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

ABSTRACT Background and objective: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aims of this study were 2-fold: (i) to analyze the relationship between sleep duration and metabolic syndrome (MetS); and (ii) to examine the associations between sleep...

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Autor Principal: Pulido-Arjona, Leonardo
Otros Autores: Ramírez-Vélez, Robinson
Formato: Tesis de maestría (Master Thesis)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2017
Materias:
Acceso en línea:http://repository.urosario.edu.co/handle/10336/14074
id ir-10336-14074
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Sleep quality
Cardiometabolic risk
Childhood obesity
Fisiología humana
Sueño
Enfermedades cardiovasculares
Obesidad Pediátrica
spellingShingle Sleep quality
Cardiometabolic risk
Childhood obesity
Fisiología humana
Sueño
Enfermedades cardiovasculares
Obesidad Pediátrica
Pulido-Arjona, Leonardo
Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
description ABSTRACT Background and objective: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aims of this study were 2-fold: (i) to analyze the relationship between sleep duration and metabolic syndrome (MetS); and (ii) to examine the associations between sleep problems and MetS in Colombian children and adolescents. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2,789 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (waist circumference, high-density lipoprotein cholesterol [HDL-c], triglycerides, fasting glucose, and systolic and diastolic blood pressure) according to the criteria of de Ferranti 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). 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.
author2 Ramírez-Vélez, Robinson
author_facet Ramírez-Vélez, Robinson
Pulido-Arjona, Leonardo
format Tesis de maestría (Master Thesis)
author Pulido-Arjona, Leonardo
author_sort Pulido-Arjona, Leonardo
title Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
title_short Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
title_full Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
title_fullStr Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
title_full_unstemmed Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
title_sort role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
publisher Universidad del Rosario
publishDate 2017
url http://repository.urosario.edu.co/handle/10336/14074
_version_ 1645141319894433792
spelling ir-10336-140742019-09-19T12:37:54Z Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents Pulido-Arjona, Leonardo Ramírez-Vélez, Robinson Correa Bautista, Jorge Enrique Garcia-Hermoso, Antonio Sleep quality Cardiometabolic risk Childhood obesity Fisiología humana Sueño Enfermedades cardiovasculares Obesidad Pediátrica ABSTRACT Background and objective: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aims of this study were 2-fold: (i) to analyze the relationship between sleep duration and metabolic syndrome (MetS); and (ii) to examine the associations between sleep problems and MetS in Colombian children and adolescents. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2,789 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (waist circumference, high-density lipoprotein cholesterol [HDL-c], triglycerides, fasting glucose, and systolic and diastolic blood pressure) according to the criteria of de Ferranti 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). 