Hospital Criança Conceição, Grupo Hospitalar Conceição, Porto Alegre, RS, Brazil.
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Escola de Medicina, Departamento de Neurociências, Porto Alegre, RS, Brazil; Instituto do Cérebro do Rio Grande do Sul (InsCer), Porto Alegre, RS, Brazil.
J Pediatr (Rio J). 2019 Mar-Apr;95 Suppl 1:2-9. doi: 10.1016/j.jped.2018.10.009. Epub 2018 Dec 7.
To describe the association between sleep duration and weight-height development in children and adolescents.
A non-systematic search in the MEDLINE database was performed using the terms anthropometry, body composition, overweight, obesity, body mass index, growth, length, short stature, sleep, children, and infants and adolescents, limited to the last 5 years. The references cited in the revised articles were also reviewed, when relevant.
Sleep disorders are prevalent in the pediatric population. Among them, insomnia, which leads to a reduction in total sleep time, is the most prevalent disorder. Evidence found in the current literature allows the conclusion that sleep time reduction has a role in the current pandemic of overweight and obesity. Studies associating sleep deprivation and deficit in height growth are still insufficient.
The association between shorter sleep duration and risk of overweight and obesity is well established for all pediatric age groups. However, more evidence is needed to establish an association between insufficient sleep duration and height growth deficit. Pediatricians should include the encouragement of healthy sleep habits in their routine guidelines as an adjuvant in the prevention and management of excess weight.
描述儿童和青少年的睡眠时间与体重身高发育之间的关系。
使用术语人体测量学、身体成分、超重、肥胖、体重指数、生长、长度、身材矮小、睡眠、儿童和婴儿及青少年,在过去 5 年内对 MEDLINE 数据库进行了非系统性检索。还审查了相关修订文章中的参考文献。
睡眠障碍在儿科人群中很常见。其中,导致总睡眠时间减少的失眠症是最常见的疾病。目前文献中的证据表明,睡眠时间减少与超重和肥胖的当前流行有关。关于睡眠剥夺与身高生长不足之间关联的研究仍然不足。
对于所有儿科年龄组,较短的睡眠时间与超重和肥胖风险之间存在明确的关联。然而,还需要更多的证据来确定睡眠时间不足与身高生长不足之间的关联。儿科医生应将鼓励健康的睡眠习惯纳入其常规指南中,作为预防和管理超重的辅助手段。