section: Introductionmentioning

confidence: 99%

Clinical Impact of Chronic Tonsillitis on Weight and Height Parameters

Abazi¹,

Shaqiri²,

Ajvazi³

et al. 2015

Med Arh

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Aim: The aim of the study was to determine the impact of chronic tonsillitis before and after the surgical intervention with physiological values of the physiological parameters, such as the weight and height. Material and methods: The clinical study was of a transversal type (cross-sectional). In the study participated 85 patients, who fulfilled the criteria of the study. Results: Mean age of the participants in the study was 7.15 (7.11 years, for the boys and 7.19 years for the girls). There were no significant statistical changes in the boys and girls included in the study according to age. Connections between the weight and height resulted very strong and statistically important for each phase of the measurements performing in the study. Conclusion: I propose careful treatment of patients with chronic tonsillitis, especially for the young age patients as well as measurement taking for an adequate treatment on time (adenotonsillectomy) since it is the only method to complication prevention in the organism including the physiological parameters like weight and height.

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Obesity and Altered Sleep: A Pathway to Metabolic Derangements in Children?

Cited by 67 publications

References 139 publications

When and why to treat the child who snores?

When and why to treat the child who snores?

Sleep duration is associated with body fat and muscle mass and waist‐to‐height ratio beyond conventional obesity parameters in Korean adolescent boys

Clinical Impact of Chronic Tonsillitis on Weight and Height Parameters

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