Qualidade do sono e síndrome metabólica em crianças e adolescentes com sobrepeso ou obesidade
Palavras-chave:
Adolescente, Criança, Síndrome metabólica, Obesidade, SonoResumo
Objetivo
Avaliar a qualidade do sono e sua associação com a síndrome metabólica e seus componentes.
Métodos
Estudo transversal, realizado entre junho de 2011 e março de 2012 no Centro de Obesidade Infantil, Campina Grande, Paraíba. Foram incluídas 135 crianças e adolescentes com sobrepeso ou obesidade. A qualidade do sono foi avaliada pelo Pittsburgh Sleep Quality Index. Para o diagnóstico de síndrome metabólica, consideraram- -se circunferência abdominal, pressão arterial, glicemia, lipoproteínas de alta densidade e triglicerídeos. Os dados foram analisados pelo Statistical Package for the Social Sciences versão 22.0, sendo adotado um nível de significância de 5%.
Resultados
A prevalência de má qualidade ou distúrbio do sono avaliado pelo Pittsburgh Sleep Quality Index foi 40.7%, e a média do escore global Pittsburgh Sleep Quality Index foi significativamente maior no sexo feminino. A prevalência de síndrome metabólica foi 63.0%. A disfunção diurna foi significativamente maior no sexo feminino. A má qualidade do sono esteve associada à pressão arterial diastólica elevada (OR=2,6; p=0,015) e à circunferência abdominal elevada (OR=3,17; p=0,024), após ajuste para sexo e idade.
Conclusão
As meninas apresentaram um maior escore global do Pittsburgh Sleep Quality Index e associação com a disfunção diurna. A má qualidade do sono mostrou-se fator preditor de pressão arterial diastólica elevada na amostra estudada.
Referências
American Academy of Pediatrics. School start times for adolescents. Pediatrics. 2014; 134(3):642-9. http://dx.doi.org/10.1542/peds.2014-1697
Shochat T, Cohen-Zion M, Tzischinsky O. Functional consequences of inadequate sleep in adolescents: A systematic review. Sleep Med Rev. 2014; 18(1):75e87. http://dx.doi.org/10.1016/j.smrv. 2013.03.005
Logue EE, Scott ED, Palmieri PA, Dudley P. Sleep duration, quality, or stability and obesity in an urban family medicine center. J Clin Sleep Med. 2014; 10(2):177-82. http://dx.doi.org/10.5664/jcsm.3448
Cao M, Zhu Y, He B, Yang W, Chen Y, Jun M, et al. Association between sleep duration and obesity is age- and gender-dependent in Chinese urban children aged 6-18 years: A cross-sectional study. BMC Public Health. 2015; 15(1029):1-10. http:// dx.doi.org/10.1186/s12889-015-2359-0
Zhang B, Hao Y, Zhou J, Jia F, Li X, Tang Y, et al. The association between sleep patterns and overweight/ obesity in Chinese children: A cross-sectional study. Neuropsychiatr Dis Treat. 2015; 11:2209-16. http:// dx.doi.org/10.2147/NDT.S90838
Fatima Y, Doi SAR, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: A systematic review and bias-adjusted meta-analysis. Obesity Rev. 2015; 16(2):137-49. http://dx.doi.org/10.1111/obr.12245
Gonzaga NC, Medeiros CCM, de Carvalho DF, Alves JGB. Leptin and cardiometabolic risk factors in obese children and adolescents. J Paediatr Child Health. 2014; 50:707-12. http://dx.doi.org/10.11 11/jpc.12610
Medeiros CCM, Ramos AT, Cardoso MAA, França ISX, Cardoso AS, Gonzaga NC. Insulin resistance and its association with metabolic syndrome components. Arq Bras Cardiol. 2011; 97(5):380-9.
