Children who do not get enough sleep are more likely
to be overweight than those who get more, according to
a study published on Wednesday that tracked more than
2,000 U.S. kids for five years.
Researchers at Northwestern University
in Evanston, Illinois, used detailed diaries kept by families
to examine children's sleep behavior and its relationship
with weight.
"Children who get less sleep tend to weigh more five
years later," lead researcher Emily Snell said in an interview.
Snell and colleagues Emma Adam and Greg Duncan determined
that an extra hour of sleep cut the likelihood of being
overweight from 36 percent to 30 percent in children ages
3 to 8, and from 34 to 30 percent in those ages 8 to 13.
The study, published in the journal Child Development,
involved 2,281 children taking part in a nationally representative
survey. They were ages 3 to 12 at the start of the study
in 1997. Follow-up data was collected five years later.
The diaries recorded the number of hours the kids slept,
what time they went to bed and what time they woke up.
Their height and weight also were recorded.
The researchers found that children who got less sleep
were more likely to be overweight and have higher body
mass index measures than those who got more sleep, even
when factors such as race, ethnicity and parents' income
and educational level were considered.
POSSIBLE EXPLANATIONS
The study noted that sleep experts recommend that children
ages 5 to 12 sleep for 10 to 11 hours a night and adolescents
sleep for 8 to 9 hours. But the researchers said children
in the study at age 7 on average got less than 10 hours
of sleep on weekdays and at age 14 got 8.5 hours of sleep
on weekdays.
The study did not examine why children who slept less
tended to weigh more, but Snell cited a few possible explanations.
Not getting enough sleep may affect hormones that influence
appetite, Snell said. Getting less sleep -- for example,
staying up an hour later at night -- may provide more
opportunity to eat, she added. And she said not getting
enough sleep may leave a person more lethargic, cutting
down on exercise.
Snell said on weekdays, school schedules can dictate
when children must wake up, but parents can control bedtime.
"Particularly for younger children who need 10 to 11
hours of sleep at night, if their wake-up time has to
be 6:30 or 7 (a.m.) for school, we encourage parents to
sort of aim for the 8 o'clock hour for bedtime," Snell
said.
The researchers noted there is growing evidence linking
sleep to children's cognitive and social functioning,
with previous research connecting sleep problems and too
little sleep to maladjustment in preschoolers and depression
and school problems in adolescents.