Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents

Leonardo Pulido-Arjona; Jorge Enrique Correa-Bautista; Cesar Agostinis-Sobrinho; Jorge Mota; Rute Santos; María Correa-Rodríguez; Antonio Garcia-Hermoso; Robinson Ramírez-Vélez

doi:10.1186/s13052-018-0451-7

Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents

Título traducido de la contribución: Papel de la duración del sueño y de los problemas relacionados con el sueño en el síndrome metabólico en niños y adolescentes

Leonardo Pulido-Arjona, Jorge Enrique Correa-Bautista, Cesar Agostinis-Sobrinho, Jorge Mota, Rute Santos, María Correa-Rodríguez, Antonio Garcia-Hermoso, Robinson Ramírez-Vélez

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

27 Citas (Scopus)

Resumen

Antecedentes: Cada vez se reconoce más que el sueño es un factor de riesgo para el síndrome metabólico (SM). El objetivo del presente estudio fue analizar la relación entre la duración del sueño auto-reportada, los problemas relacionados con el sueño y la presencia de MetS en niños y adolescentes de Bogotá, D.C., Colombia. Métodos: Este es un análisis transversal del estudio FUPRECOL (2014-15). Entre los participantes había 2.779 (54,2% niñas) jóvenes de Bogotá (Colombia). MetS se definió como la presencia de ≥3 de las anomalías metabólicas (hiperglucemia, hipertrigliceridemia, colesterol de lipoproteínas de baja densidad[HDL-c], hipertensión y aumento del perímetro de la cintura) de acuerdo con los criterios de Ferranti/Magge y las universidades. La duración del sueño auto-reportada y los problemas relacionados con el sueño fueron evaluados con el cuestionario BEARS. Resultados: El análisis de regresión logística mostró que los niños que cumplieron con la duración recomendada del sueño tuvieron un menor riesgo de niveles elevados de glucosa en sangre (odds ratio[OR] = 0,71; IC del 95%: 0,40 a 0,94; p = 0,031) en comparación con los niños que tuvieron una duración de sueño corta y prolongada. Además, en comparación con los jóvenes sin problemas de sueño, la somnolencia excesiva durante el día se relacionó con niveles bajos de HDL-c en los niños (OR = 1,36; IC del 95%: 1,02 a 1,83; p = 0,036) y niveles altos de triglicéridos en las niñas (OR = 1,28; IC del 95%: 1,01 a 1,63; p = 0,045). Las niñas con patrones de sueño irregulares habían disminuido los niveles de HDL-c (OR = 0,71; IC del 95%[0,55-0,91]; p = 0,009). Conclusiones: La duración recomendada del sueño se asoció con una disminución del riesgo de niveles elevados de glucosa en ayunas en los niños, y los problemas de sueño se relacionaron con niveles más bajos de HDL-c en las niñas y niveles más altos de triglicéridos en los niños. Estos hallazgos sugieren la importancia clínica de mejorar la higiene del sueño para reducir los factores de riesgo metabólicos en niños y adolescentes.

Título traducido de la contribución	Papel de la duración del sueño y de los problemas relacionados con el sueño en el síndrome metabólico en niños y adolescentes
Idioma original	Inglés estadounidense
Número de artículo	9
Publicación	Italian Journal of Pediatrics
Volumen	44
N.º	1
DOI	https://doi.org/10.1186/s13052-018-0451-7
Estado	Publicada - ene. 15 2018

Áreas temáticas de ASJC Scopus

Pediatría, perinaltología y salud infantil

ODS de las Naciones Unidas

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title = "Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents",

abstract = "Background: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aim of the present study was to analyze the relationship between self-reported sleep duration, sleep-related problems and the presence of MetS in children and adolescents from Bogot{\'a}, D.C., Colombia. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2779 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (hyperglycemia, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-c], hypertension, and increased waist circumference) according to the criteria of de Ferranti/Magge and colleges. Self-reported sleep duration and sleep-related problems were assessed with the BEARS questionnaire. Results: Logistic regression analysis showed that boys who meet recommended duration of sleep had a decreased risk of elevated blood glucose levels (Odds Ratio [OR] = 0.71, 95%CI [0.40-0.94]; p = 0.031) compared to boys who have short-long sleep duration. Also, compared to young without sleep problems, excessive sleepiness during the day was related to low HDL-c levels in boys (OR = 1.36, 95%CI [1.02-1.83]; p = 0.036) and high triglyceride levels in girls (OR = 1.28, 95%CI [1.01-1.63]; p = 0.045). Girls with irregular sleep patterns had decreased HDL-c levels (OR = 0.71, 95%CI [0.55-0.91]; p = 0.009). Conclusions: Recommended sleep duration was associated with a decreased risk of elevated fasting glucose levels in boys, and sleep problems was related to lower HDL-c in girls and higher triglyceride levels in boys. These findings suggested the clinical importance of improving sleep hygiene to reduce metabolic risk factors in children and adolescents.",

