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 Conclusions There is a close relationship between obesity and sleep disorders in children in Lanzhou, China.
YE Xin-Hua,CHEN Hong,KANG Xi-Guang et al. Association between obesity and sleep disorders among children in Lanzhou, China[J]. CJCP, 2019, 21(10): 987-991.
YE Xin-Hua,CHEN Hong,KANG Xi-Guang et al. Association between obesity and sleep disorders among children in Lanzhou, China[J]. CJCP, 2019, 21(10): 987-991.
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.
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.
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.
