Home Medicine Association of overweight, obesity and insufficient sleep duration and related lifestyle factors among school children and adolescents
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Association of overweight, obesity and insufficient sleep duration and related lifestyle factors among school children and adolescents

  • Aisha Abdalla Almulla ORCID logo EMAIL logo and Taoufik Zoubeidi
Published/Copyright: July 26, 2021

Abstract

Objectives

To assess the prevalence of overweight, obesity and Insufficient Sleep Duration (ISD) and to investigate their relationship with related lifestyle factors among school-aged students. Obesity in childhood and adolescence is a serious health concern as it may have long term risk for overweight and obesity in adulthood.

Methods

This is a cross-sectional study of 1,611 students aged between 10 and 18 years from Al Ain city, United Arab Emirates. Data were collected using a multistage stratified random sampling method using a validated questionnaire and the level of significance was set at p<0.05.

Results

The prevalence of overweight and obesity was 42.4%. ISD was 36.6% among students. Higher BMI was significantly related to being a male and inactive (95% CI=0.03–0.23), daily coffee consumption (95% CI=0.03–0.1), older age (95% CI=0.01–0.02), less average sleep duration (95% CI=−0.02 to −0.003) and spending more time on TV/videogames (95% CI=0.01–0.07). The likelihood of ISD was significantly lower among students who consumed breakfast daily (OR=0.58, 95% CI=0.41–0.83), spent less time on smart devices (OR=0.63, 95% CI=0.47–0.84), and never consumed energy drinks or soft drinks (OR=2.64, 95% CI=1.13–6.16, OR=2.02, 95% CI=1.24–3.29, respectively).

Conclusions

The prevalence of overweight and obesity among school-aged students is high. ISD and related lifestyle factors are significantly associated with overweight and obesity. Study findings emphasize the need to address and implement successful strategies for a healthy lifestyle starting from early childhood to combat the increasing rates of overweight and obesity in adulthood.


Corresponding author: Aisha Abdalla Almulla, Community Nutrition Department, Tawam Hospital, Abu Dhabi Health Services Company (SEHA), P.O. Box: 15258, Abu Dhabi, United Arab Emirates, E-mail:

Acknowledgments

We would like to thank all students and their parents who agreed to be part of this study and the Department of Education and Knowledge in Abu Dhabi for their support. Appreciation is also extended to Ms. Nada Al Adeeb from the Community Nutrition Department for her contribution in reviewing sections of the manuscript.

  1. Research funding: None declared.

  2. Author contributions: AAA collected, designed, and analyzed study data, and wrote the manuscript. TZ performed the statistical analyses and was a major contributor in writing the results of the manuscript. Both authors accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The research related to human use has complied with all the relevant national regulations, institutional policies, and in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ Institutional Review Board of Tawam Human Research Ethics Committee (T-HREC) (Reference no. AA/AJ/676).

References

1. World Health Organisation (WHO). The world health report 2002: reducing risk, promoting healthy life. WHO Press; 2002. Available from: https://www.who.int/whr/2002/en/whr02_en.pdf?ua=1.Search in Google Scholar

2. World Health Organisation (WHO). Obesity and overweight; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.Search in Google Scholar

3. CDC. About child & teen BMI; 2015. Available from: https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.Search in Google Scholar

4. Ng, SW, Zaghloul, S, Ali, H, Harrison, G, Yeatts, K, El Sadig, M, et al.. Nutrition transition in the United Arab Emirates. Eur J Clin Nutr 2011;65:1328–37. https://doi.org/10.1038/ejcn.2011.135.Search in Google Scholar

5. AlBlooshi, A, Shaban, S, AlTunaiji, M, Fares, N, AlShehhi, L, AlShehhi, H, et al.. Increasing obesity rates in school children in United Arab Emirates. Obes Sci Pract 2016;2:196–202. https://doi.org/10.1002/osp4.37.Search in Google Scholar

