Relationship between sleep duration and childhood obesity: Systematic review including the potential underlying mechanisms

Autor: Dénes Molnár, É. Erhardt, R. Felső, K. Hollódy, Szimonetta Lohner
Rok vydání: 2017
Předmět:
Gerontology
Blood Glucose
Male
Pediatric Obesity
Time Factors
Endocrinology
Diabetes and Metabolism

Medicine (miscellaneous)
Weight Gain
law.invention
0302 clinical medicine
Randomized controlled trial
law
Risk Factors
Insulin
Duration (project management)
Child
Nutrition and Dietetics
Age Factors
Female
Cardiology and Cardiovascular Medicine
Sleep Wake Disorders
medicine.medical_specialty
Adolescent
Scopus
Nutritional Status
030209 endocrinology & metabolism
Risk Assessment
Childhood obesity
03 medical and health sciences
Screen time
Insulin resistance
Adipokines
Internal medicine
medicine
Humans
Exercise
Life Style
business.industry
Feeding Behavior
medicine.disease
Obesity
Diet
Endocrinology
Observational study
Insulin Resistance
Sedentary Behavior
business
Sleep
030217 neurology & neurosurgery
Biomarkers
Zdroj: Nutrition, metabolism, and cardiovascular diseases : NMCD. 27(9)
ISSN: 1590-3729
Popis: 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.
Databáze: OpenAIRE