Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity
Background: A better understanding of the influence of energy balance on sleep in adolescents, particularly those with obesity, could help develop strategies to optimize sleep in these populations. The purpose of this study was to investigate sleep under ad libitum-vs-controlled diets adjusted to en...
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MDPI AG
2021-10-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/10/3550 |
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| author | Oussama Saidi Emmanuelle Rochette Giovanna Del Sordo Éric Doré Étienne Merlin Stéphane Walrand Pascale Duché |
| author_facet | Oussama Saidi Emmanuelle Rochette Giovanna Del Sordo Éric Doré Étienne Merlin Stéphane Walrand Pascale Duché |
| author_sort | Oussama Saidi |
| collection | DOAJ |
| description | Background: A better understanding of the influence of energy balance on sleep in adolescents, particularly those with obesity, could help develop strategies to optimize sleep in these populations. The purpose of this study was to investigate sleep under ad libitum-vs-controlled diets adjusted to energy requirement (eucaloric) among adolescents with obesity and their normal weight controls. Methods: Twenty-eight male adolescents aged between 12 and 15 years, <i>n</i> = 14 adolescents with obesity (OB: BMI ≥ 90th centile) and <i>n</i> = 14 normal weight age matched controls (NW), completed an experimental protocol comprising ad libitum or eucaloric meals for three days, in random order. During the third night of each condition, they underwent in home polysomnography (PSG). Results: An interaction effect of energy intake (EI) was detected (<i>p</i> < 0.001). EI was higher during ad libitum compared to the eucaloric condition (<i>p</i> < 0.001) and in OB compared to NW (<i>p</i> < 0.001) in the absence of any substantial modification to macronutrient proportions. Analyses of energy intake distribution throughout the day showed a significant interaction with both a condition and group effect during lunch and dinner. Sleep improvements were noted in OB group during the eucaloric condition compared to ad libitum with reduced sleep onset latency and N1 stage. Sleep improvements were correlated to reduced EI, especially during the evening meal. Conclusion: Simply adjusting dietary intake to energy requirement and reducing the energy proportion of the evening meal could have therapeutic effects on sleep in adolescents with obesity. However, positive energy balance alone cannot justify worsened sleep among adolescents with obesity compared to normal weight counterparts. |
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| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T06:17:51Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-10646063a1204c788a5142b5e0345d172023-11-22T19:30:19ZengMDPI AGNutrients2072-66432021-10-011310355010.3390/nu13103550Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with ObesityOussama Saidi0Emmanuelle Rochette1Giovanna Del Sordo2Éric Doré3Étienne Merlin4Stéphane Walrand5Pascale Duché6Laboratory Impact of Physical Activity on Health (IAPS), Toulon University, F-83000 Toulon, FranceLaboratory Impact of Physical Activity on Health (IAPS), Toulon University, F-83000 Toulon, FranceLaboratory Impact of Physical Activity on Health (IAPS), Toulon University, F-83000 Toulon, FranceLaboratory of Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont Auvergne University, F-63170 Clermont-Ferrand, FranceDepartment of Pediatrics, Clermont-Ferrand University Hospital, F-63000 Clermont-Ferrand, FranceINRAE, UNH, CHU Clermont-Ferrand, Clermont Auvergne University, F-63000 Clermont-Ferrand, FranceLaboratory Impact of Physical Activity on Health (IAPS), Toulon University, F-83000 Toulon, FranceBackground: A better understanding of the influence of energy balance on sleep in adolescents, particularly those with obesity, could help develop strategies to optimize sleep in these populations. The purpose of this study was to investigate sleep under ad libitum-vs-controlled diets adjusted to energy requirement (eucaloric) among adolescents with obesity and their normal weight controls. Methods: Twenty-eight male adolescents aged between 12 and 15 years, <i>n</i> = 14 adolescents with obesity (OB: BMI ≥ 90th centile) and <i>n</i> = 14 normal weight age matched controls (NW), completed an experimental protocol comprising ad libitum or eucaloric meals for three days, in random order. During the third night of each condition, they underwent in home polysomnography (PSG). Results: An interaction effect of energy intake (EI) was detected (<i>p</i> < 0.001). EI was higher during ad libitum compared to the eucaloric condition (<i>p</i> < 0.001) and in OB compared to NW (<i>p</i> < 0.001) in the absence of any substantial modification to macronutrient proportions. Analyses of energy intake distribution throughout the day showed a significant interaction with both a condition and group effect during lunch and dinner. Sleep improvements were noted in OB group during the eucaloric condition compared to ad libitum with reduced sleep onset latency and N1 stage. Sleep improvements were correlated to reduced EI, especially during the evening meal. Conclusion: Simply adjusting dietary intake to energy requirement and reducing the energy proportion of the evening meal could have therapeutic effects on sleep in adolescents with obesity. However, positive energy balance alone cannot justify worsened sleep among adolescents with obesity compared to normal weight counterparts.https://www.mdpi.com/2072-6643/13/10/3550obesitypolysomnographyenergy balanceenergy intakeevening mealyouth |
| spellingShingle | Oussama Saidi Emmanuelle Rochette Giovanna Del Sordo Éric Doré Étienne Merlin Stéphane Walrand Pascale Duché Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity Nutrients obesity polysomnography energy balance energy intake evening meal youth |
| title | Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity |
| title_full | Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity |
| title_fullStr | Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity |
| title_full_unstemmed | Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity |
| title_short | Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity |
| title_sort | eucaloric balanced diet improved objective sleep in adolescents with obesity |
| topic | obesity polysomnography energy balance energy intake evening meal youth |
| url | https://www.mdpi.com/2072-6643/13/10/3550 |
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