Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2024; 12(1): 86-94
Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.86
Interaction between adolescent sleep rhythms and gender in an obese population
Nan-Nan Wu, Guo-Li Yan, Hong-Yu Zhang, Ling Sun, Min Hou, Guang-Ming Xu
Nan-Nan Wu, Min Hou, Department of Laboratory Medicine, Tianjin Chest Hospital, Tianjin 300222, China
Guo-Li Yan, Hong-Yu Zhang, Guang-Ming Xu, Mental Health Center of Tianjin Medical University, Tianjin Anding Hospital, Tianjin 300222, China
Ling Sun, Department of Child and Adolescent Psychology, Mental Health Center of Tianjin Medical University, Tianjin 300222, China
Co-first authors: Nan-Nan Wu and Guo-Li Yan.
Author contributions: Wu NN and Yan GL contribute equally; Wu NN and Yan GL was responsible for literature design of the study, acquiring and analyzing data from the survey, and writing of the actual manuscript; Zhang HY was responsible for article review and article writing; Zhang HY were responsible for data statistics; Sun L, Hou M and Xu GM were responsible for article revision.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Anding Hospital in Tianjin, No. 2021-42.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict-of-interest statement.
Data sharing statement: Data sharing consent was not obtained.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guang-Ming Xu, PhD, Chief Physician, Mental Health Center of Tianjin Medical University, Tianjin Anding Hospital, No. 13 Liulin Road, Hexi District, Tianjin 300222, China. xugm@tmu.edu.cn
Received: August 29, 2023
Peer-review started: August 29, 2023
First decision: September 13, 2023
Revised: September 27, 2023
Accepted: December 1, 2023
Article in press: December 1, 2023
Published online: January 6, 2024
ARTICLE HIGHLIGHTS
Research background

The obesity rate of adolescents is gradually increasing, which seriously affects their mental health, and sleep plays an important role in adolescent obesity.

Research motivation

This study provides a theoretical basis for formulating interventions for adolescent obesity.

Research objectives

This paper investigates the relationship between sleep rhythm and obesity among adolescents and further explores the interactive effect of sleep rhythm and gender on adolescent obesity, providing a theoretical basis for developing interventions for adolescent obesity.

Research methods

Questionnaire on the current situation.

Research results

Logistic regression analysis shows a correlation between sleep rhythm and adolescent obesity. Evening-type sleep rhythm can increase the risk of obesity in male adolescents [1.250 (1.067-1.468)], but the effect on female obesity is not remarkable. Further logistic regression analysis in the overall population demonstrates that the interaction between evening-type sleep rhythm and the male gender poses a risk of adolescent obesity [1.122 (1.043-1.208)].

Research conclusions

The study suggests an interactive effect of sleep rhythm and gender on adolescent obesity, and the combination of evening-type sleep and the male gender promotes the development of adolescent obesity.

Research perspectives

Future research should carry out the longitudinal tracking of sleep rhythm and obesity to determine the causal relationship between adolescent sleep rhythm and obesity. Physical measurements of adolescent sleep rhythm can be conducted for accurate investigation. Furthermore, the characteristics of adolescent night activities and the impact of eating late on obesity should be explored.