6. Al-Shehhi, E, Al-Dhefairi, H, Abuasi, K, Ali, NA, Tunaiji, MA, Darwish, E. Prevalence and risk factors of obesity in children aged 2–12 years in the Abu Dhabi Islands. World Fam Med 2017;15:61–74. https://doi.org/10.5742/mewfm.2017.93103.Search in Google Scholar

7. Al Junaibi, A, Abdulle, A, Sabri, S, Hag-Ali, M, Nagelkerke, N. The prevalence and potential determinants of obesity among school children and adolescents in Abu Dhabi, United Arab Emirates. Int J Obes 2013;37:68–74. https://doi.org/10.1038/ijo.2012.131.Search in Google Scholar

8. Logan, AC, Jacka, FN. Nutritional psychiatry research: an emerging discipline and its intersection with global urbanization, environmental challenges and the evolutionary mismatch. J Physiol Anthropol 2014;33:22. https://doi.org/10.1186/1880-6805-33-22.Search in Google Scholar

9. Branca, F, Lartey, A, Oenema, S, Aguayo, V, Stordalen, GA, Richardson, R, et al.. Transforming the food system to fight non-communicable diseases. BMJ 2019;364:l296. https://doi.org/10.1136/bmj.l296.Search in Google Scholar

10. Eisenmann, JC. Secular trends in variables associated with the metabolic syndrome of North American children and adolescents: a review and synthesis. Am J Hum Biol 2003;15:786–94. https://doi.org/10.1002/ajhb.10214.Search in Google Scholar

11. Daniels, SR. Complications of obesity in children and adolescents. Int J Obes 2009;33(1 Suppl):S60–5. https://doi.org/10.1038/ijo.2009.20.Search in Google Scholar

12. Bloom, DE, Cafiero, ET, Jané-Llopis, E, Abrahams-Gessel, S, Bloom, LR, Fathima, S, et al.. The global economic burden of noncommunicable diseases: World Economic Forum and the Harvard School of Public Health; 2011. Available from: http://apps.who.int/medicinedocs/documents/s18806en/s18806en.pdfhttp://apps.who.int/medicinedocs/documents/s18806en/s18806en.pdf.Search in Google Scholar

13. de la Hunty, A, Gibson, S, Ashwell, M. Does regular breakfast cereal consumption help children and adolescents stay slimmer? A systematic review and meta-analysis. Obes Facts 2013;6:70–85. https://doi.org/10.1159/000348878.Search in Google Scholar

14. World Health Organization (WHO). Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser 2003;916:1–149, backcover.Search in Google Scholar

15. Keller, A, Bucher Della Torre, S. Sugar-sweetened beverages and obesity among children and adolescents: a review of systematic literature reviews. Child Obes 2015;11:338–46. https://doi.org/10.1089/chi.2014.0117.Search in Google Scholar

16. Steele, RM, van Sluijs, EM, Cassidy, A, Griffin, SJ, Ekelund, U. Targeting sedentary time or moderate- and vigorous-intensity activity: independent relations with adiposity in a population-based sample of 10-y-old British children. Am J Clin Nutr 2009;90:1185–92. https://doi.org/10.3945/ajcn.2009.28153.Search in Google Scholar

17. Rey-Lopez, JP, Vicente-Rodriguez, G, Biosca, M, Moreno, LA. Sedentary behaviour and obesity development in children and adolescents. Nutr Metabol Cardiovasc Dis 2008;18:242–51. https://doi.org/10.1016/j.numecd.2007.07.008.Search in Google Scholar

18. Gong, QH, Li, SX, Li, H, Cui, J, Xu, GZ. Insufficient sleep duration and overweight/obesity among adolescents in a Chinese population. Int J Environ Res Publ Health 2018;15. https://doi.org/10.3390/ijerph15050997.Search in Google Scholar

19. Kant, AK, Graubard, BI. Family income and education were related with 30-year time trends in dietary and meal behaviors of American children and adolescents. J Nutr 2013;143:690–700. https://doi.org/10.3945/jn.112.165258.Search in Google Scholar

20. Garmy, P, Clausson, EK, Nyberg, P, Jakobsson, U. Insufficient sleep is associated with obesity and excessive screen time amongst ten-year-old children in Sweden. J Pediatr Nurs 2018;39:e1–5. https://doi.org/10.1016/j.pedn.2017.11.009.Search in Google Scholar

