dc.contributor.author | Torres-Lopez, Lucia V. | |
dc.contributor.author | Cadenas-Sanchez, Cristina | |
dc.contributor.author | Migueles, Jairo H. | |
dc.contributor.author | Henriksson, Pontus | |
dc.contributor.author | Löf, Marie | |
dc.contributor.author | Ortega, Francisco B. | |
dc.date.accessioned | 2023-10-12T08:13:11Z | |
dc.date.available | 2023-10-12T08:13:11Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Torres-Lopez, L. V., Cadenas-Sanchez, C., Migueles, J. H., Henriksson, P., Löf, M., & Ortega, F. B. (2022). Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity. <i>Journal of Pediatrics</i>, <i>246</i>, 170-178.e2. <a href="https://doi.org/10.1016/j.jpeds.2022.03.006" target="_blank">https://doi.org/10.1016/j.jpeds.2022.03.006</a> | |
dc.identifier.other | CONVID_193420635 | |
dc.identifier.uri | https://jyx.jyu.fi/handle/123456789/89790 | |
dc.description.abstract | Objective
To evaluate the associations of parent-reported sleep-disordered breathing (SDB) and device-assessed sleep behaviors with behavioral and emotional functioning in pediatric patients with overweight/obesity.
Study design
A total of 109 children with overweight/obesity (mean age, 10.0 ± 1.1 years) were included in this cross-sectional study. We used the Spanish version of the Pediatric Sleep Questionnaire (PSQ) to assess SDB and its subscales (ie, snoring, daytime sleepiness, and inattention/hyperactivity). Device-assessed sleep behaviors (ie, wake time, sleep onset time, total time in bed, total sleep time, and waking after sleep onset) were estimated using wrist-worn accelerometers. We used the Behavior Assessment System for Children, second edition to assess behavioral and emotional functioning (ie, clinical scale: aggressiveness, hyperactivity, behavior problems, attention problems, atypicality, depression, anxiety, retreat, and somatization; adaptive scale: adaptability, social skills, and leadership).
Results
SDB was positively associated with all clinical scale variables (all β > 0.197, P ≤ .041) and with lower adaptability and leadership (all β < −0.226, P < .021). Specifically, the PSQ subscale relating to daytime sleepiness was associated with higher attention problems, depression, anxiety, and retreat (all β > 0.196, P ≤ .045) and lower adaptability (β = −0.246, P = .011). The inattention/hyperactivity subscale was significantly associated with the entire clinical and adaptive scales (all β > |0.192|, P ≤ .046) except for somatization. The snoring subscale and device-assessed sleep behaviors were not related to any behavioral or emotional functioning variables.
Conclusions
Our study suggests that SDB symptoms, but not device-assessed sleep behaviors, are associated with behavioral and emotional functioning in children with overweight/obesity. Specifically, daytime sleepiness, a potential SDB symptom, was related to higher attention problems, depression, anxiety, and retreat and lower adaptability. | en |
dc.format.mimetype | application/pdf | |
dc.language.iso | eng | |
dc.publisher | Elsevier BV | |
dc.relation.ispartofseries | Journal of Pediatrics | |
dc.rights | CC BY 4.0 | |
dc.subject.other | obstruktiivinen uniapnea | |
dc.subject.other | childhood obesity | |
dc.subject.other | obstructive sleep apnea | |
dc.subject.other | sleep duration | |
dc.subject.other | sleep quality | |
dc.subject.other | mental health | |
dc.subject.other | accelerometer | |
dc.title | Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity | |
dc.type | article | |
dc.identifier.urn | URN:NBN:fi:jyu-202310125838 | |
dc.contributor.laitos | Liikuntatieteellinen tiedekunta | fi |
dc.contributor.laitos | Faculty of Sport and Health Sciences | en |
dc.type.uri | http://purl.org/eprint/type/JournalArticle | |
dc.type.coar | http://purl.org/coar/resource_type/c_2df8fbb1 | |
dc.description.reviewstatus | peerReviewed | |
dc.format.pagerange | 170-178.e2 | |
dc.relation.issn | 0022-3476 | |
dc.relation.volume | 246 | |
dc.type.version | publishedVersion | |
dc.rights.copyright | © 2022 the Authors | |
dc.rights.accesslevel | openAccess | fi |
dc.subject.yso | hengitys | |
dc.subject.yso | unihäiriöt | |
dc.subject.yso | ylipaino | |
dc.subject.yso | lapset (ikäryhmät) | |
dc.subject.yso | lihavuus | |
dc.subject.yso | väsymys | |
dc.subject.yso | uniapnea-oireyhtymä | |
dc.subject.yso | henkinen hyvinvointi | |
dc.subject.yso | tarkkaavaisuus | |
dc.subject.yso | mittarit (mittaus) | |
dc.subject.yso | uni (lepotila) | |
dc.format.content | fulltext | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p5640 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p4600 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p826 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p4354 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p823 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p128 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p9684 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p1946 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p9105 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p21210 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p8299 | |
dc.rights.url | https://creativecommons.org/licenses/by/4.0/ | |
dc.relation.doi | 10.1016/j.jpeds.2022.03.006 | |
jyx.fundinginformation | The ActiveBrains project was funded by the Spanish Ministry of Economy and Competitiveness and the Fondo Europeo de Desarrollo Regional (DEP2013-47540, DEP2016-79512-R, DEP2017-91544-EXP, and RYC-2011-09011). L.V.T.-L. is supported by a grant from the Spanish Ministry of Science, Innovation and Universities (FPU17/04802). C.C.-S. is supported by the Spanish Ministry of Science and Innovation (FJC2018-037925-I). J.H.M. is supported by a grant from the Spanish Ministry of Education, Culture, and Sport (FPU15/02645). Additional support was provided by the University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence, Scientific Excellence Unit on Exercise and Health, by the Junta de Andalucıa, Consejería de Conocimiento, Investigacion y Universidades, and European Regional Development Fund (SOMM17/6107/UGR). Funding was also provided by the SAMID III network, RETICS, funded by the PNI + D + I 2017–2021 (Spain), ISCIII Sub-Directorate General for Research Assessment and Promotion, the European Regional Development Fund (RD16/0022), the EXERNET Research Network on Exercise and Health (DEP2005-00046/ACTI; 09/UPB/19; 45/UPB/20; 27/UPB/21), the European Union’s 2020 Research and Innovation Program under Grant Agreement 667302, and the HL-PIVOT network Healthy Living for Pandemic Event Protection. Additional funding was obtained from the Andalusian Operational Programme supported with European Regional Development Fund (project B-CTS-355-UGR18). The authors declare no conflicts of interest. | |
dc.type.okm | A1 | |