Sleep duration and quality are associated with eating behavior in low-income toddlers

doi:10.1016/j.appet.2019.01.006

. 2019 Apr 1:135:100-107.

doi: 10.1016/j.appet.2019.01.006. Epub 2019 Jan 8.

Sleep duration and quality are associated with eating behavior in low-income toddlers

Alison L Miller¹, Sara E Miller², Monique K LeBourgeois³, Julie Sturza⁴, Katherine L Rosenblum⁵, Julie C Lumeng⁶

Affiliations

¹ Department of Health Behavior and Health Education, University of Michigan School of Public Health, United States; Center for Human Growth and Development, University of Michigan, United States. Electronic address: alimill@umich.edu.
² Department of Health Behavior and Health Education, University of Michigan School of Public Health, United States.
³ Department of Integrative Physiology, University of Colorado Boulder, United States.
⁴ Center for Human Growth and Development, University of Michigan, United States.
⁵ Center for Human Growth and Development, University of Michigan, United States; Department of Psychiatry, University of Michigan Medical School, United States.
⁶ Center for Human Growth and Development, University of Michigan, United States; Department of Pediatrics, University of Michigan Medical School, United States; Department of Nutritional Sciences, University of Michigan School of Public Health, United States.

PMID: 30634008
PMCID: PMC6421102
DOI: 10.1016/j.appet.2019.01.006

Sleep duration and quality are associated with eating behavior in low-income toddlers

Alison L Miller et al. Appetite. 2019.

. 2019 Apr 1:135:100-107.

doi: 10.1016/j.appet.2019.01.006. Epub 2019 Jan 8.

Authors

Alison L Miller¹, Sara E Miller², Monique K LeBourgeois³, Julie Sturza⁴, Katherine L Rosenblum⁵, Julie C Lumeng⁶

Affiliations

¹ Department of Health Behavior and Health Education, University of Michigan School of Public Health, United States; Center for Human Growth and Development, University of Michigan, United States. Electronic address: alimill@umich.edu.
² Department of Health Behavior and Health Education, University of Michigan School of Public Health, United States.
³ Department of Integrative Physiology, University of Colorado Boulder, United States.
⁴ Center for Human Growth and Development, University of Michigan, United States.
⁵ Center for Human Growth and Development, University of Michigan, United States; Department of Psychiatry, University of Michigan Medical School, United States.
⁶ Center for Human Growth and Development, University of Michigan, United States; Department of Pediatrics, University of Michigan Medical School, United States; Department of Nutritional Sciences, University of Michigan School of Public Health, United States.

PMID: 30634008
PMCID: PMC6421102
DOI: 10.1016/j.appet.2019.01.006

Abstract

Objective: The present study examined whether different sleep health parameters (duration, timing, and quality) are associated with obesity-related eating behaviors including emotional overeating, food responsiveness, enjoyment of food, satiety responsiveness, and eating in the absence of hunger (EAH), during toddlerhood.

Design: Among 134 low-income 33-month-old children, parents reported on child sleep parameters, including sleep quality (Children's Sleep Wake Scale; CSWS) and usual bedtimes and wake times on weekdays and weekends (weeknight sleep duration, weekday-to-weekend bedtime delay). Child eating behaviors were assessed using both observed and parent-report measures. Child Emotional Overeating, Food Responsiveness, Enjoyment of Food, and Satiety Responsiveness were measured by parent report using the Child Eating Behavior Questionnaire-Toddler. Observed child EAH was evaluated by measuring kilocalories of palatable foods consumed following a meal. Multivariable linear regression was used to examine the associations between sleep parameters and eating behaviors.

Results: Poorer child sleep quality was associated with greater Emotional Overeating (standardized β = -0.20 (SE 0.09), p < .05) and greater Food Responsiveness (β = -0.18 (SE 0.09), p < .05). Shorter child nighttime sleep duration was associated with greater EAH kcal consumed (standardized β = -0.22 (SE 0.09), p < .05). Child bedtime delay was not associated with any of the eating behaviors, and no child sleep variables were associated with either Enjoyment of Food or Satiety Responsiveness.

Conclusions: Shorter nocturnal sleep duration and poorer sleep quality during toddlerhood were associated with some, but not all, of the obesity-related eating behaviors. Poor sleep health may promote childhood obesity risk through different eating behavior pathways. As children growing up in poverty may experience greater sleep decrements, sleep duration and sleep quality may be important targets for intervention among low-income families with young children.

Keywords: Eating behavior; Eating in the absence of hunger; Low-income; Sleep; Toddlers.

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Conflict of interest statement

Conflict of Interest: None of the authors have a conflict of interest to declare.

