The association between weekend catch-up sleep and the reduction of obesity and overweight risk in adolescents with insufficient weekday sleep.

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Mee-Ri Lee, Young Hwangbo, Jee Hyun Kim, Kwang Ik Yang, Seung Bong Hong
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引用次数: 0

Abstract

Purpose: This study investigates the association between weekend catch-up sleep (CUS) and overweight/obesity in Korean adolescents, focusing on weekday sleep sufficiency.

Methods: A nationwide cross-sectional study was conducted among 12,434 high school students in South Korea. Sleep patterns including total sleep duration and weekend CUS were assessed using self-reported questionnaires. Body mass index (BMI) was calculated and categorized into overweight/obese and normal weight groups based on age- and sex-adjusted Z-scores. Logistic and linear regression models were used to assess the associations between sleep variables and overweight/obesity.

Results: Students with 3 or more h of CUS had lower odds of being overweight/obesity (odds ratio = 0.67, 95% confidence interval: 0.57-0.80) compared to those with non-CUS. This protective effect remained significant in the subgroup with perceived insufficient weekday sleep. Furthermore, students with 3 or more h of CUS had significantly lower BMI z-scores (β = -0.18, p < 0.001), an association that was also observed in those with perceived insufficient sleep (β = -0.16, p = 0.003). The analysis showed a dose-dependent pattern, with greater weekend CUS being associated with a stepwise reduction in BMI z-scores.

Conclusions: Weekend CUS may serve as an important compensatory mechanism for adolescents to reduce the risk of being overweight or obese. However, no additional benefits of CUS were observed in adolescents with sufficient sleep quality.

周末补觉与平日睡眠不足的青少年减少肥胖和超重风险之间的关系。
目的:本研究调查韩国青少年周末补觉(CUS)与超重/肥胖之间的关系,重点关注工作日睡眠充足。方法:对韩国12434名高中生进行了全国性的横断面研究。睡眠模式包括总睡眠时间和周末睡眠时间,采用自我报告问卷进行评估。计算身体质量指数(BMI),并根据年龄和性别调整的z分数将其分为超重/肥胖和正常体重组。使用Logistic和线性回归模型来评估睡眠变量与超重/肥胖之间的关系。结果:与非CUS学生相比,有3小时及以上CUS学生超重/肥胖的几率较低(优势比= 0.67,95%可信区间:0.57-0.80)。这种保护作用在被认为工作日睡眠不足的亚组中仍然显著。此外,3小时及以上的学生的BMI z得分显著降低(β = -0.18, p)。结论:周末CUS可能是青少年降低超重或肥胖风险的重要代偿机制。然而,在睡眠质量充足的青少年中,没有观察到CUS的额外益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sleep and Breathing
Sleep and Breathing 医学-呼吸系统
CiteScore
5.20
自引率
4.00%
发文量
222
审稿时长
3-8 weeks
期刊介绍: The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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