Observational studyJournal of affective disorders2025
Associations between sleep, obesity, and mental health in adolescents: Understanding sex-specific vulnerabilities.
Observational study in Journal of affective disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Gender differences in relationships among parenting dimensions, disordered eating, and psychological factors in adolescents: a network analysis.Journal of eating disorders · 2026Article
- Psychometric properties of the Night Eating Questionnaire (NEQ) in a clinical sample of Turkish adolescents.Journal of eating disorders · 2026Article
- What we have learned about adolescent mental health and where we are going after a decade with the Adolescent Brain Cognitive Development Study.Developmental cognitive neuroscience · 2026Review
- Prevalence and patterns of sleep disturbances in pediatric psychiatric and non-psychiatric populations: a cross-sectional study in Lebanon.BMC psychiatry · 2026Article
- Effects of low-carbohydrate, high-nutrient-density diet combined with aerobic exercise on mental health and glycolipid metabolism in obese children and adolescents.Frontiers in medicine · 2026Article
- Psychological and Demographic Predictors of Insomnia Severity: Evidence from a Community Sample in Ecuador.Behavioral sciences (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionSleep disturbances and mental health challenges often arise during adolescence, with a greater prevalence among females and individuals experiencing obesity. In this study, we examined the intricate relationships between sleep problems, obesity, and biological sex, and their combined relationship with well-being in a large, diverse cohort of US adolescents.
methodsWe analyzed data from 7261 adolescents (Year 2: Mean age = 11.94 years, range: 10-14 years, 47.3 % female) participating in the ongoing Adolescent Brain Cognitive Development (ABCD) Study®. Sleep duration and sleep quality were determined from self-reported questionnaires. Internalizing and externalizing problems were assessed using the Child Behavior Checklist (caregiver-report) and the Brief Problem Monitor (youth-report). Positive affect was measured with the NIH Toolbox (youth-report). Regression models were used to investigate the associations between obesity (body mass index >95th percentile), sleep patterns, and mental health, while accounting for sex, age and socio-demographic variables.
resultsShorter sleep duration, poorer sleep quality, and experiencing obesity were associated with higher internalizing and externalizing problems. Longer sleep duration was associated with lower internalizing scores, but only among adolescents who were not experiencing obesity. Additionally, shorter sleep and poorer sleep quality were associated with lower positive affect, with stronger effects observed among adolescent females compared to males.
conclusionThis study reveals complex interactions between sleep, obesity, and mental health in adolescents, with notable sex differences. The findings emphasize the need for adolescent mental health interventions to address both sleep and obesity, while considering the distinct vulnerabilities associated with sex and obesity.
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