author = "Leonardo Pulido-Arjona and Correa-Bautista, {Jorge Enrique} and Cesar Agostinis-Sobrinho and Jorge Mota and Rute Santos and Mar{\'i}a Correa-Rodr{\'i}guez and Antonio Garcia-Hermoso and Robinson Ram{\'i}rez-V{\'e}lez",

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doi = "10.1186/s13052-018-0451-7",

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T1 - Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents

AU - Pulido-Arjona, Leonardo

AU - Correa-Bautista, Jorge Enrique

AU - Agostinis-Sobrinho, Cesar

AU - Mota, Jorge

AU - Santos, Rute

AU - Correa-Rodríguez, María

AU - Garcia-Hermoso, Antonio

AU - Ramírez-Vélez, Robinson

PY - 2018/1/15

Y1 - 2018/1/15

N2 - Background: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aim of the present study was to analyze the relationship between self-reported sleep duration, sleep-related problems and the presence of MetS in children and adolescents from Bogotá, D.C., Colombia. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2779 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (hyperglycemia, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-c], hypertension, and increased waist circumference) according to the criteria of de Ferranti/Magge and colleges. Self-reported sleep duration and sleep-related problems were assessed with the BEARS questionnaire. Results: Logistic regression analysis showed that boys who meet recommended duration of sleep had a decreased risk of elevated blood glucose levels (Odds Ratio [OR] = 0.71, 95%CI [0.40-0.94]; p = 0.031) compared to boys who have short-long sleep duration. Also, compared to young without sleep problems, excessive sleepiness during the day was related to low HDL-c levels in boys (OR = 1.36, 95%CI [1.02-1.83]; p = 0.036) and high triglyceride levels in girls (OR = 1.28, 95%CI [1.01-1.63]; p = 0.045). Girls with irregular sleep patterns had decreased HDL-c levels (OR = 0.71, 95%CI [0.55-0.91]; p = 0.009). Conclusions: Recommended sleep duration was associated with a decreased risk of elevated fasting glucose levels in boys, and sleep problems was related to lower HDL-c in girls and higher triglyceride levels in boys. These findings suggested the clinical importance of improving sleep hygiene to reduce metabolic risk factors in children and adolescents.

AB - Background: There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aim of the present study was to analyze the relationship between self-reported sleep duration, sleep-related problems and the presence of MetS in children and adolescents from Bogotá, D.C., Colombia. Methods: This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2779 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (hyperglycemia, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-c], hypertension, and increased waist circumference) according to the criteria of de Ferranti/Magge and colleges. Self-reported sleep duration and sleep-related problems were assessed with the BEARS questionnaire. Results: Logistic regression analysis showed that boys who meet recommended duration of sleep had a decreased risk of elevated blood glucose levels (Odds Ratio [OR] = 0.71, 95%CI [0.40-0.94]; p = 0.031) compared to boys who have short-long sleep duration. Also, compared to young without sleep problems, excessive sleepiness during the day was related to low HDL-c levels in boys (OR = 1.36, 95%CI [1.02-1.83]; p = 0.036) and high triglyceride levels in girls (OR = 1.28, 95%CI [1.01-1.63]; p = 0.045). Girls with irregular sleep patterns had decreased HDL-c levels (OR = 0.71, 95%CI [0.55-0.91]; p = 0.009). Conclusions: Recommended sleep duration was associated with a decreased risk of elevated fasting glucose levels in boys, and sleep problems was related to lower HDL-c in girls and higher triglyceride levels in boys. These findings suggested the clinical importance of improving sleep hygiene to reduce metabolic risk factors in children and adolescents.

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Role of sleep duration and sleep-related problems in the metabolic syndrome among children and adolescents

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