Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Sleep Duration & Cardiometabolic Health in Adolescents

Pediatrics; ePub 2018 Jun 15; Cespedes, et al

Among young adolescents, longer sleep duration and higher sleep efficiency were associated with a more favorable cardiometabolic profile, independent of other obesity-related behaviors, a new study found. The cross-sectional study of 829 adolescents (51.5% girls, mean age 13.2 years) derived sleep duration, efficiency, and moderate-to-vigorous physical activity from >5 days of wrist actigraphy recording for >10 hours/day. The primary outcome was a metabolic risk score; secondary outcomes include score components and dual-energy radiograph absorptiometry fat mass. Among the details:

  • Median sleep duration was 441.1 (54.8) minutes per day and sleep efficiency was 84.0%.
  • Longer sleep duration was associated with lower metabolic risk scores.
  • Associations with sleep efficiency persisted after adjustment for BMI z score and physical activity, television-viewing, and diet quality.
  • Longer sleep duration and greater sleep efficiency were also favorably associated with waist circumference, systolic blood pressure, high-density lipoprotein cholesterol, and fat mass.

Citation:

Cespedes FEM, Quante M, Rifas-Shiman SL, Redline S, Oken E, Taveras EM. Objective sleep characteristics and cardiometabolic health in young adolescents. Pediatrics. [Published online ahead of print June 15, 2018]. doi:10.1542/peds.2017-4085.

This Week's Must Reads

Antibiotic Use Among US Older Adults, BMJ; ePub 2018 Jul 27; Olesen, Barnett, et al

Healthy Behaviors & Reduced Risk of Obesity , Mayo Clin Proc; ePub 2018 Jul 27; Shook, et al

Modifiable Risk Factors in New BP Categories, Am J Med; ePub 2018 Jul 26; Gu, Yue, et al

Psychological Screening for Youth with Abdominal Pain, Pediatrics; ePub 2018 Jul 25; Cunningham, et al

Low-Calorie Sweetened Beverages & Cardiometabolic Health, Circulation; ePub 2018 Jul 30; Johnson, et al

Must Reads in Pediatrics

Healthy Behaviors & Reduced Risk of Obesity , Mayo Clin Proc; ePub 2018 Jul 27; Shook, et al

Psychological Screening for Youth with Abdominal Pain, Pediatrics; ePub 2018 Jul 25; Cunningham, et al

Outpatient Opioid Prescriptions for Children, Pediatrics; ePub 2018 Jul 16; Chung, et al

Firearm Injuries in Children & Adolescents, Pediatrics; ePub 2018 Jul 2; Herrin, et al

Sleep Duration & Cardiometabolic Health in Adolescents, Pediatrics; ePub 2018 Jun 15; Cespedes, et al