Here's another reason to get the kids to bed early: More
sleep may lower their risk of becoming obese. Researchers
have found that every additional hour per night a third-grader
spends sleeping reduces the child's chances of being obese
in sixth grade by 40 percent.
The less sleep they got, the more likely the children
were to be obese in sixth grade, no matter what the child's
weight was in third grade, said Dr. Julie Lumeng of the
University
of Michigan, who led the research.
If there was a magic number for the third-graders, it
was nine hours, 45 minutes of sleep. Sleeping more than
that lowered the risk significantly.
The study gives parents one more reason to enforce bedtimes,
restrict caffeine and yank the TV from the bedroom. The
study appears in the November issue of the journal Pediatrics.
Lack of sleep plays havoc with two hormones that are
the "yin and yang of appetite regulation," said endocrinologist
Eve Van Cauter of the University of Chicago, who was not
involved in the new study.
In experiments by Van Cauter and others, sleep-deprived
adults produced more ghrelin, a hormone that promotes
hunger, and less leptin, a hormone that signals fullness.
Another explanation: Tired kids are less likely to exercise
and more likely to sit on the couch and eat cookies, Lumeng
said.
Dr. Stephen Sheldon, director of sleep medicine at Chicago's
Children's Memorial Hospital, praised the study and called
for more research. He said children's sleep may be disturbed
by breathing problems some caused by overweight,
such as sleep
apnea, and some caused by enlarged tonsils and
adenoids.
"I'm not so sure we have enough information yet on cause
and effect," said Sheldon, who was not involved in the
study.
Researchers used data from an existing federal study
and focused on 785 children with complete information
on sleep, and height and weight in the third grade and
sixth grade. The children lived in 10 U.S. cities.
Mothers were asked: "How much sleep does your child get
each day (including naps)?" On average, the third-graders
got about 9 1/2 hours sleep, but some slept as little
as seven hours and others as much as 12 hours.
Of the children who slept 10 to 12 hours a day, about
12 percent were obese by sixth grade. Many more
22 percent were obese in sixth grade of those who
slept less than nine hours a day.
The researchers took into account other risk factors
for obesity, such as the children's body mass index in
third grade, and still found the link between less sleep
in third grade and obesity in sixth grade. They acknowledged
that factors they did not account for, such as parents'
weight or behavior, may have contributed to the risk.
Jodi Mindell of the Children's Hospital of Philadelphia's
Sleep Center noted there are plenty of other reasons for
encouraging good sleep habits, such as success in school.
"I don't want parents to think, 'If I get her to sleep,
she's not going to be overweight,'" Mindell said. "I think
this is a small piece in the picture."