Nighttime Sleep Duration and Sleep Behaviors among Toddlers from Low-Income Families: Associations with Obesogenic Behaviors and Obesity and the Role of Parenting
Nighttime Sleep Duration and Sleep Behaviors among Toddlers from Low-Income Families: Associations with Obesogenic Behaviors and Obesity and the Role of Parenting
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DOI：
10.1089/chi.2015.0252
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发表时间：
2016-10-01
影响因子：
2.5
通讯作者：
Black, Maureen M.
中科院分区：
文献类型：
--
作者：
Hager, Erin R.;Calamaro, Christina J.;Black, Maureen M.
背景：睡眠时间缩短与幼儿健康状况不佳和肥胖有关。关于幼儿夜间睡眠时间、睡眠行为和致肥胖行为/肥胖之间的关系知之甚少。本研究的特点睡眠行为/持续时间和探讨肥胖的行为/肥胖症之间的关系，幼儿从低收入家庭。方法：幼儿（年龄12-32个月）的母亲被招募从城市/郊区的网站服务于低收入家庭。母亲提供人口统计学信息，并完成了简短的婴儿睡眠问卷（BISQ），一个6项幼儿睡眠行为量表（TSBS-BISQ，分数越高，反映了更多的建议行为）。测量幼儿体重/身长;肥胖定义为第95百分位体重/身长。致肥胖行为的测量：身体活动[加速度测量法，中度至剧烈身体活动（MVPA）中的分钟/天]和饮食质量[24小时回忆，健康饮食指数2005（HEI-2005）]。双变量和调整后的多变量模型研究夜间睡眠行为/持续时间和肥胖行为/obesogenic behaviors/obesity.Results之间的关联：样本包括240名幼儿（平均年龄=20.2个月），55%的男性，69%的黑人，59%的城市。幼儿每天在MVPA中的时间为55.4分钟，平均HEI-2005评分为55.4，13%为肥胖。平均睡眠时间为9.1小时，35%的人赞同5-6种推荐的睡眠行为（TSBS-BISQ）。在多变量模型中，MVPA与睡眠时间呈正相关;肥胖幼儿的夜间睡眠时间短于健康体重幼儿[比值比=0.69，p=0.014]。夜间睡眠时间与TSBS-BISQ得分相关，F=6.1，p= 0.003。结论：夜间睡眠时间较短的幼儿肥胖和缺乏运动的风险较高。在低收入家庭的幼儿中促进健康睡眠行为的干预措施可能会改善夜间睡眠时间并减少致肥胖行为/肥胖。
Background: Shortened sleep duration is associated with poor health and obesity among young children. Little is known about relationships among nighttime sleep duration, sleep behaviors, and obesogenic behaviors/obesity among toddlers. This study characterizes sleep behaviors/duration and examines relationships with obesogenic behaviors/obesity among toddlers from low-income families.Methods: Mothers of toddlers (age 12-32 months) were recruited from urban/suburban sites serving low-income families. Mothers provided demographic information and completed the Brief Infant Sleep Questionnaire (BISQ); a 6-item Toddler Sleep Behavior Scale was derived (TSBS-BISQ, higher score reflects more recommended behaviors). Toddler weight/length were measured; obesity defined as 95th percentile weight-for-length. Measures of obesogenic behaviors: physical activity [accelerometry, minutes/day in Moderate-to-Vigorous Physical Activity (MVPA)] and diet quality [24-hour recall, Healthy Eating Index 2005 (HEI-2005)]. Bivariate and adjusted multivariable models examined associations between nighttime sleep behaviors/duration and obesogenic behaviors/obesity.Results: Sample included 240 toddlers (mean age=20.2 months), 55% male, 69% black, 59% urban. Toddlers spent 55.4 minutes/day in MVPA, mean HEI-2005 score was 55.4, 13% were obese. Mean sleep duration was 9.1 hours, with 35% endorsing 5-6 recommended sleep behaviors (TSBS-BISQ). In multivariable models, MVPA was positively related to sleep duration; obese toddlers had a shorter nighttime sleep duration than healthy weight toddlers [odds ratio=0.69, p=0.014]. Nighttime sleep duration was associated with high TSBS-BISQ scores, F=6.1, p=0.003.Conclusions: Toddlers with a shorter nighttime sleep duration are at higher risk for obesity and inactivity. Interventions to promote healthy sleep behaviors among toddlers from low-income families may improve nighttime sleep duration and reduce obesogenic behaviors/obesity.