Association between obesity and sleep disorders among children in Lanzhou, China

YE Xin-Hua; CHEN Hong; KANG Xi-Guang; ZHANG Qian

doi:10.7499/j.issn.1008-8830.2019.10.007

PDF(1259 KB)

Chinese Journal of Contemporary Pediatrics ›› 2019, Vol. 21 ›› Issue (10) : 987-991. DOI: 10.7499/j.issn.1008-8830.2019.10.007

CLINICAL RESEARCH

Association between obesity and sleep disorders among children in Lanzhou, China

YE Xin-Hua, CHEN Hong, KANG Xi-Guang, ZHANG Qian

Author information +

History +

Abstract

Objective To investigate the prevalence of obesity and sleep disorders and the association between them among children in Lanzhou, China. Methods The stratified cluster random sampling method was used to select 3 283 primary school students in four districts of Lanzhou of Gansu province. Physical examination and sleep questionnaire were conducted to screen out the children who met the criteria for sleep disorders or obesity as subjects. Among the 3283 children, 200 healthy children without sleep disorders or obesity were enrolled as the control group. Results The prevalence rate of obesity among the 3 283 children was 5.76% (189/3 283). Among these 189 obese children, 80 (42.3%) had sleep disorders. The prevalence rate of sleep disorders was 16.24% (533/3 283), and the prevalence rate of obesity among the children with sleep disorders was 24.6% (131/533). Snoring was the most common sleep disorder in obese children. The prevalence rate of obstructive sleep apnea hypopnea syndrome was 45% (36/80) among obese children with sleep disorders. The obese children had a significantly higher prevalence rate of sleep disorders than the children with normal body weight[42.3% (80/189) vs 20% (40/200), P < 0.01]. Conclusions There is a close relationship between obesity and sleep disorders in children in Lanzhou, China.

Key words

Sleep disorder / Obesity / Obstructive sleep apnea hypopnea syndrome / Lanzhou / Child

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YE Xin-Hua, CHEN Hong, KANG Xi-Guang, ZHANG Qian. Association between obesity and sleep disorders among children in Lanzhou, China[J]. Chinese Journal of Contemporary Pediatrics. 2019, 21(10): 987-991 https://doi.org/10.7499/j.issn.1008-8830.2019.10.007

References

[1] Katzmarzyk PT, Lambert DG, Church TS. An introduction to the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE)[J]. Int J Obesity, 2015, 5(Suppl 2):S1-S2.
[2] Zong XN, Li H. Secular trends in prevalence and risk factors of obesity in infants and preschool children in 9 Chinese cities, 1986-2006[J]. PLoS One, 2012, 7(10):e46942.
[3] Gordon AM, Mendes WB, Prather AA. The social side of sleep:elucidating the links between sleep and social processes[J]. Curr Dir Psychol Sci, 2017, 26(5):470-475.
[4] Manley PE, McKendrick K, McGillicudy M, et al. Sleep dysfunction in long term survivors of craniopharyngioma[J]. J Neurooncol, 2012, 108(3):543-549.
[5] Koren D, Taveras EM. Association of sleep disturbances with obesity, insulin resistance and the metabolic syndrome[J]. Metabolism, 2018, 84:67-75.
[6] Hinnouho GM, Czernichow S, Dugravot A, et al. Metabolically healthy obesity and the risk of cardiovascular disease and type 2 diabetes:the Whitehall Ⅱ cohort study[J]. Eur Heart J, 2015, 36(9):551-559.
[7] Sateia MJ. International classification of sleep disorders-third edition:highlights and modifications[J]. Chest, 2014, 146(5):1387-1394.
[8] 刘玺诚.儿童睡眠医学研究进展[J].实用儿科临床杂志, 2007, 22(12):881-883.
[9] 李辉,季成叶,宗心南,等.中国0~18岁儿童、青少年身高、体重的标准化生长曲线[J].中华儿科杂志, 2009, 47(7):487-492.
[10] 中华耳鼻咽喉头颈外科杂志编委会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志, 2007, 42(2):83-84.
[11] 张娜,马冠生.《中国儿童肥胖报告》解读[J].营养学报, 2017, 39(6):530-534.
[12] Gozal D, Kheirandish-Gozal L. The obesity epidemic and disordered sleep during childhood and adolescence[J]. Adolesc Med State Art Rev, 2010, 21(3):480-490.
[13] Whitaker BN, Fisher PL, Jambhekar S, et al. Impact of degree of obesity on sleep, quality of life, and depression in youth[J]. J Pediatr Health Care, 2018, 32(2):e37-e44.
[14] 谢庆玲,甄宏,谭颖,等.南宁市儿童睡眠呼吸障碍与超重和肥胖关系的调查[J].广西医学, 2009, 31(5):609-611.
[15] 米尔扎提·海维尔,多力坤·木扎帕尔,赵冬梅,等.儿童阻塞性睡眠呼吸暂停低通气综合征与肥胖的相关性研究[J].现代生物医学进展, 2016, 16(24):4702-4704.
[16] 曹玲,常丽,米杰.北京地区6~18岁肥胖儿童青少年睡眠障碍相关症状调查[J].中国实用儿科杂志, 2007, 22(7):509-512.
[17] 陈灏健,张锡莲,温大科.无锡市肥胖儿童睡眠障碍相关症状调查[J].中国学校卫生, 2008, 29(9):803-804.
[18] 陈文娟,江帆,李生慧,等.儿童睡眠不足与肥胖发生的相关性研究概述[J].中国儿童保健杂志, 2010, 18(3):228-230.
[19] Broussard JL, Van Cauter E. Disturbances of sleep and circadian rhythms:novel risk factors for obesity[J]. Curr Opin Endocrinol Diabetes Obes, 2016, 23(5):353-359.
[20] Wojnar J, Brower KJ, Dopp R, et al. Sleep and body mass index in depressed children and healthy controls[J]. Sleep Med, 2010, 11(3):295-301.
[21] Poljaroen J, Tinikul R, Anuracpreeda P, et al. The expression and distribution of a leptin receptor in the central nervous system, digestive organs, and gonads of the giant freshwater prawn, Macrobrachium rosenbergii[J]. Acta Histochem, 2018, 120(4):373-384.
[22] Ohkawa N, Shoji H, Ikeda N, et al. Relationship between insulin-like growth factor 1, leptin and ghrelin levels and catchup growth in small for gestational age infants of 27-31 weeks during neonatal intensive care unit admission[J]. J Paediatr Child Health, 2017, 53(1):62-67.
[23] Chaput JP, Després JP, Bouchard C, et al. Short sleep duration is associated with reduced leptin levels and increased adiposity:results from the Québec Family Study[J]. Obesity (Silver Spring), 2007, 15(1):253-261.
[24] Chin K, Shimizu K, Nakamura T, et al. Changes in intraabdominal visceral fat and serum leptin levels in patients with obstructive sleep apnea syndrome following nasal continuous positive airway pressure therapy[J]. Circulation, 1999, 100(7):706-712.