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| DOI | 10.1186/S12966-021-01159-Y | ||||
| Año | 2021 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background Obesity is a serious issue, spanning all ages, and, in the U.S., disproportionately affects Latinos and African Americans. Understanding sleep, physical activity and dietary behaviors that may predict childhood obesity can help identify behavioral intervention targets. Methods Data were drawn from a U.S. cohort study of 323 Mexican American 8-10-year-old children and their mothers, who participated in a longitudinal study over a 2-year period. Measures were collected at baseline (BL; child mean age = 8.87, SD = 0.83), year 1 (FU1) and year 2 (FU2). Mothers reported on household income and acculturation at BL. Child height and weight were collected and BMI z-scores (BMIz) were calculated for weight status at BL, FU1, and FU2. Accelerometer-estimated sleep duration (hours) and moderate-to-vigorous physical activity (MVPA; minutes) were collected across 3 days at BL, FU1, and FU2. Two 24-h dietary recalls were performed at each time point; from these, average energy intake (EI, kcals/day) was estimated. Cross-lagged panel analysis was used to examine behavioral predictors on BMIz at each time point and across time. Results At BL and FU1, longer sleep duration (beta = - 0.22, p < 0.001; beta = - 0.17, p < 0.05, respectively) and greater MVPA (beta = - 0.13, p < 0.05; beta = - 0.20, p < 0.01, respectively) were concurrently related to lower BMIz. At FU2, longer sleep duration (beta = - 0.18, p < 0.01) was concurrently related to lower BMIz, whereas greater EI (beta = 0.16, p < 0.01) was related to higher BMIz. Longer sleep duration at BL predicted lower BMIz at FU1 (beta = - 0.05, p < 0.01). Conclusions Longer sleep duration was concurrently related to lower weight status at each time point from ages 8-10 to 10-12. Higher MVPA was concurrently related to lower weight status in earlier childhood (ages 8-10 and 9-11) and higher EI was concurrently related to higher weight status toward the end of childhood (ages 10-12 years). Furthermore, longer sleep in earlier childhood was protective of children's lower weight status 1 year later. These findings suggest that sleep duration plays a consistent and protective role against childhood obesity; in addition, MVPA and healthy EI remain important independent factors for obtaining a healthy weight.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Martinez, Suzanna M. | Mujer |
UNIV CALIF SAN FRANCISCO - Estados Unidos
University of California, San Francisco - Estados Unidos UCSF School of Medicine - Estados Unidos |
| 2 | Blanco, Estela | Mujer |
Univ Calif San Diego - Estados Unidos
Universidad de Chile - Chile Department of Pediatrics - Estados Unidos University of California, San Diego - Estados Unidos |
| 3 | Tschann, J. M. | - |
UNIV CALIF SAN FRANCISCO - Estados Unidos
University of California, San Francisco - Estados Unidos University of California, San Diego - Estados Unidos |
| 4 | Butte, N. F. | Mujer |
USDA ARS - Estados Unidos
USDA ARS Children's Nutrition Research Center - Estados Unidos Baylor College of Medicine - Estados Unidos |
| 5 | Grandner, M. A. | - |
UNIV ARIZONA - Estados Unidos
The University of Arizona - Estados Unidos University of Arizona College of Medicine – Tucson - Estados Unidos |
| 6 | Pasch, L. A. | - |
UNIV CALIF SAN FRANCISCO - Estados Unidos
University of California, San Francisco - Estados Unidos University of California, San Diego - Estados Unidos |
| Fuente |
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| National Heart, Lung, and Blood Institute |
| University of California, San Francisco |
| ANID Beca Doctorado Nacional |
| National, Heart, Lung and Blood Institute |
| Kaiser Foundation Research Institute |
| Agradecimiento |
|---|
| This research was funded by the National, Heart, Lung and Blood Institute grant K01 HL129087 (SM Martinez) and R01 HL084404 (JM Tschann). E Blanco was partly funded by a doctoral scholarship (ANID Beca Doctorado Nacional No. 21201332). |
| This research was supported by the National, Heart, Lung and Blood Institute grant K01 HL129087 (SM Martinez) and R01 HL084404 (JM Tschann). E Blanco was partly supported by a doctoral scholarship (ANID Beca Doctorado Nacional No. 21201332). Authors are grateful to all the families who were involved in this study. We thank Jennifer Cho, Irene Takahashi, and the Kaiser Foundation Research Institute, which provided access to members of Kaiser. We would like to extend thanks to the UCSF Clinical & Translational Science Institute K Scholars Program and the Behavioral Sleep Medicine PRIDE Program (R25HL105444-08) for providing additional support. |