A1 Journal article (refereed)
Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity (2022)
Torres-Lopez, L. V., Cadenas-Sanchez, C., Migueles, J. H., Henriksson, P., Löf, M., & Ortega, F. B. (2022). Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity. Journal of Pediatrics, 246, 170-178.e2. https://doi.org/10.1016/j.jpeds.2022.03.006
JYU authors or editors
Publication details
All authors or editors: Torres-Lopez, Lucia V.; Cadenas-Sanchez, Cristina; Migueles, Jairo H.; Henriksson, Pontus; Löf, Marie; Ortega, Francisco B.
Journal or series: Journal of Pediatrics
ISSN: 0022-3476
eISSN: 1097-6833
Publication year: 2022
Publication date: 10/03/2022
Volume: 246
Pages range: 170-178.e2
Publisher: Elsevier BV
Publication country: United States
Publication language: English
DOI: https://doi.org/10.1016/j.jpeds.2022.03.006
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/89790
Abstract
To evaluate the associations of parent-reported sleep-disordered breathing (SDB) and device-assessed sleep behaviors with behavioral and emotional functioning in pediatric patients with overweight/obesity.
Study design
A total of 109 children with overweight/obesity (mean age, 10.0 ± 1.1 years) were included in this cross-sectional study. We used the Spanish version of the Pediatric Sleep Questionnaire (PSQ) to assess SDB and its subscales (ie, snoring, daytime sleepiness, and inattention/hyperactivity). Device-assessed sleep behaviors (ie, wake time, sleep onset time, total time in bed, total sleep time, and waking after sleep onset) were estimated using wrist-worn accelerometers. We used the Behavior Assessment System for Children, second edition to assess behavioral and emotional functioning (ie, clinical scale: aggressiveness, hyperactivity, behavior problems, attention problems, atypicality, depression, anxiety, retreat, and somatization; adaptive scale: adaptability, social skills, and leadership).
Results
SDB was positively associated with all clinical scale variables (all β > 0.197, P ≤ .041) and with lower adaptability and leadership (all β < −0.226, P < .021). Specifically, the PSQ subscale relating to daytime sleepiness was associated with higher attention problems, depression, anxiety, and retreat (all β > 0.196, P ≤ .045) and lower adaptability (β = −0.246, P = .011). The inattention/hyperactivity subscale was significantly associated with the entire clinical and adaptive scales (all β > |0.192|, P ≤ .046) except for somatization. The snoring subscale and device-assessed sleep behaviors were not related to any behavioral or emotional functioning variables.
Conclusions
Our study suggests that SDB symptoms, but not device-assessed sleep behaviors, are associated with behavioral and emotional functioning in children with overweight/obesity. Specifically, daytime sleepiness, a potential SDB symptom, was related to higher attention problems, depression, anxiety, and retreat and lower adaptability.
Keywords: obesity; overweight; children (age groups); sleep; sleep disorders; respiration; sleep apnea syndrome; mental well-being; attention; fatigue (biological phenomena); measuring instruments (indicators)
Free keywords: childhood obesity; obstructive sleep apnea; sleep duration; sleep quality; mental health; accelerometer
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2023
JUFO rating: 2
