Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms
Kara M Duraccio1, Kendra N Krietsch1, Marie L Chardon1, Tori R Van Dyk2, Dean W Beebe1,3 1Cincinnati Children’s Hospital Center, Behavioral Medicine and Clinical Psychology Department, Cincinnati, OH, USA; 2Loma Linda University, Department of Psychology, Loma Linda, CA, USA; 3University o...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-09-01
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| Series: | Adolescent Health, Medicine and Therapeutics |
| Subjects: | |
| Online Access: | https://www.dovepress.com/poor-sleep-and-adolescent-obesity-risk-a-narrative-review-of-potential-peer-reviewed-article-AHMT |
| _version_ | 1819227894766895104 |
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| author | Duraccio KM Krietsch KN Chardon ML Van Dyk TR Beebe DW |
| author_facet | Duraccio KM Krietsch KN Chardon ML Van Dyk TR Beebe DW |
| author_sort | Duraccio KM |
| collection | DOAJ |
| description | Kara M Duraccio1, Kendra N Krietsch1, Marie L Chardon1, Tori R Van Dyk2, Dean W Beebe1,3 1Cincinnati Children’s Hospital Center, Behavioral Medicine and Clinical Psychology Department, Cincinnati, OH, USA; 2Loma Linda University, Department of Psychology, Loma Linda, CA, USA; 3University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, OH, USACorrespondence: Kara M DuraccioCincinnati Children’s Hospital Center, Behavioral Medicine and Clinical Psychology Department, 3333 Burnet Avenue, MLC 3015, Cincinnati, OH 45229-3026, USATel +1 513 803 1387Email Kara.Duraccio@cchmc.orgTAbstract: 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.Keywords: sleep, obesity, food reward, inhibitory control, sedentary behavior, diet |
| first_indexed | 2024-12-23T10:48:38Z |
| format | Article |
| id | doaj.art-e3a40e46299f4177939bd45b8f9ec88b |
| institution | Directory Open Access Journal |
| issn | 1179-318X |
| language | English |
| last_indexed | 2024-12-23T10:48:38Z |
| publishDate | 2019-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Adolescent Health, Medicine and Therapeutics |
| spelling | doaj.art-e3a40e46299f4177939bd45b8f9ec88b2022-12-21T17:49:58ZengDove Medical PressAdolescent Health, Medicine and Therapeutics1179-318X2019-09-01Volume 1011713048476Poor sleep and adolescent obesity risk: a narrative review of potential mechanismsDuraccio KMKrietsch KNChardon MLVan Dyk TRBeebe DWKara M Duraccio1, Kendra N Krietsch1, Marie L Chardon1, Tori R Van Dyk2, Dean W Beebe1,3 1Cincinnati Children’s Hospital Center, Behavioral Medicine and Clinical Psychology Department, Cincinnati, OH, USA; 2Loma Linda University, Department of Psychology, Loma Linda, CA, USA; 3University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, OH, USACorrespondence: Kara M DuraccioCincinnati Children’s Hospital Center, Behavioral Medicine and Clinical Psychology Department, 3333 Burnet Avenue, MLC 3015, Cincinnati, OH 45229-3026, USATel +1 513 803 1387Email Kara.Duraccio@cchmc.orgTAbstract: 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.Keywords: sleep, obesity, food reward, inhibitory control, sedentary behavior, diethttps://www.dovepress.com/poor-sleep-and-adolescent-obesity-risk-a-narrative-review-of-potential-peer-reviewed-article-AHMTSleepObesityFood RewardInhibitory ControlSedentary BehaviorDiet |
| spellingShingle | Duraccio KM Krietsch KN Chardon ML Van Dyk TR Beebe DW Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms Adolescent Health, Medicine and Therapeutics Sleep Obesity Food Reward Inhibitory Control Sedentary Behavior Diet |
| title | Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms |
| title_full | Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms |
| title_fullStr | Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms |
| title_full_unstemmed | Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms |
| title_short | Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms |
| title_sort | poor sleep and adolescent obesity risk a narrative review of potential mechanisms |
| topic | Sleep Obesity Food Reward Inhibitory Control Sedentary Behavior Diet |
| url | https://www.dovepress.com/poor-sleep-and-adolescent-obesity-risk-a-narrative-review-of-potential-peer-reviewed-article-AHMT |
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