Relationship between sleep duration and childhood obesity

Systematic review including the potential underlying mechanisms

R. Felső, S. Lohner, K. Hollódy, Erhardt, D. Molnár

Research output: Contribution to journalReview article

30 Citations (Scopus)

Abstract

Aim The prevalence of obesity is continually increasing worldwide. Determining risk factors for obesity may facilitate effective preventive programs. The present review focuses on sleep duration as a potential risk factor for childhood obesity. The aim is to summarize the evidence on the association of sleep duration and obesity and to discuss the underlying potential physiological and/or pathophysiological mechanisms. Data Synthesis The Ovid MEDLINE, Scopus and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched for papers using text words with appropriate truncation and relevant indexing terms. All studies objectively measuring sleep duration and investigating the association between sleep duration and obesity or factors (lifestyle and hormonal) possibly associated with obesity were included, without making restrictions based on study design or language. Data from eligible studies were extracted in tabular form and summarized narratively. After removing duplicates, 3540 articles were obtained. Finally, 33 studies (including 3 randomized controlled trials and 30 observational studies) were included in the review. Conclusion Sleep duration seems to influence weight gain in children, however, the underlying explanatory mechanisms are still uncertain. In our review only the link between short sleep duration and the development of insulin resistance, sedentarism and unhealthy dietary patterns could be verified, while the role of other mediators, such as physical activity, screen time, change in ghrelin and leptin levels, remained uncertain. There are numerous evidence gaps. To answer the remaining questions, there is a need for studies meeting high methodological standards and including a large number of children.

Original languageEnglish
Pages (from-to)751-761
Number of pages11
JournalNutrition, Metabolism and Cardiovascular Diseases
Volume27
Issue number9
DOIs
Publication statusPublished - Sep 1 2017

Fingerprint

Pediatric Obesity
Sleep
Obesity
Preventive Health Services
Ghrelin
Leptin
MEDLINE
Weight Gain
Observational Studies
Insulin Resistance
Life Style
Language
Randomized Controlled Trials
Databases
Exercise

Keywords

  • Childhood obesity
  • Diet
  • Ghrelin
  • Insulin
  • Leptin
  • Physical activity
  • Screen time
  • Sleep duration

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Cardiology and Cardiovascular Medicine

Cite this

Relationship between sleep duration and childhood obesity : Systematic review including the potential underlying mechanisms. / Felső, R.; Lohner, S.; Hollódy, K.; Erhardt, ; Molnár, D.

In: Nutrition, Metabolism and Cardiovascular Diseases, Vol. 27, No. 9, 01.09.2017, p. 751-761.

Research output: Contribution to journalReview article

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