Relationship among nocturnal sleep deficit, excess weight and metabolic alterations in adolescents.

Arch Argent Pediatr

Departamento de Morfofisiopatología de la Escuela de Bioanálisis, Facultad de Ciencias de la Salud, Universidad de Carabobo.

Published: December 2014

AI Article Synopsis

  • Sleep plays a crucial role in regulating neuroendocrine function and metabolism, and insufficient sleep during adolescence may contribute to obesity.
  • The study examined the relationship between nighttime sleep duration, overweight status, and metabolic changes in adolescents aged 12 to 17 in Valencia, Venezuela.
  • Results indicated that adolescents with excess weight experienced fewer sleep hours and greater sleep deficits, and those with sleep debt had a significantly higher risk of being overweight, alongside metabolic issues like low HDL cholesterol and insulin resistance.

Article Abstract

Introduction: Sleep modulates neuroendocrine function and metabolism; therefore, changes in sleep duration may lead to developing obesity during adolescence.

Objective: To assess the possible association among nocturnal sleep duration, the presence of overweight and metabolic alterations in a group of adolescents.

Population And Methods: Cross-sectional, analytical study conducted at a school in Valencia, Venezuela, during the 2012-2013 school year. Participants were 12 to 17 year-old adolescents. A survey on nocturnal sleep duration was administered; weight, height and waist circumference were recorded; and glycemia, lipid profile and insulinemia levels were measured. Body mass index and the homeostasis model assessment of insulin resistance (HOMA-IR) index were calculated.

Results: Ninety adolescents were included. Compared to the group with normal weight, adolescents with excessive weight had, in average, fewer sleep hours Sundays through Thursdays (p < 0.05) and a higher rate of sleep deficit and sleep debt (p < 0.05). Low HDL cholesterol and insulin resistance was significantly associated with sleep debt (p < 0.05). Among adolescents with sleep debt, the risk of having excess weight was 2.70 times higher (95% CI= 1.09-6.72; p= 0.032) regardless of age, gender, sexual maturity, sleep deficit Sundays through Thursdays, and history of cardiovascular disease and diabetes in first-degree relatives.

Conclusions: Nocturnal sleep deficit and sleep debt were significantly associated with excess weight and metabolic alterations related to a high cardiometabolic risk.

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Source
http://dx.doi.org/10.5546/aap.2014.eng.511DOI Listing

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