Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity

Torres-Lopez, Lucia V.; Cadenas-Sánchez, Cristina; Migueles, Jairo H; Henriksson, Pontus; Löf, Marie; Ortega, Francisco B.

doi:10.1016/j.jpeds.2022.03.006

Cited by 4 publications

(2 citation statements)

References 38 publications

(47 reference statements)

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“…This scale consists of 22 closed-response items of the reduced version of the PSQ, which were divided into the following three subscales [28,29]: snoring; sleepiness; and inattention/ hyperactivity. Further details on the questionnaire can be found elsewhere [11,30].…”

Section: Sdbmentioning

confidence: 99%

Effects of exercise on sleep in children with overweight/obesity: a randomized clinical trial

Torres‐Lopez,

Migueles,

Cadenas‐Sanchez

et al. 2023

Obesity

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ObjectiveThe objective of this study was to examine the chronic effects of a 20‐week exercise training program on device‐assessed sleep and sleep‐disordered breathing; and to determine whether participating in a session of the exercise program had effects on device‐assessed sleep the subsequent night in children with overweight/obesity.MethodsA randomized clinical trial was conducted from November 2014 to June 2016. A total of 109 children (age 8–11 years) with overweight/obesity were randomized into an exercise training or control group. The exercise program included aerobic and resistance training 3 to 5 days/week. The control group participants continued their usual lifestyle. Device‐assessed sleep outcomes were measured using wrist‐worn actigraphy at baseline, in the middle of the exercise program (10th week), and at postintervention for seven consecutive days (24 h/day), and sleep‐disordered breathing was measured via the Pediatric Sleep Questionnaire.ResultsThe exercise training program had a statistically significant effect on wake after sleep onset time (−10.8 min/day, −0.5 SDs, p = 0.040). No other chronic or acute effects (i.e., the subsequent night of attending a session of the exercise training program) were observed on the remaining sleep outcomes.ConclusionsA 20‐week exercise training program reduced wake after sleep onset time in children with overweight/obesity. Future randomized trials that include a sample of children with poor sleep health at baseline are needed to better appreciate the role of exercise in sleep health.

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Section: Sdbmentioning

confidence: 99%

Effects of exercise on sleep in children with overweight/obesity: a randomized clinical trial

Torres‐Lopez,

Migueles,

Cadenas‐Sanchez

et al. 2023

Obesity

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“…Further details on the questionnaire can be found elsewhere. 11,28 Device-assessed sleep Sleep was monitored with non-dominant wrist-worn accelerometers (ActiGraph GT3X+, Pensacola, FL, USA) for 7 consecutive days (24h/day). Participants reported information on the time they went to bed and woke up every day.…”

Section: Sleep-disordered Breathingmentioning

confidence: 99%

Effects of exercise on sleep in children with overweight/obesity: A randomized clinical trial

Torres-Lopez¹,

Migueles

Cadenas‐Sanchez³

et al. 2022

Preprint

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Objectives: To examine 1) the chronic effects of a 20-week physical exercise program on device-assessed sleep and on sleep-disordered breathing (SDB); and 2) whether attending to a session of the exercise program had effects on device-assessed sleep the subsequent night in children with overweight/obesity. Methods: A total of 99 children with overweight/obesity (n=47 in the exercise group) participated in this secondary analysis of the ActiveBrains randomized clinical trial. The exercise program included a combination of aerobic and resistance exercise training, 3-5 days/week (90 min/session). The control group was asked to maintain usual lifestyle. Sleep outcomes were measured using wrist actigraphy and included: total sleep time, total time in bed, sleep efficiency, and wake after sleep onset (WASO) time. SDB was assessed via the Paediatric Sleep Questionnaire. Results: The ActiveBrains exercise program had a statistically significant effect on WASO time (-10.8 min/day, -0.5 standard deviations (SD), P=0.040). Furthermore, we observed a small non-statistically significant effect on sleep efficiency (+2%, 0.4 SD, P=0.1). No other chronic effects were observed on the other sleep outcomes. The nights (at maximum of 4) after attending the ActiveBrains exercise sessions, children showed higher total sleep time (+8 min, P=0.17), sleep efficiency (+1%, P=0.15), and lower WASO time (-6 min, P=0.18) although did not reach statistical significance. Conclusion: A 20-week physical exercise program reduced WASO time in children with overweight/obesity in comparison with control group peers, yet we did not observe effects on SDB. Future randomized trials that include a clinical sample of children with poor sleep health at baseline are needed to better appreciate the role of exercise in sleep health.

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Effects of childhood obstructive sleep apnea with and without daytime sleepiness on behaviors and emotions

Yu,

Au,

Yuen

et al. 2024

Sleep Medicine

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Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity

Cited by 4 publications

References 38 publications

Effects of exercise on sleep in children with overweight/obesity: a randomized clinical trial

Effects of exercise on sleep in children with overweight/obesity: a randomized clinical trial

Effects of exercise on sleep in children with overweight/obesity: A randomized clinical trial

Effects of childhood obstructive sleep apnea with and without daytime sleepiness on behaviors and emotions

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