Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms

IF 1.7 Q2 PEDIATRICS

Adolescent Health Medicine and Therapeutics Pub Date : 2019-09-09 DOI:10.2147/AHMT.S219594

K. Duraccio, Kendra N. Krietsch, Marie L. Chardon, T. V. Van Dyk, D. Beebe

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引用次数: 29

Abstract

Abstract Poor sleep is related to increased obesity risk in adolescents, though the mechanisms of this relationship are unclear. This paper presents a conceptual framework of the various pathways that have been proposed to drive this relationship. In this framework, increased food reward, emotional reactivity, decreased inhibitory control, metabolic disturbances, poorer dietary quality, and disrupted meal timings may increase the likelihood of increasing overall energy intake. This paper further notes how poor sleep increases sedentary behavior and screen time, which likely limits overall energy expenditure. The model posits that these mechanisms result in an imbalance of energy intake and expenditure following poor sleep, intensifying the overall risk for obesity. Increases in food reward processes, decreases in insulin sensitivity, disrupted meal timing, and increases in sedentary behavior seem to be the most compelling mechanisms linking poor sleep with increased obesity risk in adolescents. Future directions and clinical implications of this framework are discussed.

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睡眠不足与青少年肥胖风险:潜在机制的叙述性回顾

睡眠不足与青少年肥胖风险增加有关，尽管这种关系的机制尚不清楚。本文提出了驱动这种关系的各种途径的概念框架。在此框架下，食物奖励增加、情绪反应、抑制控制减少、代谢紊乱、饮食质量差和用餐时间紊乱可能会增加总能量摄入增加的可能性。论文进一步指出，睡眠不足会增加久坐行为和屏幕时间，这可能会限制整体能量消耗。该模型假设，这些机制会导致睡眠不足后能量摄入和消耗的不平衡，从而加剧肥胖的总体风险。食物奖励过程的增加，胰岛素敏感性的降低，用餐时间的中断以及久坐行为的增加似乎是将青少年睡眠不足与肥胖风险增加联系起来的最引人注目的机制。讨论了该框架的未来发展方向和临床意义。

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

Adolescent Health Medicine and Therapeutics PEDIATRICS-

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.