21. Matricciani, L, Olds, T, Petkov, J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep Med Rev 2012;16:203–11. https://doi.org/10.1016/j.smrv.2011.03.005.Search in Google Scholar

22. Inchley, JC, Currie, DB, Young, T, Samdal, O, Torsheim, T, Augustson, L, et al.. editors. Growing up unequal: gender and socioeconomic differences in young people’s health and well-being. Denmark: WHO Regional Office for Europe; 2016.Search in Google Scholar

23. Godos, J, Grosso, G, Castellano, S, Galvano, F, Caraci, F, Ferri, R. Association between diet and sleep quality: a systematic review. Sleep Med Rev 2021;57:101430. https://doi.org/10.1016/j.smrv.2021.101430.Search in Google Scholar

24. Hale, L, Guan, S. Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Med Rev 2015;21:50–8. https://doi.org/10.1016/j.smrv.2014.07.007.Search in Google Scholar

25. Börnhorst, C, Wijnhoven, TMA, Kunešová, M, Yngve, A, Rito, AI, Lissner, L, et al.. WHO European Childhood Obesity Surveillance Initiative: associations between sleep duration, screen time and food consumption frequencies. BMC Publ Health 2015;15:442. https://doi.org/10.1186/s12889-015-1793-3.Search in Google Scholar

26. Godos, J, Currenti, W, Angelino, D, Mena, P, Castellano, S, Caraci, F, et al.. Diet and mental health: review of the recent updates on molecular mechanisms. Antioxidants 2020;9. https://doi.org/10.3390/antiox9040346.Search in Google Scholar

27. Zucconi, S, Volpato, C, Adinolfi, F, Gandini, E, Gentile, E, Loi, A, et al.. Gathering consumption data on specific consumer groups of energy drinks. EFSA Support Publ 2013;10:394E. https://doi.org/10.2903/sp.efsa.2013.en-394.Search in Google Scholar

28. Abe, T, Hagihara, A, Nobutomo, K. Sleep patterns and impulse control among Japanese junior high school students. J Adolesc 2010;33:633–41. https://doi.org/10.1016/j.adolescence.2009.11.007.Search in Google Scholar

29. Larson, N, Dewolfe, J, Story, M, Neumark-Sztainer, D. Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use. J Nutr Educ Behav 2014;46:181–7. https://doi.org/10.1016/j.jneb.2014.02.008.Search in Google Scholar

30. Foti, KE, Eaton, DK, Lowry, R, McKnight-Ely, LR. Sufficient sleep, physical activity, and sedentary behaviors. Am J Prev Med 2011;41:596–602. https://doi.org/10.1016/j.amepre.2011.08.009.Search in Google Scholar

31. American Academy of Pediatrics. Children, adolescents, and television. Pediatrics 2001;107:423–6. https://doi.org/10.1542/peds.107.2.423.Search in Google Scholar

32. von Elm, E, Altman, DG, Egger, M, Pocock, SJ, Gøtzsche, PC, Vandenbroucke, JP, et al.. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ 2007;335:806–8. https://doi.org/10.1136/bmj.39335.541782.ad.Search in Google Scholar

33. Abduelkarem, AR, Sharif, SI, Bankessli, FG, Kamal, SA, Kulhasan, NM, Hamrouni, AM. Obesity and its associated risk factors among school-aged children in Sharjah, UAE. PloS One 2020;15: e0234244. https://doi.org/10.1371/journal.pone.0234244.Search in Google Scholar

34. Veugelers, PJ, Fitzgerald, AL. Effectiveness of school programs in preventing childhood obesity: a multilevel comparison. Am J Publ Health 2005;95:432–5. https://doi.org/10.2105/ajph.2004.045898.Search in Google Scholar

35. Laposky, AD, Bass, J, Kohsaka, A, Turek, FW. Sleep and circadian rhythms: key components in the regulation of energy metabolism. FEBS Lett 2008;582:142–51. https://doi.org/10.1016/j.febslet.2007.06.079.Search in Google Scholar

36. Taheri, S, Lin, L, Austin, D, Young, T, Mignot, E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004;1:e62. https://doi.org/10.1371/journal.pmed.0010062.Search in Google Scholar

37. Spiegel, K, Leproult, R, L’Hermite-Balériaux, M, Copinschi, G, Penev, PD, Van Cauter, E. Leptin levels are dependent on sleep duration: relationships with sympathovagal balance, carbohydrate regulation, cortisol, and thyrotropin. J Clin Endocrinol Metab 2004;89:5762–71. https://doi.org/10.1210/jc.2004-1003.Search in Google Scholar

38. Levin, F, Edholm, T, Schmidt, PT, Grybäck, P, Jacobsson, H, Degerblad, M, et al.. Ghrelin stimulates gastric emptying and hunger in normal-weight humans. J Clin Endocrinol Metab 2006;91:3296–302. https://doi.org/10.1210/jc.2005-2638.Search in Google Scholar

39. Sharma, S, Kavuru, M. Sleep and metabolism: an overview. Int J Endocrinol 2010;2010:270832. https://doi.org/10.1155/2010/270832.Search in Google Scholar

40. Gong, QH, Li, H, Zhang, XH, Zhang, T, Cui, J, Xu, GZ. Associations between sleep duration and physical activity and dietary behaviors in Chinese adolescents: results from the Youth Behavioral Risk Factor Surveys of 2015. Sleep Med 2017;37:168–73. https://doi.org/10.1016/j.sleep.2017.06.024.Search in Google Scholar

41. Taheri, S. The link between short sleep duration and obesity: we should recommend more sleep to prevent obesity. Arch Dis Child 2006;91:881–4. https://doi.org/10.1136/adc.2005.093013.Search in Google Scholar

42. Wang, H, Hu, R, Du, H, Fiona, B, Zhong, J, Yu, M. The relationship between sleep duration and obesity risk among school students: a cross-sectional study in Zhejiang, China. Nutr Metab 2018;15:48. https://doi.org/10.1186/s12986-018-0285-8.Search in Google Scholar

43. Ferranti, R, Marventano, S, Castellano, S, Giogianni, G, Nolfo, F, Rametta, S, et al.. Sleep quality and duration is related with diet and obesity in young adolescent living in Sicily, Southern Italy. Sleep Sci 2016;9:117–22. https://doi.org/10.1016/j.slsci.2016.04.003.Search in Google Scholar

44. Baron, KG, Reid, KJ, Zee, PC. Exercise to improve sleep in insomnia: exploration of the bidirectional effects. J Clin Sleep Med 2013;9:819–24. https://doi.org/10.5664/jcsm.2930.Search in Google Scholar

45. Al-Hazzaa, HM, Musaiger, AO, Abahussain, NA, Al-Sobayel, HI, Qahwaji, DM. Lifestyle correlates of self-reported sleep duration among Saudi adolescents: a multicentre school-based cross-sectional study. Child Care Health Dev 2014;40:533–42. https://doi.org/10.1111/cch.12051.Search in Google Scholar

46. Al-Hazzaa, HM, Alhussain, MH, Alhowikan, AM, Obeid, OA. Insufficient sleep duration and its association with breakfast intake, overweight/obesity, socio-demographics and selected lifestyle behaviors among Saudi school children. Nat Sci Sleep 2019;11:253–63. https://doi.org/10.2147/nss.s225883.Search in Google Scholar

47. Meltzer, LJ, Shaheed, K, Ambler, D. Start later, sleep later: school start times and adolescent sleep in homeschool versus public/private school students. Behav Sleep Med 2016;14:140–54. https://doi.org/10.1080/15402002.2014.963584.Search in Google Scholar

48. Mathew, G, Varghese, AD, Benjamin, AI. A comparative study assessing sleep duration and associated factors among adolescents studying in different types of schools in an urban area of Kerala, India. Indian J Community Med 2019;44(1 Suppl):S10–3. https://doi.org/10.4103/ijcm.IJCM_19_19.Search in Google Scholar

