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Sleep duration, physical activity, and caloric intake are related to weight status in Mexican American children: a longitudinal analysis.
Martinez, S M; Blanco, E; Tschann, J M; Butte, N F; Grandner, M A; Pasch, L A.
Afiliação
  • Martinez SM; Department of Epidemiology and Biostatistics, University of California, San Francisco; 550 16th St., 2nd Floor, San Francisco, CA, 94158, USA. suzanna.martinez@ucsf.edu.
  • Blanco E; Department of Pediatrics, Division of Child Development and Community Health, University of California, San Diego, La Jolla, CA, USA.
  • Tschann JM; Public Health PhD program, University of Chile, Santiago, Chile.
  • Butte NF; Department of Psychiatry and Behavioral Sciences, University of California at San Francisco, San Francisco, CA, 94143-0848, USA.
  • Grandner MA; Baylor College of Medicine, USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, 1100 Bates Street, Houston, TX, 77030-2600, USA.
  • Pasch LA; Department of Psychiatry, University of Arizona, 2800 E. Ajo Way, Tucson, AZ, 85713, USA.
Int J Behav Nutr Phys Act ; 18(1): 93, 2021 07 09.
Article em En | MEDLINE | ID: mdl-34243777
BACKGROUND: Obesity is a serious issue, spanning all ages, and, in the U.S., disproportionately affects Latinos and African Americans. Understanding sleep, physical activity and dietary behaviors that may predict childhood obesity can help identify behavioral intervention targets. METHODS: Data were drawn from a U.S. cohort study of 323 Mexican American 8-10-year-old children and their mothers, who participated in a longitudinal study over a 2-year period. Measures were collected at baseline (BL; child mean age = 8.87, SD = 0.83), year 1 (FU1) and year 2 (FU2). Mothers reported on household income and acculturation at BL. Child height and weight were collected and BMI z-scores (BMIz) were calculated for weight status at BL, FU1, and FU2. Accelerometer-estimated sleep duration (hours) and moderate-to-vigorous physical activity (MVPA; minutes) were collected across 3 days at BL, FU1, and FU2. Two 24-h dietary recalls were performed at each time point; from these, average energy intake (EI, kcals/day) was estimated. Cross-lagged panel analysis was used to examine behavioral predictors on BMIz at each time point and across time. RESULTS: At BL and FU1, longer sleep duration (ß = - 0.22, p < 0.001; ß = - 0.17, p < 0.05, respectively) and greater MVPA (ß = - 0.13, p < 0.05; ß = - 0.20, p < 0.01, respectively) were concurrently related to lower BMIz. At FU2, longer sleep duration (ß = - 0.18, p < 0.01) was concurrently related to lower BMIz, whereas greater EI (ß = 0.16, p < 0.01) was related to higher BMIz. Longer sleep duration at BL predicted lower BMIz at FU1 (ß = - 0.05, p < 0.01). CONCLUSIONS: Longer sleep duration was concurrently related to lower weight status at each time point from ages 8-10 to 10-12. Higher MVPA was concurrently related to lower weight status in earlier childhood (ages 8-10 and 9-11) and higher EI was concurrently related to higher weight status toward the end of childhood (ages 10-12 years). Furthermore, longer sleep in earlier childhood was protective of children's lower weight status 1 year later. These findings suggest that sleep duration plays a consistent and protective role against childhood obesity; in addition, MVPA and healthy EI remain important independent factors for obtaining a healthy weight.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sono / Ingestão de Energia / Exercício Físico / Americanos Mexicanos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: Int J Behav Nutr Phys Act Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sono / Ingestão de Energia / Exercício Físico / Americanos Mexicanos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: Int J Behav Nutr Phys Act Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido