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有读书笔记Longitudinal analysis of sleep in relation to BMI and body fat in children: the FLAME study

唐唐 添加于 2011-5-31 05:06 | 1388 次阅读 | 0 个评论
  •  作 者

    Carter PJ, Taylor BJ, Williams SM, Taylor RW
  •  摘 要

    Objectives To determine whether reduced sleep is associated with differences in body composition and the risk of becoming overweightin young children.Design Longitudinal study with repeated annual measurements.Setting Dunedin, New Zealand.Participants 244 children recruited from a birth cohort and followed from age 3 to 7.Main outcome measures Body mass index (BMI), fat mass (kg), and fat free mass (kg) measured with bioelectrical impedance; dual energy x ray absorptiometry;physical activity and sleep duration measured with accelerometry; dietary intake (fruit and vegetables, non-core foods), televisionviewing, and family factors (maternal BMI and education, birth weight, smoking during pregnancy) measured with questionnaire.Results After adjustment for multiple confounders, each additional hour of sleep at ages 3-5 was associated with a reduction in BMI of 0.48 (95% confidence interval 0.01 to 0.96) and a reduced risk of being overweight (BMI ≥85th centile) of 0.39 (0.24 to 0.63) at age 7. Further adjustment for BMI at age 3 strengthened these relations. These differences in BMI were explained by differences in fat mass index (?0.43, ?0.82 to ?0.03) more than by differences in fat free mass index (?0.21, ?0.41 to ?0.00).Conclusions Young children who do not get enough sleep are at increased risk of becoming overweight, even after adjustment for initialweight status and multiple confounding factors. This weight gain is a result of increased fat deposition in both sexes ratherthan additional accumulation of fat free mass.
  •  详细资料

    • 文献种类:期刊
    • 期刊名称: BMJ
    • 期刊缩写: BMJ
    • 期卷页: 2011  342 may26 2 d2712-d2712
    • ISBN: 0959-8138
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    儿童睡眠不足或会增加肥胖风险
    新西兰研究人员5月28日说,对一些儿童的长期跟踪调查显示,那些在3到5岁时睡眠较少的儿童,到7岁时与其他儿童相比往往更为肥胖。
     
    新西兰奥塔戈大学的研究人员在最新一期《英国医学杂志》(BMJ)刊登研究报告说,他们随机选择了244名儿童,每半年就给这些儿童测量身高和体重,有时孩子们还被要求携带一种可记录活动情况的仪器,以帮助估计这些儿童的活动和睡眠时间。此外,孩子的父母也会填写问卷,提供孩子作息规律方面的信息。
     
    分析显示,孩子3到5岁时平均每天的睡眠时间约为11小时,那些睡眠时间较少的孩子到7岁时往往更为肥胖,其影响程度可大概折算为,平均睡眠时间每减少一小时,会增加约0.7公斤脂肪。
     
    研究人员说,儿童睡眠不足会增加肥胖风险的原因至少有两个方面:一是睡眠时间减少可能会导致吃零食的时间增多,从而增加肥胖风险;二是睡眠不足会影响体内的激素分泌,从而导致胃口大增,增加肥胖风险。(来源:新华网 黄堃)
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