Relationship of sleep quality, baseline weight status, and weight-loss responsiveness in obese adolescents in an immersion treatment program.
Relationship of sleep quality, baseline weight status, and weight-loss responsiveness in obese adolescents in an immersion treatment program.
复制标题
沉浸式治疗计划中肥胖青少年的睡眠质量、基线体重状态和减肥反应之间的关系。
DOI：
10.1016/j.sleep.2014.11.007
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发表时间：
2015
期刊：
影响因子：
4.8
通讯作者：
Collier,DavidN
中科院分区：
文献类型：
--
作者：
Valrie,CeceliaR;Bond,Kayzandra;Lutes,LesleyD;Carraway,Marissa;Collier,DavidN
本研究的目的是调查基线睡眠对基线体重状况和减肥responsibilityinobesity.MethodsTwenty-five肥胖青少年谁参加了为期19天的夏令营为基础的沉浸式治疗（IT）计划完成干预前的睡眠时间和质量的措施，以及干预前和干预后的体重指数分数（zBMI）和腰围（WC）的评估。在干预前后1周内，通过体动记录仪对6名参与者的随机子集进行客观的睡眠测量。结果较短的工作日睡眠持续时间和更多的睡眠负债与较高的干预前WC相关（r=-0.54，p = 0.01和r =-0.56，p = 0.01），较低的主观睡眠质量与较高的干预前zBMI相关（r=-0.49，p = 0.02）。较长的周末睡眠时间和较多的睡眠债与干预前后zBMI的较小下降有关（r=-0.47，p = 0.04和r =-0.51，p = 0.03）。对于干预前后佩戴活动记录仪的青少年亚组，（d=-0.25）和睡眠时间减少（d= 0.52），zBMI（d= 0.31）和WC（d= 0.20）。结论这些结果提供了进一步的证据，将青少年的不良睡眠模式与肥胖联系起来，睡眠模式可能会影响儿童肥胖干预的有效性，IT项目可能会改善肥胖青少年的睡眠。总的来说，他们为解决睡眠问题提供了支持，作为肥胖干预措施的一部分。
ObjectiveThe objective of this study was to investigate the effect of baseline sleep on baseline weight status and weight-loss responsiveness in obese adolescents.MethodsTwenty-five obese adolescents who participated in a 19-day summer camp-based immersion treatment (IT) program completed pre-intervention measures of sleep duration and quality, and pre- and post-intervention body mass indexz-scores (zBMI) and waist circumference (WC) assessments. Objective measures of sleep were obtained by actigraphy for a random subset of six participants for 1 week pre- and post-intervention.ResultsShorter weekday sleep durations and more sleep debt were related to higher pre-intervention WCs (r= −0.54,p= 0.01 andr= −0.56,p= 0.01), and lower subjective sleep quality was related to higher pre-intervention zBMIs (r= −0.49,p= 0.02). Longer weekend sleep durations and more sleep debt were related to smaller reductions in pre- to post-intervention zBMIs (r= −0.47,p= 0.04 andr= −0.51,p= 0.03). For the subgroup of adolescents who wore actigraphs pre- and post-intervention, an increase in their sleep durations (d= −0.25) and a reduction in their sleep latencies (d= 0.52), zBMIs (d= 0.31), and WCs (d= 0.20) were observed.ConclusionsThese results provide further evidence linking poor sleep patterns and obesity in adolescence, and suggest that sleep patterns may impact the effectiveness of pediatric obesity interventions and that IT programs may improve sleep in obese adolescents. Overall, they provide support for addressing sleep problems as part of obesity interventions.