Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study

Abstract Objective This study aims to evaluate the association of sleep duration with metabolic syndrome (MetS) and its components in a pediatric population. Methods This multi-centric cross-sectional study was conducted in 2015 in 30 provinces of Iran. Participants consisted of 4200 school students...

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Main Authors: Zeinab Hemati, Nafiseh Mozafarian, Ramin Heshmat, Zeinab Ahadi, Mohammad Esmaeil Motlagh, Hasan Ziaodini, Majzoubeh Taheri, Tahereh Aminaee, Mostafa Qorbani, Roya Kelishadi
Format: Article
Language:English
Published: BMC 2018-11-01
Series:Diabetology & Metabolic Syndrome
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13098-018-0381-y
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author Zeinab Hemati
Nafiseh Mozafarian
Ramin Heshmat
Zeinab Ahadi
Mohammad Esmaeil Motlagh
Hasan Ziaodini
Majzoubeh Taheri
Tahereh Aminaee
Mostafa Qorbani
Roya Kelishadi
author_facet Zeinab Hemati
Nafiseh Mozafarian
Ramin Heshmat
Zeinab Ahadi
Mohammad Esmaeil Motlagh
Hasan Ziaodini
Majzoubeh Taheri
Tahereh Aminaee
Mostafa Qorbani
Roya Kelishadi
author_sort Zeinab Hemati
collection DOAJ
description Abstract Objective This study aims to evaluate the association of sleep duration with metabolic syndrome (MetS) and its components in a pediatric population. Methods This multi-centric cross-sectional study was conducted in 2015 in 30 provinces of Iran. Participants consisted of 4200 school students aged 7–18 years, studied in a national school-based surveillance program (CASPIAN-V). Physical examinations and laboratory tests were performed using standard protocols. The analysis was conducted based on the propensity score matching and conditional logistic regression was used to evaluate the association of short sleep (less than 8 h a day) and the onset of sleep with MetS and its components. Results of conditional logistic regression was reported as odds ratios (OR) and 95% confidence intervals (CI). Results Overall, 3843 of participants completed the survey (response rate: 91.5%). Their mean (SD) age was 12.3 (3.2) years and 50.6% were boys. In the multivariate model, individuals who slept less than 8 h a day had significantly higher odds of MetS (OR 2.05, 95% CI 1.19–3.63) and high blood pressure (BP) (OR 1.46, 95% CI 1.04–2.06). Association between short sleep duration with other MetS components (including abdominal obesity, hypertriglyceridemia, hyperglycemia, and low levels of high-density lipoprotein-cholesterol was not statistically significant (P > 0.05). Moreover, association between the onset of sleep with MetS and its components was not statistically significant (P > 0.05). Conclusion Short sleep duration is associated with increased risk of MetS and high BP in children and adolescents. The clinical impact of current findings should be assessed in future longitudinal studies.
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spelling doaj.art-eaffffff97ac4f4ca7d124549eaf6f902022-12-22T02:43:12ZengBMCDiabetology & Metabolic Syndrome1758-59962018-11-011011910.1186/s13098-018-0381-yAssociation of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V studyZeinab Hemati0Nafiseh Mozafarian1Ramin Heshmat2Zeinab Ahadi3Mohammad Esmaeil Motlagh4Hasan Ziaodini5Majzoubeh Taheri6Tahereh Aminaee7Mostafa Qorbani8Roya Kelishadi9Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesDepartment of Pediatrics, Ahvaz Jundishapur University of Medical SciencesOffice of Health and Fitness, Ministry of EducationBureau of Population, Family and School Health, Ministry of Health and Medical EducationBureau of Population, Family and School Health, Ministry of Health and Medical EducationNon-communicable Diseases Research Center, Alborz University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical SciencesAbstract Objective This study aims to evaluate the association of sleep duration with metabolic syndrome (MetS) and its components in a pediatric population. Methods This multi-centric cross-sectional study was conducted in 2015 in 30 provinces of Iran. Participants consisted of 4200 school students aged 7–18 years, studied in a national school-based surveillance program (CASPIAN-V). Physical examinations and laboratory tests were performed using standard protocols. The analysis was conducted based on the propensity score matching and conditional logistic regression was used to evaluate the association of short sleep (less than 8 h a day) and the onset of sleep with MetS and its components. Results of conditional logistic regression was reported as odds ratios (OR) and 95% confidence intervals (CI). Results Overall, 3843 of participants completed the survey (response rate: 91.5%). Their mean (SD) age was 12.3 (3.2) years and 50.6% were boys. In the multivariate model, individuals who slept less than 8 h a day had significantly higher odds of MetS (OR 2.05, 95% CI 1.19–3.63) and high blood pressure (BP) (OR 1.46, 95% CI 1.04–2.06). Association between short sleep duration with other MetS components (including abdominal obesity, hypertriglyceridemia, hyperglycemia, and low levels of high-density lipoprotein-cholesterol was not statistically significant (P > 0.05). Moreover, association between the onset of sleep with MetS and its components was not statistically significant (P > 0.05). Conclusion Short sleep duration is associated with increased risk of MetS and high BP in children and adolescents. The clinical impact of current findings should be assessed in future longitudinal studies.http://link.springer.com/article/10.1186/s13098-018-0381-yMetabolic syndromeCardiovascular risk factorsSleep durationChildrenAdolescents
spellingShingle Zeinab Hemati
Nafiseh Mozafarian
Ramin Heshmat
Zeinab Ahadi
Mohammad Esmaeil Motlagh
Hasan Ziaodini
Majzoubeh Taheri
Tahereh Aminaee
Mostafa Qorbani
Roya Kelishadi
Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study
Diabetology & Metabolic Syndrome
Metabolic syndrome
Cardiovascular risk factors
Sleep duration
Children
Adolescents
title Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study
title_full Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study
title_fullStr Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study
title_full_unstemmed Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study
title_short Association of sleep duration with metabolic syndrome and its components in children and adolescents; a propensity score-matched analysis: the CASPIAN-V study
title_sort association of sleep duration with metabolic syndrome and its components in children and adolescents a propensity score matched analysis the caspian v study
topic Metabolic syndrome
Cardiovascular risk factors
Sleep duration
Children
Adolescents
url http://link.springer.com/article/10.1186/s13098-018-0381-y
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