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. Universidad del Rosario Centro de estudios en medición de la actividad física (CEMA) Secretaria de educación de Bogotá 2017-11-17 2017-12-04T15:44:26Z info:eu-repo/semantics/masterThesis info:eu-repo/semantics/acceptedVersion http://repository.urosario.edu.co/handle/10336/14074 spa info:eu-repo/semantics/openAccess application/pdf Universidad del Rosario Maestría en Actividad Física y Salud Facultad de medicina instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR Knutson KL (2010) Sleep duration and cardiometabolic risk: a review of the epidemiologic evidence. Best Pr Res Clin Endocrinol Metab 24:731–743. doi: 10.1016/j.beem.2010.07.001.Sleep Beccuti G, Pannain S (2011) Sleep and obesity. Curr Opin Clin Nutr Metab Care 14:402–12. doi: 10.1097/MCO.0b013e3283479109 Gangwisch JE, Heymsfield SB, Boden-Albala B, et al (2007) Sleep duration as a risk factor for diabetes incidence in a large U.S. sample. Sleep 30:1667–73. Javaheri S, Storfer-Isser A, Rosen CL, Redline S (2008) Sleep quality and elevated blood pressure in adolescents. Circulation 118:1034–40. doi: 10.1161/CIRCULATIONAHA.108.766410 Gozal D, Dumin M, Koren D (2016) Role of sleep quality in the metabolic syndrome. Diabetes, Metab Syndr Obes Targets Ther Volume 9:281–310. doi: 10.2147/DMSO.S95120 Tian Z, Ye T, Zhang X, et al (2010) Sleep duration and hyperglycemia among obese and nonobese children aged 3 to 6 years. Arch Pediatr Adolesc Med 164:46–52. doi: 164/1/46 [pii]\r10.1001/archpediatrics.2009.233 Koren D, Katz LEL, Brar PC, et al (2011) Sleep architecture and glucose and insulin homeostasis in obese adolescents. Diabetes Care 34:2442–2447. doi: 10.2337/dc11-1093 Zhu Y, Li AM, Au CT, et al (2015) Association between sleep architecture and glucose tolerance in children and adolescents. J Diabetes 7:10–15. doi: 10.1111/1753-0407.12138 Javaheri S, Storfer-Isser A, Rosen CL, Redline S (2011) Association of Short and Long Sleep Durations with Insulin Sensitivity in Adolescents. J Pediatr 158:617–623. doi: 10.1016/j.jpeds.2010.09.080 Azadbakht L, Kelishadi R, Khodarahmi M, et al (2013) The association of sleep duration and cardiometabolic risk factors in a national sample of children and adolescents: The CASPIAN III Study. Nutrition 29:1133–1141. doi: 10.1016/j.nut.2013.03.006 Iglayreger HB, Peterson MD, Liu D, et al (2014) Sleep duration predicts cardiometabolic risk in obese adolescents. J Pediatr 164:1085–1090.e1. doi: 10.1016/j.jpeds.2014.01.034 Lee JA, Park HS (2014) Relation between sleep duration, overweight, and metabolic syndrome inKorean adolescents. Nutr Metab Cardiovasc Dis 24:65–71. doi: 10.1016/j.numecd.2013.06.004 Sung V, Beebe DW, Vandyke R, et al (2011) Does Sleep Duration Predict Metabolic Risk in Obese Adolescents Attending Tertiary Services? A Cross-Sectional Study. Sleep 34:891–8. doi: 10.5665/SLEEP.1122 Kuula L, Pesonen A-K, Kajantie E, et al (2016) Sleep and Lipid Profile During Transition from Childhood to Adolescence. J Pediatr 177:173–178.e1. doi: 10.1016/j.jpeds.2016.06.026 Berentzen NE, Smit HA, Bekkers MBM, et al (2014) Time in bed, sleep quality and associations with cardiometabolic markers in children: the Prevention and Incidence of Asthma and Mite Allergy birth cohort study. J Sleep Res 23:3–12. doi: 10.1111/jsr.12087 Gonzaga NC, Sena ASS, Coura AS, et al (2016) Sleep quality and metabolic syndrome in overweight or obese children and adolescents. Rev Nutr 29:377–389. doi: 10.1590/1678-98652016000300008 Ramírez-Vélez R, García-Hermoso A, Agostinis-Sobrinho C, et al (2017) Pubertal Stage, Body Mass Index, and Cardiometabolic Risk in Children and Adolescents in Bogotá, Colombia: The Cross-Sectional Fuprecol Study. Nutrients 9:644. doi: 10.3390/nu9070644 Marfell-Jones M, Olds T, Stewart A (2001) International Society for the Advancement of Kinanthropometry. International Standards for Anthropometric Assessment. Potchefstroom, South Africa ISAK Ramírez-Vélez R, Rodrigues-Bezerra D, Correa-Bautista JE, et al (2015) Reliability of Health-Related Physical Fitness Tests among Colombian Children and Adolescents: The FUPRECOL Study. PLoS One 10:e0140875. doi: 10.1371/journal.pone.0140875 de Ferranti SD, Gauvreau