Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China
ObjectiveTo investigate the association between sleep problems and overweight or obesity among third-grade primary school students in Shanghai, China.MethodsA total of 3,640 students aged 8–10 years were recruited in 2023 using a random cluster sampling method. Sleep problems were assessed using the...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1629048/full |
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| author | Shuman Li Zhe Zhang Yani Zhai Liting Chu Dongling Yang Chunyan Luo Lijing Sun |
| author_facet | Shuman Li Zhe Zhang Yani Zhai Liting Chu Dongling Yang Chunyan Luo Lijing Sun |
| author_sort | Shuman Li |
| collection | DOAJ |
| description | ObjectiveTo investigate the association between sleep problems and overweight or obesity among third-grade primary school students in Shanghai, China.MethodsA total of 3,640 students aged 8–10 years were recruited in 2023 using a random cluster sampling method. Sleep problems were assessed using the Children’s Sleep Habits Questionnaire (CSHQ). Anthropometric measurements, including weight, height, and waist circumference, were collected to calculate body mass index (BMI) and waist-to-height ratio (WHtR).ResultsThe prevalence of overweight or obesity was 31.7%. The average sleep duration was 9.2 ± 0.6 h, and the mean total CSHQ score was 47.8 ± 7.5. Weekend sleep duration was negatively associated with BMI (β = −0.188, p < 0.01). Higher Sleep Disordered Breathing scores were positively associated with BMI (β = 0.246, p < 0.01) and WHtR (β = 0.005, p < 0.01), while higher Daytime Sleepiness scores were negatively associated with both BMI (β = −0.056, p < 0.01) and WHtR (β = −0.001, p < 0.05). Higher Sleep Duration scores were negatively associated with BMI (β = −0.067, p < 0.05). In logistic regression models, Sleep Disordered Breathing was significantly associated with higher odds of both overweight/obesity (OR = 1.39, 95% CI: 1.13–1.70), and central obesity (OR = 1.36, 95% CI: 1.11–1.68). These associations were more evident among boys.ConclusionDifferent dimensions of sleep problems showed varying associations with overweight/obesity and central obesity in children, with stronger associations observed among boys. |
| format | Article |
| id | doaj-art-82b3827e2cfb4206be196615cbf5fcbf |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-82b3827e2cfb4206be196615cbf5fcbf2025-08-20T03:36:41ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.16290481629048Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, ChinaShuman LiZhe ZhangYani ZhaiLiting ChuDongling YangChunyan LuoLijing SunObjectiveTo investigate the association between sleep problems and overweight or obesity among third-grade primary school students in Shanghai, China.MethodsA total of 3,640 students aged 8–10 years were recruited in 2023 using a random cluster sampling method. Sleep problems were assessed using the Children’s Sleep Habits Questionnaire (CSHQ). Anthropometric measurements, including weight, height, and waist circumference, were collected to calculate body mass index (BMI) and waist-to-height ratio (WHtR).ResultsThe prevalence of overweight or obesity was 31.7%. The average sleep duration was 9.2 ± 0.6 h, and the mean total CSHQ score was 47.8 ± 7.5. Weekend sleep duration was negatively associated with BMI (β = −0.188, p < 0.01). Higher Sleep Disordered Breathing scores were positively associated with BMI (β = 0.246, p < 0.01) and WHtR (β = 0.005, p < 0.01), while higher Daytime Sleepiness scores were negatively associated with both BMI (β = −0.056, p < 0.01) and WHtR (β = −0.001, p < 0.05). Higher Sleep Duration scores were negatively associated with BMI (β = −0.067, p < 0.05). In logistic regression models, Sleep Disordered Breathing was significantly associated with higher odds of both overweight/obesity (OR = 1.39, 95% CI: 1.13–1.70), and central obesity (OR = 1.36, 95% CI: 1.11–1.68). These associations were more evident among boys.ConclusionDifferent dimensions of sleep problems showed varying associations with overweight/obesity and central obesity in children, with stronger associations observed among boys.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1629048/fullchildrensleepbody mass indexwaist-to-height ratioobesity |
| spellingShingle | Shuman Li Zhe Zhang Yani Zhai Liting Chu Dongling Yang Chunyan Luo Lijing Sun Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China Frontiers in Public Health children sleep body mass index waist-to-height ratio obesity |
| title | Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China |
| title_full | Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China |
| title_fullStr | Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China |
| title_full_unstemmed | Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China |
| title_short | Sleep problems and childhood adiposity: a cross-sectional study among third-grade students in Shanghai, China |
| title_sort | sleep problems and childhood adiposity a cross sectional study among third grade students in shanghai china |
| topic | children sleep body mass index waist-to-height ratio obesity |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1629048/full |
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