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Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents
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Pulido-Arjona, Leonardo
Correa Bautista, Jorge Enrique
Agostinis Sobrinho, César Aparecido
Mota, Jorge
Santos, Rute
Correa-Rodríguez, María
Garcia-Hermoso, Antonio
Ramírez-Vélez, Robinson
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2018
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Abstract
Background: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aim of the present study was to analyze the relationship between self-reported sleep duration, sleep-related problems and the presence of MetS in children and adolescents from Bogotá, D.C., Colombia. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2779 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (hyperglycemia, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-c], hypertension, and increased waist circumference) according to the criteria of de Ferranti/Magge 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) compared to boys who have short-long sleep duration. Also, compared to young without sleep problems, 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. © 2018 The Author(s).
Palabras clave
Glucose , High Density Lipoprotein Cholesterol , Triacylglycerol , Adolescent , Child , Colombia , Controlled Study , Cross-Sectional Study , Daytime Somnolence , Glucose Blood Level , High Density Lipoprotein Cholesterol Level , Human , Hyperglycemia , Hypertension , Hypertriglyceridemia , Major Clinical Study , Male , Metabolic Syndrome X , Questionnaire , Risk Factor , Sex Difference , Sleep Disorder , Sleep Hygiene , Sleep Pattern , Sleep Time , Triacylglycerol Level , Waist Circumference , Age Distribution , Anthropometry , Body Mass , Confidence Interval , Metabolic Syndrome X , Physiology , Quality Of Life , Risk Assessment , Severity Of Illness Index , Sex Ratio , Sleep , Sleep Disorder , Statistical Model , Time Factor , Adolescent , Age Distribution , Anthropometry , Body Mass Index , Child , Colombia , Confidence Intervals , Cross-Sectional Studies , Logistic Models , Male , Metabolic Syndrome , Quality Of Life , Risk Assessment , Severity Of Illness Index , Sex Distribution , Sleep , Sleep Wake Disorders , Time Factors
Keywords
Article , Female , Comorbidity , Incidence , Odds Ratio , Comorbidity , Female , Humans , Incidence , Odds Ratio
