Sleep and body mass index in infancy and early childhood (6-36 mo): a longitudinal study

Lu Wang, Wilma Jansen, Magda M. Boere-Boonekamp, Eline Vlasblom, Monique P. L'Hoir, Maaike Beltman, Amy van Grieken, Hein Raat*

*Corresponding author for this work

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2 Citations (Scopus)

Abstract

Background: Relatively, few longitudinal studies have evaluated the association between sleep and body mass index (BMI) among younger children. In addition, few studies have evaluated the bidirectional longitudinal association between sleep duration and child BMI. Objective: The objective of the study is to determine in children aged 6 to 36 months (1) the cross-sectional association of sleep duration and sleep problems with child BMI z score, (2) whether sleep duration predicts changes in child BMI z score, and (3) and whether BMI z score can predict changes in child sleep duration. Methods: This study used longitudinal data from the BeeBOFT study (N = 2308). Child sleep duration and sleep problems (indicated by night awakenings and sleep-onset latency) were parent reported, and child BMI was measured using a standardized protocol by trained healthcare professionals at approximately 6, 14, and 36 months of age. Linear mixed models and linear regression models were applied to assess the cross-sectional and bidirectional longitudinal associations between sleep and BMI z scores. Results: Cross sectionally, shorter sleep duration was associated with higher BMI z scores at 14 (β = −0.034, P < 0.05) and 36 months (β = −0.045, P < 0.05). Sleep duration at 6 or 14 months did not predict BMI z score at either 14 or 36 months. Higher BMI z scores at 6 months predicted shorter sleep duration (hours) at 14 months (β = −0.129, P < 0.001). No association was found between sleep problems and child BMI z scores. Conclusions: Cross-sectional associations between shorter sleep duration and higher BMI z score emerged in early childhood (age 14 and 36 mo). Higher BMI z scores may precede shorter sleep duration but not vice versa.

Original languageEnglish
Article numbere12506
JournalPediatric Obesity
Volume14
Issue number6
Early online date1 Jan 2019
DOIs
Publication statusPublished - Jun 2019

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Longitudinal Studies
Sleep
Body Mass Index
Linear Models

Keywords

  • bidirectional association
  • child BMI
  • longitudinal study
  • sleep duration

Cite this

Wang, Lu ; Jansen, Wilma ; Boere-Boonekamp, Magda M. ; Vlasblom, Eline ; L'Hoir, Monique P. ; Beltman, Maaike ; van Grieken, Amy ; Raat, Hein. / Sleep and body mass index in infancy and early childhood (6-36 mo): a longitudinal study. In: Pediatric Obesity. 2019 ; Vol. 14, No. 6.
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title = "Sleep and body mass index in infancy and early childhood (6-36 mo): a longitudinal study",
abstract = "Background: Relatively, few longitudinal studies have evaluated the association between sleep and body mass index (BMI) among younger children. In addition, few studies have evaluated the bidirectional longitudinal association between sleep duration and child BMI. Objective: The objective of the study is to determine in children aged 6 to 36 months (1) the cross-sectional association of sleep duration and sleep problems with child BMI z score, (2) whether sleep duration predicts changes in child BMI z score, and (3) and whether BMI z score can predict changes in child sleep duration. Methods: This study used longitudinal data from the BeeBOFT study (N = 2308). Child sleep duration and sleep problems (indicated by night awakenings and sleep-onset latency) were parent reported, and child BMI was measured using a standardized protocol by trained healthcare professionals at approximately 6, 14, and 36 months of age. Linear mixed models and linear regression models were applied to assess the cross-sectional and bidirectional longitudinal associations between sleep and BMI z scores. Results: Cross sectionally, shorter sleep duration was associated with higher BMI z scores at 14 (β = −0.034, P < 0.05) and 36 months (β = −0.045, P < 0.05). Sleep duration at 6 or 14 months did not predict BMI z score at either 14 or 36 months. Higher BMI z scores at 6 months predicted shorter sleep duration (hours) at 14 months (β = −0.129, P < 0.001). No association was found between sleep problems and child BMI z scores. Conclusions: Cross-sectional associations between shorter sleep duration and higher BMI z score emerged in early childhood (age 14 and 36 mo). Higher BMI z scores may precede shorter sleep duration but not vice versa.",
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author = "Lu Wang and Wilma Jansen and Boere-Boonekamp, {Magda M.} and Eline Vlasblom and L'Hoir, {Monique P.} and Maaike Beltman and {van Grieken}, Amy and Hein Raat",
year = "2019",
month = "6",
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Wang, L, Jansen, W, Boere-Boonekamp, MM, Vlasblom, E, L'Hoir, MP, Beltman, M, van Grieken, A & Raat, H 2019, 'Sleep and body mass index in infancy and early childhood (6-36 mo): a longitudinal study', Pediatric Obesity, vol. 14, no. 6, e12506. https://doi.org/10.1111/ijpo.12506

Sleep and body mass index in infancy and early childhood (6-36 mo): a longitudinal study. / Wang, Lu; Jansen, Wilma; Boere-Boonekamp, Magda M.; Vlasblom, Eline; L'Hoir, Monique P.; Beltman, Maaike; van Grieken, Amy; Raat, Hein.

