Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020

DING Ya-jie; LU Ke; ZHANG Ning-xin; SUN Qi; WEI Wei; WEN De-liang; JIA Li-hong

doi:10.16462/j.cnki.zhjbkz.2023.01.020

Volume 27 Issue 1

Jan. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2023 > 27(1): 112-116

DING Ya-jie, LU Ke, ZHANG Ning-xin, SUN Qi, WEI Wei, WEN De-liang, JIA Li-hong. Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 112-116. doi: 10.16462/j.cnki.zhjbkz.2023.01.020

Citation:

DING Ya-jie, LU Ke, ZHANG Ning-xin, SUN Qi, WEI Wei, WEN De-liang, JIA Li-hong. Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 112-116. doi: 10.16462/j.cnki.zhjbkz.2023.01.020

Citation:

DING Ya-jie, LU Ke, ZHANG Ning-xin, SUN Qi, WEI Wei, WEN De-liang, JIA Li-hong. Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 112-116. doi: 10.16462/j.cnki.zhjbkz.2023.01.020

PDF( 805 KB)

Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020

doi: 10.16462/j.cnki.zhjbkz.2023.01.020

DING Ya-jie^{1, 3},
LU Ke^{1, 3},
ZHANG Ning-xin^{1, 3},
SUN Qi¹,
WEI Wei¹,
WEN De-liang^{2, 3},
JIA Li-hong^{1, 3
,
,}

1.
Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China
2.
Institute of Health Sciences, China Medical University, Shenyang 110122, China
3.
Key Laboratory of Obesity and Glycolipid Metabolism Diseases of Liaoning Province, Shenyang 110122, China

Funds:

National Natural Science Foundation of China 82073575

More Information

Corresponding author: JIA Li-hong, E-mail: lhjia@cmu.edu.cn
Received Date: 2021-08-26
Rev Recd Date: 2022-02-08

Available Online: 2023-02-09

Publish Date: 2023-01-10

Abstract

Abstract

Objective To describe the changes in overweight and obesity among children aged 3-6 in Shenyang from 2010 to 2020, and exploring the relationship between sleep time and overweight and obesity, to provide a reference for prevention and treatment of childhood obesity in the future. Methods The convenience sampling method was adopted to select children aged 3-6 from 6 kindergartens in Shenyang City in 2020. With informed consent, height and weight measurements were taken from all children, and a questionnaire was administered to parents. The data including height, weight and questionaire from children in 10 kindergartens in the same district in 2010 were compared. The changes in children's sleep duration and overweight obesity during the 10 years were statistically analyzed and the effect of sleep duration on the occurrence of overweight obesity in children was explored. Results A total of 623 children aged 3-6 years participated in the survey in 2020. In 2010, a total of 574 children aged 3-6 years were investigated. Compared with 2010, there is no statistical difference in age and sex composition of children in 2020 (all P > 0.05). The height, weight, and BMI of children aged 3-6 years in 2020 were higher than those in 2010 (all P < 0.05), and the detection rate of obesity in 2020 (14.9%) was significantly higher than that in 2010 (10.5%, P < 0.05). Multivariate logistic regression showed that the children who slept less than 8h and 8-9h had an increased risk of overweight and obesity. In 2010, the detection rate of overweight and obesity of children who slept less than 8 hours was 2.51 times (95% CI: 1.22-5.19) and 2.78 times (95% CI: 1.17-6.23) than that of normal children, respectively. In 2020, the overweight detection rate of children in the sleep 8-9 h group was 2.71 times (95% CI: 1.34-5.48) and 2.25 times (95% CI: 1.09-4.67) than that of normal children. Conclusions Overweight and obesity rates among children aged 3-6 years in Shenyang show a significant increase in the ten years from 2010 to 2020. Children who sleep < 8 h in 2010 and 8-9 h in 2020 are at increased risk of overweight and obesity.
- Children,
- Obesity,
- Overweight,
- Sleep Duration

FullText(HTML)

References(18)