K, Ludwig DS, et al (2004) Prevalence of the Metabolic Syndrome in American Adolescents: Findings From the Third National Health and Nutrition Examination Survey. Circulation 110:2494–2497. doi: 10.1161/01.CIR.0000145117.40114.C7 Magge SN, Goodman E, Armstrong SC, et al (2017) The Metabolic Syndrome in Children and Adolescents: Shifting the Focus to Cardiometabolic Risk Factor Clustering. Pediatrics 140:e20171603. doi: 10.1542/peds.2017-1603 Léger LA, Mercier D, Gadoury C, Lambert J (1988) The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci 6:93–101. doi: 10.1080/02640418808729800 Ramírez-Vélez R, Palacios-López A, Humberto Prieto-Benavides D, et al (2016) Normative reference values for the 20 m shuttle-run test in a population-based sample of school-aged youth in Bogota, Colombia: the FUPRECOL study. Am J Hum Biol. doi: 10.1002/ajhb.22902. García-Hermoso A, Aguilar MM, Vergara FA, Velásquez EJ, Marina R (2007) Obesity, Cardiorespiratory Fitness, and Self-Reported Sleep Patterns in Chilean School-Aged Children. Behav Sleep Med 15:70-80. Tanner JM, Whitehouse RH (1976) Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child 51:170–9. Hirshkowitz M, Whiton K, Albert SM, et al (2015) National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Heal 1:40–43. doi: 10.1016/j.sleh.2014.12.010 Owens JA, Dalzell V (2005) Use of the “BEARS” sleep screening tool in a pediatric residents’ continuity clinic: a pilot study. Sleep Med 6:63–69. doi: 10.1016/j.sleep.2004.07.015 Bastida-Pozuelo MF, Sánchez-Ortuño MM (2016) Preliminary analysis of the concurrent validity of the Spanish translation of the BEARS sleep screening tool for children. J Psychiatr Ment Health Nurs 23:513–520. doi: 10.1111/jpm.12338 Matthews KA, Pantesco EJM (2016) Sleep characteristics and cardiovascular risk in children and adolescents: An enumerative review. Sleep Med. doi: 10.1016/j.sleep.2015.06.004 Koren D, O’Sullivan KL, Mokhlesi B (2015) Metabolic and Glycemic Sequelae of Sleep Disturbances in Children and Adults. Curr Diab Rep 15:562. doi: 10.1007/s11892-014-0562-5 Felső R, Lohner S, Hollódy K, Erhardt É, Molnár D (2017) Relationship between sleep duration and childhood obesity: systematic review including the potential underlying mechanisms. Nutr Metab Cardiovasc Dis 27:751-61. Sayin FK, Buyukinan M (2016) Sleep Duration and Media Time Have a Major Impact on Insulin Resistance and Metabolic Risk Factors in Obese Children and Adolescents. Child Obes 12:272–278. doi: 10.1089/chi.2015.0126 Leproult R, Deliens G, Gilson M, Peigneux P (2015) Beneficial Impact of Sleep Extension on Fasting Insulin Sensitivity in Adults with Habitual Sleep Restriction. Sleep 38:707–715. doi: 10.5665/sleep.4660 Killick R, Hoyos CM, Melehan KL, et al (2015) Metabolic and hormonal effects of “catch-up” sleep in men with chronic, repetitive, lifestyle-driven sleep restriction. Clin Endocrinol (Oxf) 83:498–507. doi: 10.1111/cen.12747 Iglayreger HB, Peterson MD, Liu D, et al (2014) Sleep duration predicts cardiometabolic risk in obese adolescents. J Pediatr 164:1085–1090.e1. doi: 10.1016/j.jpeds.2014.01.034 Rey-López JP, de Carvalho HB, de Moraes ACF, et al (2014) Sleep time and cardiovascular risk factors in adolescents: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Sleep Med 15:104–110. doi: 10.1016/j.sleep.2013.07.021 Kann L, McManus T, Harris WA, et al (2016) Youth Risk Behavior Surveillance -United States, 2015. MMWR Surveill Summ 65:1–174. doi: 10.15585/mmwr.ss6506a1 Ebarhim A, Babak G, Alimohammad A, et al (2013) High Prevalence of Sleep Problems in School- and Preschool-aged Children in Tehran: a Population Based Study. Iran J Pediatr 23:45–52. Gaina A, Sekine M, Chen X, et al (2004) Validity of child sleep diary questionnaire among junior high school children. J Epidemiol 14:1–4.
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