Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study

Abstract Background Sleep disturbances are associated with poor health outcomes in children. However, the sleep problems that occur in children’s growth and metabolism need to be further studied. The aim of the present study was to assess the effects of sleep habits on the growth and metabolism in s...

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Main Authors: Yiren Chen, Lijun Wu, Zijun Liao, Yiying Huang, Qin Liu, Shaoli Li, Junting Liu, Xinnan Zong, Jun Tai, Fangfang Chen
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21637-3
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author Yiren Chen
Lijun Wu
Zijun Liao
Yiying Huang
Qin Liu
Shaoli Li
Junting Liu
Xinnan Zong
Jun Tai
Fangfang Chen
author_facet Yiren Chen
Lijun Wu
Zijun Liao
Yiying Huang
Qin Liu
Shaoli Li
Junting Liu
Xinnan Zong
Jun Tai
Fangfang Chen
author_sort Yiren Chen
collection DOAJ
description Abstract Background Sleep disturbances are associated with poor health outcomes in children. However, the sleep problems that occur in children’s growth and metabolism need to be further studied. The aim of the present study was to assess the effects of sleep habits on the growth and metabolism in school-aged children. Methods This cross-sectional study included 5832 children and adolescents aged 6–18 years from 10 primary and secondary schools in a district in Beijing between 2022 and 2023. Children’s sleep characteristics were evaluated using the Children’s Sleep Habits Questionnaire (CSHQ). Body composition, body mass index (BMI), blood pressure, fasting plasma glucose, and blood lipid levels were assessed. Results Girls had a greater rate of sleep anxiety, while boys had a greater rate of sleep-disordered breathing (SDB) across all age groups. Linear regression analysis showed that poor sleep habits were negatively correlated with height for age (HAZ) and systolic blood pressure (SBP) (β = −0.111 and − 0.459, respectively; p < 0.05). SDB was significantly associated with BMI, fat mass percentage (FMP), waist-to-height ratio (WHtR), SBP, triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C) across all age groups (p < 0.05), while SDB was positively correlated with HAZ only in children aged 6–11 years (β = 0.240, p < 0.05). Logistic regression analysis showed that insufficient sleep was associated with FMP, WHtR, and overweight/obesity in children aged 6–11 years (p < 0.05). SDB was a risk factor for hypertension in children aged 12–18 years (OR = 1.847, p < 0.05). Conclusions Evaluating the multiple aspects of childhood sleep habits is crucial for improving sleep-related children’s growth and metabolism. Age differences in sleep-related growth and cardiometabolic abnormalities should be considered in preventive interventions. Our study provides new insights into age differences in the influence of sleep habits on the growth and metabolism of children.
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spelling doaj-art-fe8894ec49904b5faed126d1c4a4d8ce2025-02-09T12:58:36ZengBMCBMC Public Health1471-24582025-02-012511910.1186/s12889-025-21637-3Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional studyYiren Chen0Lijun Wu1Zijun Liao2Yiying Huang3Qin Liu4Shaoli Li5Junting Liu6Xinnan Zong7Jun Tai8Fangfang Chen9Department of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsDepartment of Otolaryngology, Head and Neck Surgery, Children’s Hospital Capital Institute of PediatricsDepartment of Epidemiology, Capital Institute of PediatricsAbstract Background Sleep disturbances are associated with poor health outcomes in children. However, the sleep problems that occur in children’s growth and metabolism need to be further studied. The aim of the present study was to assess the effects of sleep habits on the growth and metabolism in school-aged children. Methods This cross-sectional study included 5832 children and adolescents aged 6–18 years from 10 primary and secondary schools in a district in Beijing between 2022 and 2023. Children’s sleep characteristics were evaluated using the Children’s Sleep Habits Questionnaire (CSHQ). Body composition, body mass index (BMI), blood pressure, fasting plasma glucose, and blood lipid levels were assessed. Results Girls had a greater rate of sleep anxiety, while boys had a greater rate of sleep-disordered breathing (SDB) across all age groups. Linear regression analysis showed that poor sleep habits were negatively correlated with height for age (HAZ) and systolic blood pressure (SBP) (β = −0.111 and − 0.459, respectively; p < 0.05). SDB was significantly associated with BMI, fat mass percentage (FMP), waist-to-height ratio (WHtR), SBP, triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C) across all age groups (p < 0.05), while SDB was positively correlated with HAZ only in children aged 6–11 years (β = 0.240, p < 0.05). Logistic regression analysis showed that insufficient sleep was associated with FMP, WHtR, and overweight/obesity in children aged 6–11 years (p < 0.05). SDB was a risk factor for hypertension in children aged 12–18 years (OR = 1.847, p < 0.05). Conclusions Evaluating the multiple aspects of childhood sleep habits is crucial for improving sleep-related children’s growth and metabolism. Age differences in sleep-related growth and cardiometabolic abnormalities should be considered in preventive interventions. Our study provides new insights into age differences in the influence of sleep habits on the growth and metabolism of children.https://doi.org/10.1186/s12889-025-21637-3Sleep habitsGrowthMetabolismSleep durationSleep-disordered breathing
spellingShingle Yiren Chen
Lijun Wu
Zijun Liao
Yiying Huang
Qin Liu
Shaoli Li
Junting Liu
Xinnan Zong
Jun Tai
Fangfang Chen
Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study
BMC Public Health
Sleep habits
Growth
Metabolism
Sleep duration
Sleep-disordered breathing
title Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study
title_full Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study
title_fullStr Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study
title_full_unstemmed Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study
title_short Status of sleeping habits and its influence on growth and metabolism of children in Beijing: a population-based cross-sectional study
title_sort status of sleeping habits and its influence on growth and metabolism of children in beijing a population based cross sectional study
topic Sleep habits
Growth
Metabolism
Sleep duration
Sleep-disordered breathing
url https://doi.org/10.1186/s12889-025-21637-3
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