Social jet lag, chronotype and body mass index in 14–17-year-old adolescents

Susan Malone, Babette Zemel, Charlene Compher, Margaret Souders, Jesse Chittams, Aleda Leis Thompson, Allan Pack, Terri H. Lipman

Research output: Contribution to journalArticle

Abstract

The relationship between sleep duration and obesity in adolescents is inconclusive. This may stem from a more complex relationship between sleep and obesity than previously considered. Shifts toward evening preferences, later sleep–wake times and irregular sleep–wake patterns are typical during adolescence but their relationship to body mass index (BMI) has been relatively unexplored. This cross-sectional study examined associations between sleep duration, midpoint of sleep and social jet lag (estimated from 7 days of continuous actigraphy monitoring), and morningness/eveningness with BMIs (BMI z-scores) and waist-to-height ratios in 14–17-year-old adolescents. Seventy participants were recruited from ninth and tenth grades at a public high school. Participants’ characteristics were as follows: 74% female, 75% post-pubertal, 36% Hispanic, 38% White, 22% Black, 4% Asian and 64% free/reduced lunch participants with a mean age of 15.5 (SD, 0.7). Forty-one percent of the participants were obese (BMI ≥ 95th percentile); 54% were abdominally obese (waist-to-height ratio ≥ 0.5). Multivariable general linear models were used to estimate the association between the independent variables (school night sleep duration, free night sleep duration, midpoint of sleep (corrected), social jet lag and morningness/eveningness) and the dependent variables (BMI z-scores and waist-to-height ratios). Social jet lag is positively associated with BMI z-scores (p < 0.01) and waist-to-height ratios (p = 0.01). Midpoint of sleep (corrected) is positively associated with waist-to-height ratios (p = 0.01). After adjusting for social jet lag, school night sleep duration was not associated with waist-to-height ratios or BMI z-scores. Morningness/eveningness did not moderate the association between sleep duration and BMI z-scores. Findings from this study suggest that chronobiological approaches to preventing and treating obesity may be important for accelerating progress in reducing obesity rates in adolescents.

Original languageEnglish (US)
Pages (from-to)1255-1266
Number of pages12
JournalChronobiology International
Volume33
Issue number9
DOIs
StatePublished - Oct 20 2016

Fingerprint

Sleep
Body Mass Index
Obesity
Actigraphy
Lunch
Pediatric Obesity
Hispanic Americans
Waist-Height Ratio
Linear Models
Cross-Sectional Studies

Keywords

  • adolescents
  • body mass index
  • chronotype
  • obesity
  • sleep
  • social jet lag

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)

Cite this

Malone, S., Zemel, B., Compher, C., Souders, M., Chittams, J., Thompson, A. L., ... Lipman, T. H. (2016). Social jet lag, chronotype and body mass index in 14–17-year-old adolescents. Chronobiology International, 33(9), 1255-1266. https://doi.org/10.1080/07420528.2016.1196697

Social jet lag, chronotype and body mass index in 14–17-year-old adolescents. / Malone, Susan; Zemel, Babette; Compher, Charlene; Souders, Margaret; Chittams, Jesse; Thompson, Aleda Leis; Pack, Allan; Lipman, Terri H.

In: Chronobiology International, Vol. 33, No. 9, 20.10.2016, p. 1255-1266.

Research output: Contribution to journalArticle

Malone, S, Zemel, B, Compher, C, Souders, M, Chittams, J, Thompson, AL, Pack, A & Lipman, TH 2016, 'Social jet lag, chronotype and body mass index in 14–17-year-old adolescents', Chronobiology International, vol. 33, no. 9, pp. 1255-1266. https://doi.org/10.1080/07420528.2016.1196697
Malone, Susan ; Zemel, Babette ; Compher, Charlene ; Souders, Margaret ; Chittams, Jesse ; Thompson, Aleda Leis ; Pack, Allan ; Lipman, Terri H. / Social jet lag, chronotype and body mass index in 14–17-year-old adolescents. In: Chronobiology International. 2016 ; Vol. 33, No. 9. pp. 1255-1266.
@article{b9e4d557b57c40d4b4c6c56ec794b99d,
title = "Social jet lag, chronotype and body mass index in 14–17-year-old adolescents",
abstract = "The relationship between sleep duration and obesity in adolescents is inconclusive. This may stem from a more complex relationship between sleep and obesity than previously considered. Shifts toward evening preferences, later sleep–wake times and irregular sleep–wake patterns are typical during adolescence but their relationship to body mass index (BMI) has been relatively unexplored. This cross-sectional study examined associations between sleep duration, midpoint of sleep and social jet lag (estimated from 7 days of continuous actigraphy monitoring), and morningness/eveningness with BMIs (BMI z-scores) and waist-to-height ratios in 14–17-year-old adolescents. Seventy participants were recruited from ninth and tenth grades at a public high school. Participants’ characteristics were as follows: 74{\%} female, 75{\%} post-pubertal, 36{\%} Hispanic, 38{\%} White, 22{\%} Black, 4{\%} Asian and 64{\%} free/reduced lunch participants with a mean age of 15.5 (SD, 0.7). Forty-one percent of the participants were obese (BMI ≥ 95th percentile); 54{\%} were abdominally obese (waist-to-height ratio ≥ 0.5). Multivariable general linear models were used to estimate the association between the independent variables (school night sleep duration, free night sleep duration, midpoint of sleep (corrected), social jet lag and morningness/eveningness) and the dependent variables (BMI z-scores and waist-to-height ratios). Social jet lag is positively associated with BMI z-scores (p < 0.01) and waist-to-height ratios (p = 0.01). Midpoint of sleep (corrected) is positively associated with waist-to-height ratios (p = 0.01). After adjusting for social jet lag, school night sleep duration was not associated with waist-to-height ratios or BMI z-scores. Morningness/eveningness did not moderate the association between sleep duration and BMI z-scores. Findings from this study suggest that chronobiological approaches to preventing and treating obesity may be important for accelerating progress in reducing obesity rates in adolescents.",
keywords = "adolescents, body mass index, chronotype, obesity, sleep, social jet lag",
author = "Susan Malone and Babette Zemel and Charlene Compher and Margaret Souders and Jesse Chittams and Thompson, {Aleda Leis} and Allan Pack and Lipman, {Terri H.}",
year = "2016",
month = "10",
day = "20",
doi = "10.1080/07420528.2016.1196697",
language = "English (US)",
volume = "33",
pages = "1255--1266",
journal = "Annual Review of Chronopharmacology",
issn = "0743-9539",
publisher = "Marcel Dekker Inc.",
number = "9",

