Association of insufficient sleep and skipping breakfast with overweight/obesity in children and adolescents: Findings from a cross-sectional provincial surveillance project in Jiangsu

被引：15
作者：
Chen, Sunan [1 ]
Zhang, Xiyan [2 ]
Du, Wei [1 ]
Fan, Lijun [1 ]
Zhang, Fengyun [2 ]
机构：
[1] Southeast Univ, Sch Publ Hlth, 87 Dingjiaqiao, Nanjing 210000, Jiangsu, Peoples R China
[2] Jiangsu Prov Ctr Dis Control & Prevent, Dept Child & Adolescent Hlth Promot, 172 Jiangsu Rd, Nanjing 210000, Peoples R China
来源：
PEDIATRIC OBESITY | 2022年 / 17卷 / 11期
基金：
中国国家自然科学基金;
关键词：
breakfast; children and adolescents; obesity; overweight; sleep; RISK-FACTORS; LIFE-STYLE; OBESITY; DURATION; CONSUMPTION; CHINA; EPIDEMIOLOGY;
D O I：
10.1111/ijpo.12950
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Background Insufficient sleep and skipping breakfast are very common phenomena in China and have been proposed as possible causes of overweight/obesity, but the results of former studies remain inconsistent. Objective To investigate the individual and joint association of insufficient sleep and skipping breakfast with overweight/obesity among children and adolescents in Jiangsu Province, China. Methods Participants were 36 849 students aged 8-17 years from the 2019-2020 project "Surveillance for common disease and health risk factors among students." Self-reported insufficient sleep and skipping breakfast were ascertained by self-reported sleep duration and breakfast habit. Overweight/obesity was assessed according to the gender- and age-specific body mass index. We used logistic regression models to explore the association of sleep and breakfast with overweight/obesity, and stratification analyses to test age or gender differences. Results The overall prevalence of overweight/obesity was 33.2%. Insufficient sleep (OR = 1.09, 95% CI = 1.03-1.16) or skipping breakfast (OR = 1.14, 95% CI = 1.07-1.21) was associated with overweight/obesity. Compared to participants with 'sufficient sleep and breakfast', ORs were 1.25 (95% CI = 1.15-1.35) for those with 'both insufficient sleep and skipping breakfast'. The separate and joint association of sleep and breakfast with overweight/obesity remained generally consistent across different age and gender subgroups, except that the 8-12-year-olds group and female students appear more susceptible. Conclusions Insufficient sleep and skipping breakfast were jointly associated with overweight/obesity in children and adolescents. Appropriate attention should be paid to these modifiable behaviours including sleep and breakfast in the context of the rapidly growing obesity epidemic among children and adolescents.
引用
收藏
页数：8
相关论文
共 50 条
[21]   Association of Sugar-Sweetened Beverage Consumption and Moderate-to-Vigorous Physical Activity with Childhood and Adolescent Overweight/Obesity: Findings from a Surveillance Project in Jiangsu Province of China [J].
Yu, Jinxia ;
Huang, Feng ;
Zhang, Xiyan ;
Xue, Hui ;
Ni, Xiaoyan ;
Yang, Jie ;
Zou, Zhiyong ;
Du, Wei .
NUTRIENTS, 2023, 15 (19)
[22]   Regular family breakfast was associated with children's overweight and parental education: Results from the ENERGY cross-sectional study [J].
Vik, Froydis N. ;
Te Velde, Saskia J. ;
Van Lippevelde, Wendy ;
Manios, Yannis ;
Kovacs, Eva ;
Jan, Natasa ;
Moreno, Luis A. ;
Bringolf-Isler, Bettina ;
Brug, Johannes ;
Bere, Elling .
PREVENTIVE MEDICINE, 2016, 91 :197-203
[23]   Association between obesity and sleep disorders in primary school children: a cross-sectional study [J].
Melinda, Thong Felicia ;
Sekartini, Rini .
MEDICAL JOURNAL OF INDONESIA, 2019, 28 (02) :167-173
[24]   Trends in obesity, overweight, and malnutrition among children and adolescents in Shenyang, China in 2010 and 2014: a multiple cross-sectional study [J].
Lingling Zhai ;
Youdan Dong ;
Yinglong Bai ;
Wei Wei ;
Lihong Jia .
BMC Public Health, 17
[25]   Trends in obesity, overweight, and malnutrition among children and adolescents in Shenyang, China in 2010 and 2014: a multiple cross-sectional study [J].
Zhai, Lingling ;
Dong, Youdan ;
Bai, Yinglong ;
Wei, Wei ;
Jia, Lihong .
BMC PUBLIC HEALTH, 2017, 17 :1-7
[26]   Association between low carbohydrate diet (LCD) and sleep quality by mediating role of inflammatory factors in women with overweight and obesity: A cross-sectional study [J].
Tavakoli, Atefeh ;
Mirzababaei, Atieh ;
Mirzaei, Khadijeh .
FOOD SCIENCE & NUTRITION, 2021, 9 (11) :6252-6261
[27]   The association between digit ratio (2D:4D) and overweight or obesity among Chinese children and adolescents: A cross-sectional study [J].
Lu Wu ;
Yao, Rongying ;
Zhang, Yifei ;
Wang, Yuan ;
Li, Ting ;
Chen, Manman ;
Liu, Wenming ;
Han, Hui ;
Bi, Linda ;
Fu, Lianguo .
EARLY HUMAN DEVELOPMENT, 2019, 136 :14-20
[28]   Cardiometabolic risk factors among children and adolescents with overweight and Class 1 obesity: A cross-sectional study. Insights from stratification of Class 1 obesity [J].
Nakhleh, Afif ;
Sakhnini, Rizan ;
Furman, Eyal ;
Shehadeh, Naim .
FRONTIERS IN ENDOCRINOLOGY, 2023, 14
[29]   Association between protein-to-energy ratio and overweight/obesity in children and adolescents in the United States: a cross-sectional study based on NHANES [J].
Zhao, Feng ;
Wang, Yudan ;
Liu, Zhaoyi ;
Wang, Jiao ;
Xia, Yinyin ;
Jiang, Xuejun ;
Zhou, Lixiao ;
Khan, Ahmad ;
Cheng, Shuqun ;
Zou, Zhen ;
Chen, Chengzhi ;
Qiu, Jingfu .
FRONTIERS IN PEDIATRICS, 2024, 12
[30]   Association of nutrition behavior and food intake with overweight and obesity among school-aged children and adolescents in Pakistan: a cross-sectional study [J].
Tanveer, Moazzam ;
Asghar, Ejaz ;
Tanveer, Umar ;
Roy, Nadeem ;
Zeba, Asifa ;
Al-Mhanna, Sameer Badri ;
Ma, Xiaoran ;
Batrakoulis, Alexios .
AIMS PUBLIC HEALTH, 2024, 11 (03) :803-818
12345