Prevalence of Sleep Disorders in Primary School Children and its Relationship with Obesity
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Original Article
P: 303-310
December 2021

Prevalence of Sleep Disorders in Primary School Children and its Relationship with Obesity

J Curr Pediatr 2021;19(3):303-310
1. Erciyes Üniversitesi Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Kayseri, Türkiye
2. Dörtyol İlçe Sağlık Müdürlüğü, Hatay, Türkiye
3. Kadirli İlçe Sağlık Müdürlüğü, Osmaniye, Türkiye
No information available.
No information available
Received Date: 28.05.2021
Accepted Date: 08.09.2021
Publish Date: 24.12.2021
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ABSTRACT

Introduction:

Obesity is an increasingly common health problem not only in adults but also in children all over the world. Obesity rates in Turkey vary between 4.5% and 15.9% according to regions. Regular and adequate sleep is important for maintaining a healthy life as well as for physical, cognitive and emotional development. The aim of the study is to determine the level of sleep problems in primary school children, their causes and their relationship with obesity.

Materials and Methods:

The study is descriptive. The sleep disorder scale in children, which was developed by Bruni to evaluate the sleep disorder of the children and whose Turkish validity was verified by Akçay, was answered by the parents of children of primary school age with questions containing the socio-demographic information of the participants. The data were evaluated in the SPSS program, p <0.05 was considered significant.

Results:

519 students between the ages of 6 and 14 participated in the study. 12.5% of the students (65 people) were found to be obese. The rate of students with sleep disorders was found to be 59.0% (306 people). While the rate of sleep disorders was higher in children with poor economic status, sharing the same bed with their parents, having chronic illness, having mobile phone, and low education level of their father, no significant relationship was found between obesity and sleep disorders.

Conclusion:

The rate of children with sleep disorders is quite high. Since child development and cognitive functions of the child are taken into consideration, it is important to eliminate sleep disorder and the factors that cause it. Although our study could not show a relationship between sleep disorder and obesity, policy makers’ attention should be drawn to the issue by revealing the relationship between obesity and sleep disorder more clearly with larger-scale studies to be conducted at the national level.