49. Almulla, AA, Faris, MA-IE. Energy drinks consumption is associated with reduced sleep duration and increased energy-dense fast foods consumption among school students: a cross-sectional study. Asia Pac J Publ Health 2020;32:266–73. https://doi.org/10.1177/1010539520931351.Search in Google Scholar

50. Temple, JL. Caffeine use in children: what we know, what we have left to learn, and why we should worry. Neurosci Biobehav Rev 2009;33:793–806. https://doi.org/10.1016/j.neubiorev.2009.01.001.Search in Google Scholar

51. Lodato, F, Araújo, J, Barros, H, Lopes, C, Agodi, A, Barchitta, M, et al.. Caffeine intake reduces sleep duration in adolescents. Nutr Res 2013;33:726–32. https://doi.org/10.1016/j.nutres.2013.06.005.Search in Google Scholar

52. Orbeta, RL, Overpeck, MD, Ramcharran, D, Kogan, MD, Ledsky, R. High caffeine intake in adolescents: associations with difficulty sleeping and feeling tired in the morning. J Adolesc Health 2006;38:451–3. https://doi.org/10.1016/j.jadohealth.2005.05.014.Search in Google Scholar

53. Pollak, CP, Bright, D. Caffeine consumption and weekly sleep patterns in US seventh-, eighth-, and ninth-graders. Pediatrics 2003;111:42–6. https://doi.org/10.1542/peds.111.1.42.Search in Google Scholar

54. Council on Communications and Media. Children, adolescents, and the media. Pediatrics 2013;132:958–61. http://doi.org/10.1542/peds.2013-2656.10.1542/peds.2013-2656Search in Google Scholar PubMed

55. Johnson, JG, Cohen, P, Kasen, S, First, MB, Brook, JS. Association between television viewing and sleep problems during adolescence and early adulthood. Arch Pediatr Adolesc Med 2004;158:562–8. https://doi.org/10.1001/archpedi.158.6.562.Search in Google Scholar

56. Troxel, WM, Lee, L, Hall, M, Matthews, KA. Single-parent family structure and sleep problems in black and white adolescents. Sleep Med 2014;15:255–61. https://doi.org/10.1016/j.sleep.2013.10.012.Search in Google Scholar

57. Andegiorgish, AK, Wang, J, Zhang, X, Liu, X, Zhu, H. Prevalence of overweight, obesity, and associated risk factors among school children and adolescents in Tianjin, China. Eur J Pediatr 2012;171:697–703. https://doi.org/10.1007/s00431-011-1636-x.Search in Google Scholar

58. Robinson, TN, Banda, JA, Hale, L, Lu, AS, Fleming-Milici, F, Calvert, SL, et al.. Screen media exposure and obesity in children and adolescents. Pediatrics 2017;140(2 Suppl):S97–101. https://doi.org/10.1542/peds.2016-1758K.Search in Google Scholar

59. Augustine, JM, Kimbro, RT. Family structure and obesity among US children. J Appl Res Child 2013;4.10.58464/2155-5834.1115Search in Google Scholar

60. Byrne, LK, Cook, KE, Skouteris, H, Do, M. Parental status and childhood obesity in Australia. Int J Pediatr Obes 2011;6:415–8. https://doi.org/10.3109/17477166.2011.598938.Search in Google Scholar

61. Huffman, FG, Kanikireddy, S, Patel, M. Parenthood – a contributing factor to childhood obesity. Int J Environ Res Publ Health 2010;7:2800–10. https://doi.org/10.3390/ijerph7072800.Search in Google Scholar

62. Lucas-Thompson, RG, Crain, TL, Brossoit, RM. Measuring sleep duration in adolescence: comparing subjective and objective daily methods. Sleep Health 2021;7:79–82. https://doi.org/10.1016/j.sleh.2020.06.005.10.1016/j.sleh.2020.06.005Search in Google Scholar PubMed PubMed Central

Received: 2021-03-22
Accepted: 2021-07-02
Published Online: 2021-07-26

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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