References

[1]	Afshin A, Forouzanfar MH, Reitsma MB, et al. Health effects of overweight and obesity in 195 countries over 25 years[J]. New Engl J Med, 2017, 377(1): 13-27. DOI: 10.1056/NEJMoa1614362.
[2]	Keeley BL, Little C, Zuehlke E. The state of the world's children 2019 children, food and nutrition: growing well in a changing world[R]. New York: UNICEF, 2019.
[3]	温勃, 刘婕妤, 董彬, 等. 我国儿童青少年健康问题现状调查与分析[J]. 中国卫生信息管理杂志, 2021, 18(1): 21-26. DOI: 10.3969/j.issn.1672-5166.2021.01.04. Wen B, Liu JY, Dong B, et al. Investigation and analysis of the current situation of children and adolescent health problems in my country[J]. Chinese Journal of Health Information Management, 2021, 18(1): 21-26. DOI: 10.3969/j.issn.1672-5166.2021.01.04.
[4]	Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment[J]. Mayo Clin Proc, 2017, 92(2): 251-265. DOI: 10.1016/j.mayocp.2016.09.017.
[5]	Yang S, Chen X, Wang L, et al. Walkability indices and childhood obesity: a review of epidemiologic evidence[J]. Obes Rev, 2021, 22(Suppl 1): e13096. DOI: 10.1111/obr.13096.
[6]	Verduci E, Bronsky J, Embleton N, et al. Role of dietary factors, food habits, and lifestyle in childhood obesity development: a position paper from the european society for paediatric gastroenterology, hepatology and nutrition committee on nutrition[J]. J Pediatr Gastroenterol Nutr, 2021, 72(5): 769-783. DOI: 10.1097/MPG.0000000000003075.
[7]	Sun X, Zhao B, Liu J, et al. A 3-year longitudinal study of the association of physical activity and sedentary behaviours with childhood obesity in China: the childhood obesity study in China mega-cities[J]. Pediatr Obes, 2021, 16(6): e12753. DOI: 10.1111/ijpo.12753.
[8]	Fatima Y, DoiSA, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias-adjusted meta-analysis[J]. Obes Rev, 2015, 16(2): 137-149.10.1111/obr. 12245. DOI: 10.1111/obr.12245.
[9]	Whiting S, Buoncristiano M, Gelius P, et al. Physical activity, screen time, and sleep duration of children aged 6-9 years in 25 countries: an analysis within the WHO European childhood obesity surveillance initiative (COSI) 2015-2017[J]. Obes Facts, 2021, 14(1): 32-44. DOI: 10.1159/000511263.
[10]	Roberts RE, Duong HT. Is there an association between adolescent sleep restriction and obesity[J]. J Psychosom Res, 2015, 79(6): 651-656. DOI: 10.1016/j.jpsychores.2015.05.012.
[11]	李辉, 季成叶, 宗心南, 等. 中国0~18岁儿童、青少年体块指数的生长曲线[J]. 中华儿科杂志, 2009, 47(7): 493-498. DOI: 10.3760/cma.j.issn.0578-1310.2009.07.004. Li H, Ji CY, Zong XN, et al. Growth curve of body mass index of children and adolescents aged 0-18 years in China[J]. Chin J Pediatr, 2009, 47(7): 493-498. DOI: 10.3760/cma.j.issn.0578-1310.2009.07.004
[12]	国家卫生和计划生育委员会. 中国居民营养与慢性病状况报告(2020年)[R]. 国家卫生和计划生育委员会, 2020. National Health and Family Planning Commission. Report on nutrition and chronic disease status of Chinese residents (2020)[R]. National Health and Family Planning Commission, 2020.
[13]	王付曼, 姚屹, 杨琦. 中国七个城市学龄前儿童消瘦、超重和肥胖状况的队列研究[J]. 中华疾病控制杂志, 2019, 23(5): 522-526. DOI: 10.16462/j.cnki.zhjbkz.2019.05.05.006 Wang FM, Yao Y, Yang Q. A cohort study on wasting, overweight and obesity status of preschool children in seven cities in China[J]. Chin J Dis Control Prev, 2019, 23 (5): 522-526. DOI: 10.16462/j.cnki.zhjbkz.2019.05.05.006
[14]	刘玺诚, 卢秀英, 马渝燕, 等. 北京地区2~6岁儿童睡眠障碍流行病学调查[J]. 中国儿童保健杂志, 2004, 12(4): 301-303. DOI: 10.3969/j.issn.1008-6579.2004.04.009. Liu XC, Lu XY, Ma YY, et al. Epidemiological survey of sleep disorders in children aged 2-6 years in Beijing[J]. Chin J Child Health Care, 2004, 12(4): 301-303. DOI: 10.3969/j.issn.1008-6579.2004.04.009.issn.1008-6579.2004.04.009.
[15]	Sun Q, Bai Y, Zhai L, et al. Association between sleep duration and overweight/obesity at age 7(-)18 in Shenyang, China in 2010 and 2014[J]. Int J Environ Res Public Health, 2018, 15(5): 854. DOI: 10.3390/ijerph15050854.
[16]	王一然, 黄晓培, 严惠, 等. 河南省7~18岁儿童青少年睡眠时长与超重肥胖的关联[J]. 中华疾病控制杂志, 2021, 25(3): 306-310, 358. DOI: 10.16462/j.cnki.zhjbkz.2021.03.011. Wang YR, Huang XP, Yan H, et al. Association between sleep duration and overweight and obesity in children and adolescents aged 7-18 in Henan Province[J]. Chin Dis Control Prev, 2021, 25(3): 306-310, 358. DOI: 10.16462/j.cnki.zhjbkz.2021.03.011.
[17]	Kreitschmann-Andermahr I, Suarez P, Jennings R, et al. GH/IGF-I regulation in obesity--mechanisms and practical consequences in children and adults[J]. Horm Res Paediatr, 2010, 73(3): 153-160. DOI: 10.1159/000284355.
[18]	Boeke CE, Storfer-Isser A, Redline S, et al. Childhood sleep duration and quality in relation to leptin concentration in two cohort studies[J]. Sleep, 2014, 37(3): 613-620. DOI: 10.5665/sleep.3510.