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References

1. Acebo C, Sadeh A, Seifer R, Tzischinsky O, Hafer A, & Carskadon MA (2005). Sleep/wake patterns derived from activity monitoring and maternal report for healthy 1- to 5-year-old children. Sleep, 28(12), 1568–1577. - PubMed
1. Andersen LB, Mølgaard C, Ejlerskov KT, Trolle E, Michaelsen KF, Bro R, & Pipper CB (2015). Development of Dietary Patterns Spanning Infancy and Toddlerhood: Relation to Body Size, Composition and Metabolic Risk Markers at Three Years. AIMS public health, 2(3), 332–357. doi:10.3934/publichealth.2015.3.332 - DOI - PMC - PubMed
1. Asta K, Miller AL, Retzloff L, Rosenblum K, Kaciroti NA, & Lumeng JC (2016). Eating in the absence of hunger and weight gain in low-income toddlers. Pediatrics, 137(5). doi:10.1542/peds.2015-3786 - DOI - PMC - PubMed
1. Bathory E, & Tomopoulos S (2017). Sleep Regulation, Physiology and Development, Sleep Duration and Patterns, and Sleep Hygiene in Infants, Toddlers, and Preschool-Age Children. Current Problems in Pediatric and Adolescent Health Care, 47(2), 29–42. doi:10.1016/j.cppeds.2016.12.001 - DOI - PubMed
1. Beebe DW, Simon S, Summer S, Hemmer S, Strotman D, & Dolan LM (2013). Dietary intake following experimentally restricted sleep in adolescents. Sleep, 36(6), 827–834. - PMC - PubMed

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[1] Acebo C, Sadeh A, Seifer R, Tzischinsky O, Hafer A, & Carskadon MA (2005). Sleep/wake patterns derived from activity monitoring and maternal report for healthy 1- to 5-year-old children. Sleep, 28(12), 1568–1577. - PubMed

[2] Acebo C, Sadeh A, Seifer R, Tzischinsky O, Hafer A, & Carskadon MA (2005). Sleep/wake patterns derived from activity monitoring and maternal report for healthy 1- to 5-year-old children. Sleep, 28(12), 1568–1577. - PubMed

[3] Andersen LB, Mølgaard C, Ejlerskov KT, Trolle E, Michaelsen KF, Bro R, & Pipper CB (2015). Development of Dietary Patterns Spanning Infancy and Toddlerhood: Relation to Body Size, Composition and Metabolic Risk Markers at Three Years. AIMS public health, 2(3), 332–357. doi:10.3934/publichealth.2015.3.332 - DOI - PMC - PubMed

[4] Andersen LB, Mølgaard C, Ejlerskov KT, Trolle E, Michaelsen KF, Bro R, & Pipper CB (2015). Development of Dietary Patterns Spanning Infancy and Toddlerhood: Relation to Body Size, Composition and Metabolic Risk Markers at Three Years. AIMS public health, 2(3), 332–357. doi:10.3934/publichealth.2015.3.332 - DOI - PMC - PubMed

[5] Asta K, Miller AL, Retzloff L, Rosenblum K, Kaciroti NA, & Lumeng JC (2016). Eating in the absence of hunger and weight gain in low-income toddlers. Pediatrics, 137(5). doi:10.1542/peds.2015-3786 - DOI - PMC - PubMed

[6] Asta K, Miller AL, Retzloff L, Rosenblum K, Kaciroti NA, & Lumeng JC (2016). Eating in the absence of hunger and weight gain in low-income toddlers. Pediatrics, 137(5). doi:10.1542/peds.2015-3786 - DOI - PMC - PubMed

[7] Bathory E, & Tomopoulos S (2017). Sleep Regulation, Physiology and Development, Sleep Duration and Patterns, and Sleep Hygiene in Infants, Toddlers, and Preschool-Age Children. Current Problems in Pediatric and Adolescent Health Care, 47(2), 29–42. doi:10.1016/j.cppeds.2016.12.001 - DOI - PubMed

[8] Bathory E, & Tomopoulos S (2017). Sleep Regulation, Physiology and Development, Sleep Duration and Patterns, and Sleep Hygiene in Infants, Toddlers, and Preschool-Age Children. Current Problems in Pediatric and Adolescent Health Care, 47(2), 29–42. doi:10.1016/j.cppeds.2016.12.001 - DOI - PubMed

[9] Beebe DW, Simon S, Summer S, Hemmer S, Strotman D, & Dolan LM (2013). Dietary intake following experimentally restricted sleep in adolescents. Sleep, 36(6), 827–834. - PMC - PubMed

[10] Beebe DW, Simon S, Summer S, Hemmer S, Strotman D, & Dolan LM (2013). Dietary intake following experimentally restricted sleep in adolescents. Sleep, 36(6), 827–834. - PMC - PubMed

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Sleep duration and quality are associated with eating behavior in low-income toddlers

Affiliations

Sleep duration and quality are associated with eating behavior in low-income toddlers

Authors

Affiliations

Abstract

Conflict of interest statement

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Conflict of interest statement

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