Short sleep duration is associated with specific food intake increase among school-aged children in China: a national cross-sectional study

Abstract

Background The relationship between sleep duration and food intake is unclear. This study aims to examine the relationship among children aged 6–17 years in China. Methods The sample consisted of 70,519 children aged 6–17 years, which were randomly selected from 7 representative areas from China, from September to November, 2013. In the structured questionnaire, children reported daily sleep hours (less than 7 h, 7–9 h and more than 9 h), weekly food intake amount (including vegetables, fruit, sugar beverages and meat), physical activity and sedentary time. The relationship of sleep duration with vegetable, sugar beverage, fruit and meat intake was evaluated by multi-nominal logistic regression and multi-variable adjusted. Results A total of 62,517 children (51.6% boys) completed the study. Short sleep duration (SSD, < 7 h) was independently associated with increased sugar beverage intake (SBI, Odd Ratio, OR: 1.29, 95% CI: 1.19–1.40) but decreased vegetable (VI, OR: 0.94, 95% CI: 0.90–0.98) & fruit intake (FI, OR: 0.94, 95% CI: 0.88–0.99). Stratified by age and gender, SSD increased SBI for boys of both young (6–12 years) & older (13–17 years) groups and older girls (ORs: 1.25, 1.25, 1.49, 95% CI: 1.08–1.44, 1.04–1.50, 1.22–1.81, respectively), but decreased VI and FI for older girls (ORs: 0.84& 0.81, 95% CI: 0.74–0.96& 0.68–0.96, respectively). Conclusions Among school-aged children in China, short sleep duration was associated with increased risks of more sugar beverage intake among those younger and boys but less vegetable & fruit intake among those older and girls. Longitudinal research is needed to clarify the causation in between.

The Association Between Frequent Sugar-Sweetened Beverage Intake and Sleep Duration in School Children: A Cross-Sectional Study

“…A study focusing on 12 countries revealed that the more frequently children aged 9-11 years consume soft beverages (e.g., cola), the shorter their sleeping duration at night (P trend < 0.01) (35). According to (20). Similarly, a study in Iran indicated that children and adolescents who sleep for short durations exhibit a particularly high probability of consuming soft beverages and tea (both sweetened and unsweetened) (P < 0.05) (37).…”

“…According to a systematic review on children aged 2–19 years, short sleep duration is positively correlated with soda consumption [OR = 1.16, 95% confidence interval (CI): 1.09–1.25] ( 36 ). Concerning studies in Asia, research in China reported that children and adolescents aged 6–17 years who sleep for <7 h per day consume a high quantity of SSBs per day (OR = 1.29, 95% CI: 1.19–1.40) ( 20 ). Similarly, a study in Iran indicated that children and adolescents who sleep for short durations exhibit a particularly high probability of consuming soft beverages and tea (both sweetened and unsweetened) ( P < 0.05) ( 37 ).…”

“…Although the energy intakes from SSBs (not including sweetened tea or coffee) was decreasing in western countries, there were over 40% consumers aged between 2 and 19 years taking 0–20 oz SSBs ( 19 ). Research in China reported that adolescents who sleep for no more than 7 h consume a high amount of SSBs per day ( 20 ). However, few studies in Asia have addressed the relationship between children's sleep and SSBs.…”

Telehealth Secure Solution to Provide Childhood Obesity Monitoring

“…For the number of sleep hours, after conducting a systematic review, Morrissey et al [ 33 ] found that there is an association between short sleep duration and less favorable diet quality in childhood. Short sleepers tend to select foods with higher energy density, more added sugar, and drinks sweetened with sugar than long sleepers [ 34 , 35 ]. In their systematic review, Miller et al found that the short duration of sleep is a risk factor for the development of obesity in infants, children, and adolescents [ 36 ].…”

The impact of nutrition on sleep in people with an intellectual disability: An integrative literature review

“…This is important given that, around the world, anaemia and zinc deficiencies are common (WHO, 2013); however, single supplements may be less effective than whole foods that contain multiple nutrients. Failing to consider the interactions between nutrients may lead to inconsistent results (Cao et al, 2019).…”