Startseite What is the relationship between obesity and new circadian rhythm parameters in Turkish children and adolescents? A case-control study
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What is the relationship between obesity and new circadian rhythm parameters in Turkish children and adolescents? A case-control study

  • Mehmet Karadag ORCID logo EMAIL logo und Gulay Can Yilmaz ORCID logo
Veröffentlicht/Copyright: 5. April 2021

Abstract

Background

Although the relationship between circadian rhythm parameters and obesity in children and adolescents is recognized, there are few studies on this topic. The concept of sleep-corrected social jetlag (SJLsc) has been formulated recently, but its relationship with childhood obesity has not yet been established. Therefore, we thought that SJL might play an important role in the etiology of obesity. Accordingly, we aimed to compare circadian rhythm parameters between obese and normal-weight children and adolescents.

Methods

Seventy-nine obese and eighty-two normal-weight children and adolescents aged between 8 and 17 years participated in this case-control study, which took place in the Mardin province of Turkey. Data were collected with a sociodemographic information form, the Childhood Chronotype Questionnaire, and anthropometric measurements.

Results

The average ages of the obese participants and controls were 12.3 ± 2.3 and 12.4 ± 2.2 years, respectively. Obese young people had greater evening preference, longer sleep debt duration, SJL duration and SJLsc duration, and higher Morningness–Eveningness Scale (MeScale) scores; and shorter mean sleep duration (p<0.005). In regression analyses, BMI z scores were significantly correlated with all circadian rhythm parameters, except SJLsc duration, while WC z scores were significantly correlated with all circadian rhythm parameters, except mean sleep duration. After adjustment, the high MeScale scores (OR: 1.142, p<0.05) and the presence of psychiatric disorder in the mother (OR: 15.075, p<0.05) were associated with obesity.

Conclusions

Circadian rhythm parameters can play an important role in the etiology of obesity. Future studies with larger samples and fewer confounding factors are needed to clarify the etiological factors.


Corresponding author: Dr. Mehmet Karadag, Child and Adolescent Psychiatry Department, Medical School, Gaziantep University, Gaziantep, Turkey, Phone: +90 5418950565, E-mail:

Acknowledgments

The authors would like to thank the authorities who permit and all the participants who attend for this research.

  1. Research funding: This work wasn’t supported by any institution or organization.

  2. Author contributions: Mehmet Karadag: planning and conceptualization of the study, data collection, data analysis, and manuscript drafting; Gulay Can Yilmaz: data collection, data analysis, and manuscript drafting. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  3. Conflict of interest: The authors declare that they have no conflict of interest.

  4. Ethical approval: Ethical approval was obtained from the Ethics Committee of the Diyarbakir University of Health Sciences, Gazi Yasargil Education and Research Hospital (Date: 14.06.2019 Issue: 285).

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Received: 2020-09-18
Accepted: 2021-02-08
Published Online: 2021-04-05
Published in Print: 2021-06-25

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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