In: Pediatric Obesity, Vol. 14, No. 6, e12506, 06.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Sleep and body mass index in infancy and early childhood (6-36 mo): a longitudinal study

AU - Wang, Lu

AU - Jansen, Wilma

AU - Boere-Boonekamp, Magda M.

AU - Vlasblom, Eline

AU - L'Hoir, Monique P.

AU - Beltman, Maaike

AU - van Grieken, Amy

AU - Raat, Hein

PY - 2019/6

Y1 - 2019/6

N2 - Background: Relatively, few longitudinal studies have evaluated the association between sleep and body mass index (BMI) among younger children. In addition, few studies have evaluated the bidirectional longitudinal association between sleep duration and child BMI. Objective: The objective of the study is to determine in children aged 6 to 36 months (1) the cross-sectional association of sleep duration and sleep problems with child BMI z score, (2) whether sleep duration predicts changes in child BMI z score, and (3) and whether BMI z score can predict changes in child sleep duration. Methods: This study used longitudinal data from the BeeBOFT study (N = 2308). Child sleep duration and sleep problems (indicated by night awakenings and sleep-onset latency) were parent reported, and child BMI was measured using a standardized protocol by trained healthcare professionals at approximately 6, 14, and 36 months of age. Linear mixed models and linear regression models were applied to assess the cross-sectional and bidirectional longitudinal associations between sleep and BMI z scores. Results: Cross sectionally, shorter sleep duration was associated with higher BMI z scores at 14 (β = −0.034, P < 0.05) and 36 months (β = −0.045, P < 0.05). Sleep duration at 6 or 14 months did not predict BMI z score at either 14 or 36 months. Higher BMI z scores at 6 months predicted shorter sleep duration (hours) at 14 months (β = −0.129, P < 0.001). No association was found between sleep problems and child BMI z scores. Conclusions: Cross-sectional associations between shorter sleep duration and higher BMI z score emerged in early childhood (age 14 and 36 mo). Higher BMI z scores may precede shorter sleep duration but not vice versa.

AB - Background: Relatively, few longitudinal studies have evaluated the association between sleep and body mass index (BMI) among younger children. In addition, few studies have evaluated the bidirectional longitudinal association between sleep duration and child BMI. Objective: The objective of the study is to determine in children aged 6 to 36 months (1) the cross-sectional association of sleep duration and sleep problems with child BMI z score, (2) whether sleep duration predicts changes in child BMI z score, and (3) and whether BMI z score can predict changes in child sleep duration. Methods: This study used longitudinal data from the BeeBOFT study (N = 2308). Child sleep duration and sleep problems (indicated by night awakenings and sleep-onset latency) were parent reported, and child BMI was measured using a standardized protocol by trained healthcare professionals at approximately 6, 14, and 36 months of age. Linear mixed models and linear regression models were applied to assess the cross-sectional and bidirectional longitudinal associations between sleep and BMI z scores. Results: Cross sectionally, shorter sleep duration was associated with higher BMI z scores at 14 (β = −0.034, P < 0.05) and 36 months (β = −0.045, P < 0.05). Sleep duration at 6 or 14 months did not predict BMI z score at either 14 or 36 months. Higher BMI z scores at 6 months predicted shorter sleep duration (hours) at 14 months (β = −0.129, P < 0.001). No association was found between sleep problems and child BMI z scores. Conclusions: Cross-sectional associations between shorter sleep duration and higher BMI z score emerged in early childhood (age 14 and 36 mo). Higher BMI z scores may precede shorter sleep duration but not vice versa.

KW - bidirectional association

KW - child BMI

KW - longitudinal study

KW - sleep duration

U2 - 10.1111/ijpo.12506

DO - 10.1111/ijpo.12506

M3 - Article

VL - 14

JO - Pediatric Obesity

JF - Pediatric Obesity

SN - 2047-6310

IS - 6

M1 - e12506

ER -