Kruger AK, Reither EN, Peppard PE, Krueger PM, Hale L. Do sleep-deprived adolescents make less healthy food choices? Br J Nutr. 2014; 111(10):1898-904. http://dx.doi.org/10.1017/S00 07114514000130
Magee C, Iverson PCD. Lack of sleep could increase obesity in children and too much television could be partly to blame. Acta Paediatrica. 2014; 103(1):e27-e31. http://dx.doi.org/10.1111/apa.12 447
Martinez SM, Tschann JM, Greenspan LC, Deardorff J, Penilla C, Flores E, et al. Is it time for bed? Short sleep duration increases risk of obesity in Mexican American children. Sleep Med. 2014; 15(12):1484-9.
Lee JA, Park HS. Relation between sleep duration, overweight, and metabolic syndrome in Korean adolescents. Nutr Metab Cardiovasc Dis. 2014; 24(1):65-71. http://dx.doi.org/10.1016/j.numecd. 2013.06.004
Scharf RJ, Deboer MD. Sleep timing and longitudinal weight gain in 4- and 5-year-old children. Pediatr Obes. 2014; 10(2):141-8. http://dx.doi.org/10. 1111/ijpo.229
Boeke CE, Storfer-Isser A, Redline S, Taveras EM. Childhood sleep duration and quality in relation to leptin concentration in two cohort studies. Sleep. 2014; 37(3):613-20. http://dx.doi.org/10.5665/sleep. 3510
Kjeldsen JS, Hjorth MF, Andersen R, Michaelsen KF, Tetens I, Astrup A, et al. Short sleep duration and large variability in sleep duration are independently associated with dietary risk factors for obesity in Danish school children. Int J Obes. 2014; 38(1):32-9. http://dx.doi.org/10.1038/ijo.2013.147
Turco G, Bobbio T, Reimão R, Rossini S, Pereira H, Barros Filho A. Quality of life and sleep in obese adolescents. Arq Neuropsiquiatr. 2013; 71(2):78-82. http://dx.doi.org/10.1590/S0004-282X2013005 000008
Tan E, Healey D, Gray AR, Galland BC. Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep: A before-after pilot study. BMC Pediatrics. 2012; 12(189):1-9. http://dx.doi.org/10. 1186/1471-2431-12-189
Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N, et al. Relationship between self reported sleep quality and metabolic syndrome in general population. BMC Public Health. 2014; 14(562):1-7. http://dx.doi.org/10.1186/1471-24 58-14-562
Michels N, Verbeiren A, Ahrens W, de Henauw S, Sioen I. Children’s sleep quality: Relation with sleep duration and adiposity. Public Health. 2014; 128(5):488-90. http://dx.doi.org/10.1016/j.puhe. 2014.02.003
Hanne KJG, Adam TC, Hursel R, Rutters F, Verhoef SPM, Westerterp-Plantenga MS. Sleep duration, sleep quality and body weight: Parallel developments. Physiol Behav. 2013; 121:112-6. http://dx.doi.org/ 10.1016/j.physbeh.2013.04.007
Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ. The Association between self-reported sleep quality and metabolic syndrome. PloS One. 2013; 8(1):e54304. http://dx.doi.org/10.1371/journal. pone.0054304
Bertolazi AN, Fagondes SC, Hoof L, Dartora EG, Miozzo ICS, Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh SleepQuality Index. Sleep Med. 2011; 12(1):70-5. http://dx. doi.org/10.1016/j.sleep.2010.04.020
Neto AS, Bozza R, Ulbrich A, Mascarenhas LPG, Boguszewski MC, Campos W. Síndrome metabólica em adolescentes de diferentes estados nutricionais. Arq Bras Endocrinol Metab. 2012; 56(2):104-9. http://dx.doi.org/10.1590/S0004-2730201200 0200003
Hart CN, Cairns A, Jelalian E. Sleep and obesity in children and adolescents. Pediatr Clin North Am. 2011; 58(3):715-33.
World Health Organization. Physical status: The use and interpretation of anthropometry. Technical Report Series, nº 854. Geneva: WHO; 1995.