}

TY - JOUR

T1 - Social jet lag, chronotype and body mass index in 14–17-year-old adolescents

AU - Malone, Susan

AU - Zemel, Babette

AU - Compher, Charlene

AU - Souders, Margaret

AU - Chittams, Jesse

AU - Thompson, Aleda Leis

AU - Pack, Allan

AU - Lipman, Terri H.

PY - 2016/10/20

Y1 - 2016/10/20

N2 - The relationship between sleep duration and obesity in adolescents is inconclusive. This may stem from a more complex relationship between sleep and obesity than previously considered. Shifts toward evening preferences, later sleep–wake times and irregular sleep–wake patterns are typical during adolescence but their relationship to body mass index (BMI) has been relatively unexplored. This cross-sectional study examined associations between sleep duration, midpoint of sleep and social jet lag (estimated from 7 days of continuous actigraphy monitoring), and morningness/eveningness with BMIs (BMI z-scores) and waist-to-height ratios in 14–17-year-old adolescents. Seventy participants were recruited from ninth and tenth grades at a public high school. Participants’ characteristics were as follows: 74% female, 75% post-pubertal, 36% Hispanic, 38% White, 22% Black, 4% Asian and 64% free/reduced lunch participants with a mean age of 15.5 (SD, 0.7). Forty-one percent of the participants were obese (BMI ≥ 95th percentile); 54% were abdominally obese (waist-to-height ratio ≥ 0.5). Multivariable general linear models were used to estimate the association between the independent variables (school night sleep duration, free night sleep duration, midpoint of sleep (corrected), social jet lag and morningness/eveningness) and the dependent variables (BMI z-scores and waist-to-height ratios). Social jet lag is positively associated with BMI z-scores (p < 0.01) and waist-to-height ratios (p = 0.01). Midpoint of sleep (corrected) is positively associated with waist-to-height ratios (p = 0.01). After adjusting for social jet lag, school night sleep duration was not associated with waist-to-height ratios or BMI z-scores. Morningness/eveningness did not moderate the association between sleep duration and BMI z-scores. Findings from this study suggest that chronobiological approaches to preventing and treating obesity may be important for accelerating progress in reducing obesity rates in adolescents.

AB - The relationship between sleep duration and obesity in adolescents is inconclusive. This may stem from a more complex relationship between sleep and obesity than previously considered. Shifts toward evening preferences, later sleep–wake times and irregular sleep–wake patterns are typical during adolescence but their relationship to body mass index (BMI) has been relatively unexplored. This cross-sectional study examined associations between sleep duration, midpoint of sleep and social jet lag (estimated from 7 days of continuous actigraphy monitoring), and morningness/eveningness with BMIs (BMI z-scores) and waist-to-height ratios in 14–17-year-old adolescents. Seventy participants were recruited from ninth and tenth grades at a public high school. Participants’ characteristics were as follows: 74% female, 75% post-pubertal, 36% Hispanic, 38% White, 22% Black, 4% Asian and 64% free/reduced lunch participants with a mean age of 15.5 (SD, 0.7). Forty-one percent of the participants were obese (BMI ≥ 95th percentile); 54% were abdominally obese (waist-to-height ratio ≥ 0.5). Multivariable general linear models were used to estimate the association between the independent variables (school night sleep duration, free night sleep duration, midpoint of sleep (corrected), social jet lag and morningness/eveningness) and the dependent variables (BMI z-scores and waist-to-height ratios). Social jet lag is positively associated with BMI z-scores (p < 0.01) and waist-to-height ratios (p = 0.01). Midpoint of sleep (corrected) is positively associated with waist-to-height ratios (p = 0.01). After adjusting for social jet lag, school night sleep duration was not associated with waist-to-height ratios or BMI z-scores. Morningness/eveningness did not moderate the association between sleep duration and BMI z-scores. Findings from this study suggest that chronobiological approaches to preventing and treating obesity may be important for accelerating progress in reducing obesity rates in adolescents.

KW - adolescents

KW - body mass index

KW - chronotype

KW - obesity

KW - sleep

KW - social jet lag

UR - http://www.scopus.com/inward/record.url?scp=84981534909&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84981534909&partnerID=8YFLogxK

U2 - 10.1080/07420528.2016.1196697

DO - 10.1080/07420528.2016.1196697

M3 - Article

VL - 33

SP - 1255

EP - 1266

JO - Annual Review of Chronopharmacology

JF - Annual Review of Chronopharmacology

SN - 0743-9539

IS - 9

ER -