ArticleSleep medicine2015
Habitual sleep variability, mediated by nutrition intake, is associated with abdominal obesity in adolescents.
Article in Sleep medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Pooled it
- Omega-3 long-chain polyunsaturated fatty acid and sleep: a systematic review and meta-analysis of randomized controlled trials and longitudinal studies.Nutrition reviews · 2021Pooled it
- Sleep, Diet, and Cardiometabolic Health Investigations: a Systematic Review of Analytic Strategies.Current nutrition reports · 2018Pooled it
- Intraindividual variability of sleep/wake patterns in relation to child and adolescent functioning: A systematic review.Sleep medicine reviews · 2017Pooled it
- Sleep and circadian variability in people with delayed sleep-wake phase disorder versus healthy controls.Sleep medicine · 2017Trial
- Neurobehavioral Impact of Successive Cycles of Sleep Restriction With and Without Naps in Adolescents.Sleep · 2017Trial
- One-night sleep deprivation induces changes in the DNA methylation and serum activity indices of stearoyl-CoA desaturase in young healthy men.Lipids in health and disease · 2016Trial
- Multidimensional association of sleep health with dietary habits and physical activity in adolescents.Sleep health · 2026Article
- Adolescent circadian sleep health: a review of multimodal assessment strategies and clinical implications.Frontiers in sleep · 2026Review
- Immediate improvement in anxiety and sleep quality with delayed depression response after bariatric surgery in a longitudinal cohort study.Scientific reports · 2025Article
- Sleep Irregularity, Circadian Disruption, and Cardiometabolic Disease Risk.Circulation research · 2025Review
- Article
- Do Sleep Problems Exacerbate the Mental Health Consequences of Discrimination Among Adults?Psychosomatic medicine · 2024Article
- Circadian misalignment impacts the association of visceral adiposity with metabolic syndrome in adolescents.Sleep · 2024Article
- Edward O. Bixler, PhD: from the Apollo project and chimpanzees to sleep epidemiology.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Objective and subjective measures of sleep initiation are differentially associated with DNA methylation in adolescents.Clinical epigenetics · 2023Article
- Short-term and intermediate-term fine particulate air pollution are synergistically associated with habitual sleep variability in adolescents - A cross-sectional study.Environmental research · 2023Article
- Circadian Misalignment Impacts the Association of Visceral Adiposity With Elevated Blood Pressure in Adolescents.Hypertension (Dallas, Tex. : 1979) · 2023Article
- Sleep duration and timing are prospectively linked with insulin resistance during late adolescence.Obesity (Silver Spring, Md.) · 2023Article
- Sleep variability and regularity as contributors to obesity and cardiometabolic health in adolescence.Obesity (Silver Spring, Md.) · 2023Review
1 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveTo investigate habitual sleep duration (HSD) and habitual sleep variability (HSV) in relation to abdominal obesity and nutrient intake as mediating factors in adolescents.
methodsWe analyzed data from 305 adolescents who participated in the Penn State Child Cohort follow-up examination. An actigraphy device was used for seven consecutive nights to calculate HSD and HSV. Abdominal obesity was assessed by dual-energy x-ray absorptiometry. The Youth/Adolescent Food Frequency Questionnaire was used to obtain daily total caloric, protein, fat, and carbohydrates intakes. Linear regression models were used to associate HSD and HSV with abdominal obesity and to qualitatively identify mediating factors. The mediating effect was quantitatively estimated by mediation models.
resultsAfter adjusting for major covariates and HSD, higher HSV was significantly associated with abdominal obesity measures. For example, with 1-hour increase in HSV, android/gynoid fat ratio and visceral fat area increased by 0.02 cm(2) (standard error = 0.01, p = 0.03) and 6.86 cm(2) (standard error = 2.82, p = 0.02), respectively. HSD was not associated with abdominal obesity in HSV-adjusted models. Total caloric, fat, and carbohydrate intakes were significant mediating factors. For instance, 20% of the association between HSV and visceral fat can be attributed to carbohydrate intake.
conclusionsHigher HSV, not HSD, is significantly associated with abdominal obesity, which can be partially explained by increased caloric intake, especially from carbohydrate, in adolescents. This study suggests that more attention should be paid to establish and maintain regular sleep patterns in adolescents.
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