Centers of Disease Control and Prevention. Table for calculated body mass index values for selected highs and weights for ages 2 to 20 years. Atlanta, GA: National Center for Health Statistic; 2000 [cited 2014 April 6]. Available from: http://www.cdc.gov/ growthcharts
International Diabetes Federation. Worldwide definition of metabolic syndrome. Brussels: International Diabetes Federation; 2005 [cited 2014 Jun 10]. Available from: http://www.idf.org/home/ index.cfm?node=1429
The Third Report of the National Cholesterol Education Program. Expert Panel on Detection. Evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 2002; 285(19):2486-97. 29. Sociedade Brasileira de Cardiologia. V Diretrizes Brasileiras de Hipertensão Arterial. Arq Bras Cardiol. 2007; 89(3):24-79.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer D. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213.
Bertolazi AN, Fagondes SC, Hoof L, Dartora EG, Miozzo ICS, Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011; 12(1):70-5. http:// dx.doi.org/10.1016/j.sleep.2010.04.020
Halal CS, Nunes ML. Education in children’s sleep hygiene: Which approaches are effective? A systematic review. J Pediatr. 2014; 90(5):449-56. http://dx.doi.org/10.1016/j.jped.2014.05.001
Verhulst SL, Schrauwen N, Haentjens D, Rooman RP, Van Gall L, De Backer WA, et al. Sleep-disordered breathing and the metabolic syndrome in overweight and obese children and adolescents. J Pediatr. 2007; 150(6):608-12.
Araújo MFM, Lima ACS, Alencar AMPG, de Araújo TM, Fragoaso LVC, et al. Avaliação da qualidade do sono de estudantes universitários de Fortaleza - CE. Texto Contexto Enferm. 2013; 22(2):352-60. http:// dx.doi.org/10.1590/S0104-07072013000200011
Sijtsma A, Koller M, Sauer PJJ, Corpeleijn E. Television, sleep, outdoor play and BMI in young children: The GECKO Drenthe cohort. Eur J Pediatr. 2015; 174(5):631-9. http://dx.doi.org/10.1007/s00 431-014-2443-y
Hart CN, Cairns A, Jelalian E. Sleep and obesity in children and adolescents. Pediatr Clin North Am. 2011; 58(3):715-33.
Sena ASS, Cardoso AS, De Carvalho DF, Medeiros JL, Coutinho GF, Albuquerque FCL, et al. Excessive daytime sleepiness and cardiometabolic risk factors in children and teenagers with overweight. J Hum Growth Dev. 2013; 23(1):24-30.
Sung V, Beebe DW, Vandyke R, Fenchel MC, Crimmins NA, Kirk S, et al. Does sleep duration predict metabolic risk in obese adolescents attending tertiary services? A cross-sectional study. Sleep. 2011; 34(7):891-8. http://dx.doi.org/10.5665/ SLEEP.1122
Redline S, Storfer-Isser A, Rosen CL, Johnson NL, Kirchner HL, Emancipator J, et al. Association between metabolic syndrome and sleep-disordered breathing in adolescents. Am J Respir Crit Care Med. 2007; 176(4):401-8.
Marcus CL, Greene MG, Carroll JL. Blood pressure in children with obstructive sleep apnea. Am J Respir Crit Care Med. 1998; 157(4 Pt. 1):1098-103.
Javaheri S, Isser AS, Rosen CL, Redline S. Sleep quality and elevated blood pressure in adolescents. Circulation. 2008; 118(10):1034-40. http://dx. doi.org/10.1161/CIRCULATIONAHA.108.766410
Hannon TS, Tu W, Watson SE, Jalou H, Chakravorty S, Arslanian SA. Morning blood pressure is associated with sleep quality in obese adolescents. J Pediatr. 2014; 164(2):313-7. http://dx.doi.org/10.1016/j. jpeds.2013.10.011
Gruber R, Cassoff J, Knäuper B. Sleep health education in pediatric community settings: Rationale and practical suggestions for incorporating healthy sleep education into pediatric practice. Pediatr Clin North Am. 2011; 58(3):735-54. http:// dx.doi.org/10.1016/j.pcl.2011.03.006
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Copyright (c) 2023 Nathalia Costa GONZAGA, Aline Silva Santos SENA, Alexsandro Silva COURA, Fábio Galvão DANTAS, Renata Cardoso OLIVEIRA, Carla Campos Muniz MEDEIROS

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