References

1Ash T, Agaronov A, Young TL, Aftosmes-Tobio A, Davison KK. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. International Journal of Behavioral Nutrition and Physical Activity 2017;14:113.
2Heslehurst N, Vieira R, Akhter Z, Bailey H, Slack E, Ngongalah L, et al. The association between maternal body mass index and child obesity: A systematic review and meta-analysis. PLOS Medicine 2019;16:e1002817.
3Organization WH. Overweight and obesity. Geneva: World Health Organization; 2020 [cited 2021 28 April].
4Erkuran H, Karadeniz H. Çocukluk Çağında Obezite. Sağlık ve Toplum 2019;29:12-9.
5Rito AI, Buoncristiano M, Spinelli A, Salanave B, Kunešová M, Hejgaard T, et al. Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative-COSI 2015/2017. Obesity Facts 2019;12:226-43.
6Sağlık Bakanlığı HSGM, Milli Eğitim Bakanlığı, Dünya Sağlık Örgütü Avrupa Bölge Ofisi. Türkiye Çocukluk Çağı (İlkokul 2. Sınıf Öğrencileri) Şişmanlık Araştırması Cosi-Tur 2016. Ankara: Sağlık Bakanlığı Yayınları Yayın No:1080;2017.
7Esen İ, Ökdemir D. Çocukluk çağı obezitesi: tanım, etiyoloji ve klinik değerlendirme. Fırat Tıp Dergisi/Firat Med J 2018;23:92-9.
8Yılmaz M, Kundakçı GA, Dereli F, Oztornacı BO, Cetişli NE. İlköğretim öğrencilerinde yaş ve cinsiyete göre obezite ve ilişkili özellikler obezite ve ilişkili faktörler. Güncel Pediatri 2019;17:127-40.
9Liu X, Liu L, Owens JA, Kaplan DL. Sleep Patterns and Sleep Problems Among Schoolchildren in the United States and China. Pediatrics 2005;115:241.
10Chen X, Beydoun MA, Wang Y. Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity 2008;16:265.
11Felső R, Lohner S, Hollódy K, Erhardt É, Molnár D. Relationship between sleep duration and childhood obesity: Systematic review including the potential underlying mechanisms. Nutrition, Metabolism and Cardiovascular Diseases 2017;27:751-61.
12Bhargava S. Diagnosis and management of common sleep problems in children. Pediatrics in Review-Elk Grove 2011;32:91.
13Gohil A, Hannon TS. Poor Sleep and Obesity: Concurrent Epidemics in Adolescent Youth. Frontiers in Endocrinology 2018;9.
14Association AP, Association AP. DSM 5. American Psychiatric Association 2013;70.
15Short MA, Gradisar M, Gill J, Camfferman D. Identifying Adolescent Sleep Problems. PLOS ONE 2013;8:e75301.
16Lewandowski AS, Ward TM, Palermo TM. Sleep problems in children and adolescents with common medical conditions. Pediatric Clinics 2011;58:699-713.
17Akçay D, Akçay BD, Bozkurt ÖH. Reliability and validity of Turkish Sleep Disturbance Scale for Children. Anatolian Journal of Psychiatry 2020;21:70-7.
18Neyzi O, Günöz H, Furman A, Bundak R, Gökçay G, Darendeliler F. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2008;51:1-14.
19Dündar C, Öz H. Obesity-related factors in Turkish school children. The Scientific World Journal. 2012.
20Erem C (2015). Prevalence of overweight and obesity in Turkey. IJC Metabolic & Endocrine 2015;8:38-41.
21World Health Organization. Taking action on childhood obesity (No. WHO/NMH/PND/ECHO/18.1). World Health Organization 2018.
22Hales CM, Fryar CD, Carroll MD, Freedman DS, Ogden CL. Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007-2008 to 2015-2016. JAMA 2018;319:1723-25.
23Ekström S, Hallberg J, Kull I, Protudjer JLP, Thunqvist P, Bottai M, et al. Body mass index status and peripheral airway obstruction in school-age children: a population-based cohort study. Thorax 2018;73:538-45.
24Kabel AM, Al Thumali AM, Aldowiala KA, Habib RD, Aljuaid SS. Sleep disorders in a sample of students in Taif University, Saudi Arabia: The role of obesity, insulin resistance, anemia and high altitude. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 2018;12:549-54.
25Roberts CM, Harper KL, Bistricky SL, Short MB. Bedtime behaviors: Parental mental health, parental sleep, parental accommodation, and children’s sleep disturbance. Children’s Health Car 2020;49:115-33.
26Lewien C, Genuneit J, Meigen C, Kiess W, Poulain T. Sleep-related difficulties in healthy children and adolescents. BMC Pediatr 2001;1:11.
27Mong JA, Cusmano DM. Sex differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc Lond B Biol Sci 2016;371:20150110.
28Wang G, Zhang J, Lam SP, L SX, Jiang Y, Sun W, Wing YK. Ten-year secular trends in sleep/wake patterns in Shanghai and Hong Kong school-aged children: a tale of two cities. Journal of Clinical Sleep Medicine 2019;15:1495-502
29Olds T, Blunden S, Petkov J, Forchino F. The relationships between sex, age, geography and time in bed in adolescents: a meta-analysis of data from 23 countries. Sleep medicine reviews 2010;14:371-8.
30Matricciani L, Paquet C, Galland B, Short M, Olds T. Children’s sleep and health: a meta review. Sleep medicine reviews 2019;46:136-50.
31Sun J, Wang M, Yang L, Zhao M, Bovet P, Xi B. Sleep duration and cardiovascular risk factors in children and adolescents: A systematic review. Sleep medicine reviews 2020;101338.
32El-Sheikh M, Bagley EJ, Keiley M, Elmore-Staton L, Chen E, Buckhalt JA. Economic adversity and children’s sleep problems: multiple indicators and moderation of effects. Health Psychol 2013;32:849-59.
33Muller D, Paine SJ, Wu LJ, Signal TL. How long do preschoolers in Aotearoa/ New Zealand sleep? Associations with ethnicity and socioeconomic position. Sleep Health 2019;5:452-8.
34Hisler GC, Hasler BP, Franzen P, Clark DB, Twenge JM. Screen media use and sleep disturbance symptom severity in children. Sleep Health 2020;6:731-42..
35Guerrero MD, Barnes JD, Chaput JP, Tremblay MS. Screen time and problem behaviors in children: exploring the mediating role of sleep duration. International Journal of Behavioral Nutrition and Physical Activity 2019;16:1-10.
36Yuksel H, Sogut A, Yilmaz O, Demet M, Ergin D, Kirmaz C. Evaluation of sleep quality and anxietydepression parameters in asthmatic children and their mothers. Respir Med 2007;101:2550-4.
37Sivertsen B, Hysing M, Elgen I, Stormark KM, Lundervold AJ. Chronicity of sleep problems in children with chronic illness: a longitudinal population-based study. Child Adolesc Psychiatry Ment Health 2009;3:22.
38Hindmarch I, Rigney U, Stanley N, Quinlan P, Rycroft J, Lane J. A naturalistic investigation of the effects of day-long consumption of tea, coffee and water on alertness, sleep onset and sleep quality. Psychopharmacology 2000;149:203-16.
39Drake C, Roehrs T, Shambroom J, Roth T. Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of Clinical Sleep Medicine 2013;9:1195-200.
40Watson EJ, Banks S, Coates AM, Kohler MJ. The relationship between caffeine, sleep, and behavior in children. Journal of Clinical Sleep Medicine 2017;13:533-43.
41Brambilla P, Giussani M, Pasinato A, Venturelli L, Privitera F, Miraglia Del Giudice EM, Chiappini, E. Sleep habits and pattern in 1-14 years old children and relationship with video devices use and evening and night child activities. Ital J Pediatr 2017;43:7.
42Locard E, Mamelle N, Billette A, Miginiac M, Munoz F, Rey S. Risk factors of obesity in a five year old population. Parental versus environmental factors. Int J Obes Relat Metab Disord 1992;16:721-9.
43Snell EK, Adam EK, Duncan GJ. Sleep and the body mass index and overweight status of children and adolescents. Child Dev 2007;78:309-23.
44Liu X, Forbes EE, Ryan ND, Rofey D, Hannon TS, Dahl RE. Rapid eye movement sleep in relation to overweight in children and adolescents. Arch Gen Psychiatry 2008;65:924-32. doi: 10.1001/archpsyc.65.8.924
45Miller MA, Kruisbrink M, Wallace J, Ji C, Cappuccio FP. Sleep duration and incidence of obesity in infants, children, and adolescents: a systematic review and meta-analysis of prospective studies. Sleep 2018;41: zsy018.
46Hui LL, Nelson EA, Yu LM, Li AM, Fok TF. Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children. Int J Obes Relat Metab Disord 2003;27:1411-8.
47Ulutaş A, Atla P, Say Z, Sarı.E. Okul çağındaki 6-18 yaş arası obez çocuklarda obezite oluşumunu etkileyen faktörlerin araştırılması. Zeynep Kamil Tıp Bülteni 2014;45:192-6.
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