Associations of Sedentary Behaviour, Physical Activity, Cardiorespiratory Fitness and Body Composition with Risk of Sleep-Related Breathing Disorders in Children with Overweight/Obesity: A Cross-Sectional Study

Torres-Lopez, Lucia V.; Cadenas‐Sanchez, Cristina; Migueles, Jairo H; Adelantado‐Renau, Mireia; Plaza‐Florido, Abel; Solis‐Urra, Patricio; Molina-García, Pablo; Ortega, Francisco B.

doi:10.3390/jcm9051544

Cited by 9 publications

(8 citation statements)

References 72 publications

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“…PA and sleep were measured using ActiGraph tri-axial accelerometers (ActiGraph, Pensacola, FL, USA), including wGT3X-BT and GT9X Link for children and adolescents, respectively. Both scientific-grade accelerometers are commonly used in the PA [23][24][25] and sleep [26,27] research and provide reliable and valid measures [28][29][30]. The participants wore the accelerometer on the non-dominant wrist for 24 h/day for 7 consecutive days, except when bathing, swimming, and performing personal hygiene.…”

Section: Physical Activity and Sleepmentioning

confidence: 99%

Is adherence to the 24-hour movement guidelines associated with a reduced risk of adiposity among children and adolescents?

et al. 2020

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Background: Little is known about the combined effect of physical activity (PA), recreational screen time (ST), and sleep in preventing childhood obesity. Hence, this study aimed to analyze the associations between meeting the PA, ST, and sleep recommendations within the 24-hour movement guidelines and adiposity indicators among children and adolescents. Methods: A total of 679 children and adolescents aged 8-18 years were included. The time spent in moderate-tovigorous PA and the sleep duration were estimated from raw data from a wrist-worn accelerometer. Recreational ST was reported by the child or parent. Body mass index (BMI) z-score, fat mass percentage (FM%), and visceral adipose tissue (VAT) were used as adiposity indicators. Participants with ≥ 60 min/day of moderate-to-vigorous PA, < 2 h/day of recreational ST, and uninterrupted sleep for 9-11 h/day (for children) or 8-10 h/day (for adolescents) were considered to meet the overall 24-hour movement guidelines. Results: Meeting the ST only recommendation was associated with reduced odds of a high BMI z-score (odds ratio [OR] = 0.38, 95% confidence interval [CI]: 0.17-0.89), excess FM% (OR = 0.34, 95% CI: 0.13-0.93), and excess VAT (OR = 0.27, 95% CI: 0.10-0.74) in adolescents. Significantly reduced odds of a high BMI z-score was associated with meeting the combination of the ST and sleep recommendations (OR = 0.11, 95% CI: 0.01-0.89). Adolescents who met one recommendation (OR = 0.51, 95% CI: 0.27-0.96) or any two recommendations (OR = 0.33, 95% CI: 0.11-0.94) had reduced ORs of having a high BMI z-score. Adolescents had lower odds of having excess VAT if they met one recommendation (OR = 0.39, 95% CI: 0.19-0.81) or any two recommendations (OR = 0.25, 95% CI: 0.07-0.90). No significant associations were found in children. Conclusions: The present study showed no associations between meeting all three recommendations within the 24-hour movement guidelines and adiposity indicators. However, meeting ST only recommendation and the combination of the ST and sleep recommendations was associated with a reduced risk of excess adiposity. This finding should be considered when designing effective strategies and interventions to prevent childhood obesity.

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Section: Physical Activity and Sleepmentioning

confidence: 99%

Is adherence to the 24-hour movement guidelines associated with a reduced risk of adiposity among children and adolescents?

et al. 2020

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“…Of note, Latent Profile Analysis has been used to identify those with similar behaviours patterns, grouping them into classes [14]. Previous studies on children have used latent profile analysis to characterize sleep, PA, and SB cluster, for example [15,16], focusing on obesogenic-related outcomes [17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Associations between Movement Behaviours and Obesity Markers among Preschoolers Compliant and Non-Compliant with Sleep Duration: A Latent Profile Analysis

Souza

Mota

Silva

et al. 2021

IJERPH

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This study identifies physical activity (PA) and sedentary behaviour (SB) clusters in preschoolers compliant (C) or non-compliant (NC) with sleep recommendations; and associates these clusters with obesity markers. PA and SB were objectively assessed (Actigraph WGT3-X) in 272 preschoolers (4.4 ± 0.7 years old). Sleep duration was parent-reported, and preschoolers were classified as C (3–4 years old: 600–780 min/day; 5 years old: 540–660 min/day) or NC with sleep recommendations. Body mass index (BMI) and waist circumference (WC) were assessed according to international protocols. Moderate to vigorous physical activity (MVPA) and light physical activity (LPA) were categorized as low/high (<60 min/>60 min/day or <180 min/180 min/day, respectively). SB was defined according to mean values between clusters. Latent profile analysis was performed. Associations between the observed clusters and obesity markers were determined using linear regression (RStudio; 1.3.1073). Four cluster solutions for C and NC preschoolers were identified. A negative association between C/Low MVPA cluster and BMI, and a positive association between NC/Low MVPA and BMI (β = −0.8, 95%CI = −1.6;−0.1, and β = 0.9, 95%CI = 0.1;1.7, respectively) were observed. No association was seen for SB clusters. Adequate sleep duration may have a protective role for preschoolers’ BMI, even if the children do not comply with MVPA recommendations.

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“…The overall scale was calculated as the sum of the affirmative answers divided by 22. Occasional missing answers or responses of "I do not know" were discounted from the denominator when calculating these proportions [46]. Scores > 0.33 were considered suggestive of high risk for pediatric SDB [44,45].…”

Section: Sleep-disordered Breathingmentioning

confidence: 99%

Does sleep-disordered breathing add to impairments in academic performance and brain structure usually observed in children with overweight/obesity?

et al. 2022

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Approximately 4–11% of children suffer from sleep-disordered breathing (SDB), and children with obesity are at increased risk. Both obesity and SDB have been separately associated with poorer brain health, yet whether SDB severity affects brain health in children with obesity remains unanswered. This study aimed to examine associations of SDB severity with academic performance and brain structure (i.e., total brain and gray and white matter volumes and gray matter volume in the hippocampus) in children with overweight/obesity. One hundred nine children aged 8–12 years with overweight/obesity were included. SDB severity and its subscales (i.e., snoring, daytime sleepiness, and inattention/hyperactivity) were evaluated via the Pediatric Sleep Questionnaire (PSQ), and academic performance was evaluated with the Woodcock-Muñoz standardized test and school grades. Brain structure was assessed by magnetic resonance imaging. SDB severity was not associated with academic performance measured by the standardized test (all |β|> 0.160, P > 0.076), yet it was associated with the school grade point average (β = -0.226, P = 0.007) and natural and social science grades (β = -0.269, P = 0.024). Intention/hyperactivity seemed to drive these associations. No associations were found between SDB severity and the remaining school grades (all β < -0.188, P > 0.065) or brain volumes (all P > 0.05).Conclusion: Our study shows that SDB severity was associated with lower school grades, yet it was not associated with the standardized measurement of academic performance or with brain volumes in children with overweight/obesity. SDB severity may add to academic problems in children beyond the effects contributed by overweight/obesity status alone. What is Known:• Sleep-disordered breathing (SDB) may affect brain structure and academic performance in children.• Children with overweight/obesity are at higher risk for the development of SDB, yet the comorbid obesity-SDB relationship with brain health has not been investigated thus far. What is New:• To our knowledge, this is the first study examining the associations of comorbid obesity-SDB severity with brain volumes and academic performance in children.• SDB symptoms may adversely affect academic performance at school in children with overweight/obesity, beyond the effects of weight status alone.

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Associations of Sedentary Behaviour, Physical Activity, Cardiorespiratory Fitness and Body Composition with Risk of Sleep-Related Breathing Disorders in Children with Overweight/Obesity: A Cross-Sectional Study

Cited by 9 publications

References 72 publications

Is adherence to the 24-hour movement guidelines associated with a reduced risk of adiposity among children and adolescents?

Is adherence to the 24-hour movement guidelines associated with a reduced risk of adiposity among children and adolescents?

Associations between Movement Behaviours and Obesity Markers among Preschoolers Compliant and Non-Compliant with Sleep Duration: A Latent Profile Analysis

Does sleep-disordered breathing add to impairments in academic performance and brain structure usually observed in children with overweight/obesity?

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