Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents

被引:25
作者
Pulido-Arjona, Leonardo [1 ]
Enrique Correa-Bautista, Jorge [1 ]
Agostinis-Sobrinho, Cesar [2 ]
Mota, Jorge [2 ]
Santos, Rute [3 ]
Correa-Rodriguez, Maria [4 ]
Garcia-Hermoso, Antonio [5 ]
Ramirez-Velez, Robinson [1 ]
机构
[1] Univ Rosario, Sch Med & Hlth Sci, Ctr Studies Phys Act Measurements, Bogota, Colombia
[2] Univ Porto, Fac Sport, Res Ctr Phys Act Hlth & Leisure, Oporto, Portugal
[3] Univ Wollongong, Sch Educ, Fac Social Sci, Early Start Res Inst, Wollongong, NSW, Australia
[4] Univ Granada, Fac Hlth Sci, Granada, Spain
[5] Univ Santiago Chile, USACH, Fac Med Sci, Phys Act Sport & Hlth Sci Lab, Santiago, Chile
关键词
Sleep quality; Cardiometabolic risk; Childhood obesity; CARDIOMETABOLIC RISK; OBESE CHILDREN; SCREENING TOOL; LIFE-STYLE; TIME; QUALITY; ARCHITECTURE; ASSOCIATION; OVERWEIGHT; CHILDHOOD;
D O I
10.1186/s13052-018-0451-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aim of the present study was to analyze the relationship between self-reported sleep duration, sleep-related problems and the presence of MetS in children and adolescents from Bogota, D.C., Colombia. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2779 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of >= 3 of the metabolic abnormalities (hyperglycemia, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-c], hypertension, and increased waist circumference) according to the criteria of de Ferranti/Magge and colleges. Self-reported sleep duration and sleep-related problems were assessed with the BEARS questionnaire. Results: Logistic regression analysis showed that boys who meet recommended duration of sleep had a decreased risk of elevated blood glucose levels (Odds Ratio [OR] = 0.71, 95% CI [0.40-0.94]; p = 0.031) compared to boys who have short-long sleep duration. Also, compared to young without sleep problems, excessive sleepiness during the day was related to low HDL-c levels in boys (OR = 1.36, 95% CI [1.02-1.83]; p = 0.036) and high triglyceride levels in girls (OR = 1.28, 95% CI [1.01-1.63]; p = 0.045). Girls with irregular sleep patterns had decreased HDL-c levels (OR = 0. 71, 95% CI [0.55-0.91]; p = 0.009). Conclusions: Recommended sleep duration was associated with a decreased risk of elevated fasting glucose levels in boys, and sleep problems was related to lower HDL-c in girls and higher triglyceride levels in boys. These findings suggested the clinical importance of improving sleep hygiene to reduce metabolic risk factors in children and adolescents.
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页数:10
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