Insights into Childhood Obesity: Sleep Patterns, Vitamin D, and Metabolic Dynamics

Ekin Zeynep Altun; Pelin Bilir; Ayça Törel Ergür

Article Details

Insights into Childhood Obesity: Sleep Patterns, Vitamin D, and Metabolic Dynamics

Authors:

Ekin Zeynep Altun | Pelin Bilir | Ayça Törel Ergür

Publisher:

Istanbul University

Main Topics:

Çocuk Endokrinolojisi

Journal:

Çocuk Dergisi Vol.24 Issue 4, pp.201-206

Document Type:

Article

Publication Date:

2/2025

Document Language:

English

Document ID (Org No.):

2001342389

pISSN:

1308-8491

Keywords:

Abstract:

 Objective: The high prevalence of childhood obesity necessitates a deeper understanding of its underlying pathophysiological mechanisms and associated conditions to effectively address this public health concern. This study investigated the association between vitamin D levels, insulin resistance, dyslipidemia, and sleep patterns in the context of childhood obesity. Methods: This study used data from 115 obese children and adolescents aged 9.918 years, identified by body mass index BMI, kgm2 95th percentile for the children receiving care at a Pediatric Endocrinology Outpatient Clinic. We collected sleep-related information, including onset time and duration, through direct parental questioning and compared these sleep patterns with key health indicators, such as vitamin D levels, insulin resistance, and dyslipidemia. Results: Children who went to bed before 21:30 had the lowest mean HOMA-IR value 4.82.6, whereas children who slept between 21:30 and 23:00 5.42.5 and after 23:00 5.02.5 exhibited slightly higher values p0.374 and p0.789, respectively. Similarly, children who went to bed earlier had lower mean levels of TC 158.7 mgdl vs. 161.2 mgdl, LDL 92.3 mgdl vs. 95.6 mgdl, and TG 84.1 mgdl vs. 106.3 mgdl than those who slept later p0.743, p0.619 and p0.067, respectively. However, children who went to bed before 21:30 had significantly higher HDL levels 49.7 mgdl vs. 44.3 mg dl, p0.019. Regarding sleep duration and 25OHD levels, 58.0  of children with 25OHD levels 20 µgL slept 7 hours, whereas 42.0  slept 8 hours. In contrast, 73.5  of children with 25OHD levels 20 µgL slept 8 hours, whereas only 26.5  slept 7 hours p0.003. Conclusions: Earlier bedtimes and sufficient sleep duration are associated with reduced insulin resistance, more favorable lipid profiles, and higher vitamin D levels in obese children.

 Objective: The high prevalence of childhood obesity necessitates a deeper understanding of its underlying pathophysiological mechanisms and associated conditions to effectively address this public health concern. This study investigated the association between vitamin D levels, insulin resistance, dyslipidemia, and sleep patterns in the context of childhood obesity. Methods: This study used data from 115 obese children and adolescents aged 9.918 years, identified by body mass index BMI, kgm2 95th percentile for the children receiving care at a Pediatric Endocrinology Outpatient Clinic. We collected sleep-related information, including onset time and duration, through direct parental questioning and compared these sleep patterns with key health indicators, such as vitamin D levels, insulin resistance, and dyslipidemia. Results: Children who went to bed before 21:30 had the lowest mean HOMA-IR value 4.82.6, whereas children who slept between 21:30 and 23:00 5.42.5 and after 23:00 5.02.5 exhibited slightly higher values p0.374 and p0.789, respectively. Similarly, children who went to bed earlier had lower mean levels of TC 158.7 mgdl vs. 161.2 mgdl, LDL 92.3 mgdl vs. 95.6 mgdl, and TG 84.1 mgdl vs. 106.3 mgdl than those who slept later p0.743, p0.619 and p0.067, respectively. However, children who went to bed before 21:30 had significantly higher HDL levels 49.7 mgdl vs. 44.3 mg dl, p0.019. Regarding sleep duration and 25OHD levels, 58.0  of children with 25OHD levels 20 µgL slept 7 hours, whereas 42.0  slept 8 hours. In contrast, 73.5  of children with 25OHD levels 20 µgL slept 8 hours, whereas only 26.5  slept 7 hours p0.003. Conclusions: Earlier bedtimes and sufficient sleep duration are associated with reduced insulin resistance, more favorable lipid profiles, and higher vitamin D levels in obese children.

 Objective: The high prevalence of childhood obesity necessitates a deeper understanding of its underlying pathophysiological mechanisms and associated conditions to effectively address this public health concern. This study investigated the association between vitamin D levels, insulin resistance, dyslipidemia, and sleep patterns in the context of childhood obesity. Methods: This study used data from 115 obese children and adolescents aged 9.918 years, identified by body mass index BMI, kgm2 95th percentile for the children receiving care at a Pediatric Endocrinology Outpatient Clinic. We collected sleep-related information, including onset time and duration, through direct parental questioning and compared these sleep patterns with key health indicators, such as vitamin D levels, insulin resistance, and dyslipidemia. Results: Children who went to bed before 21:30 had the lowest mean HOMA-IR value 4.82.6, whereas children who slept between 21:30 and 23:00 5.42.5 and after 23:00 5.02.5 exhibited slightly higher values p0.374 and p0.789, respectively. Similarly, children who went to bed earlier had lower mean levels of TC 158.7 mgdl vs. 161.2 mgdl, LDL 92.3 mgdl vs. 95.6 mgdl, and TG 84.1 mgdl vs. 106.3 mgdl than those who slept later p0.743, p0.619 and p0.067, respectively. However, children who went to bed before 21:30 had significantly higher HDL levels 49.7 mgdl vs. 44.3 mg dl, p0.019. Regarding sleep duration and 25OHD levels, 58.0  of children with 25OHD levels 20 µgL slept 7 hours, whereas 42.0  slept 8 hours. In contrast, 73.5  of children with 25OHD levels 20 µgL slept 8 hours, whereas only 26.5  slept 7 hours p0.003. Conclusions: Earlier bedtimes and sufficient sleep duration are associated with reduced insulin resistance, more favorable lipid profiles, and higher vitamin D levels in obese children.

 Objective: The high prevalence of childhood obesity necessitates a deeper understanding of its underlying pathophysiological mechanisms and associated conditions to effectively address this public health concern. This study investigated the association between vitamin D levels, insulin resistance, dyslipidemia, and sleep patterns in the context of childhood obesity. Methods: This study used data from 115 obese children and adolescents aged 9.918 years, identified by body mass index BMI, kgm2 95th percentile for the children receiving care at a Pediatric Endocrinology Outpatient Clinic. We collected sleep-related information, including onset time and duration, through direct parental questioning and compared these sleep patterns with key health indicators, such as vitamin D levels, insulin resistance, and dyslipidemia. Results: Children who went to bed before 21:30 had the lowest mean HOMA-IR value 4.82.6, whereas children who slept between 21:30 and 23:00 5.42.5 and after 23:00 5.02.5 exhibited slightly higher values p0.374 and p0.789, respectively. Similarly, children who went to bed earlier had lower mean levels of TC 158.7 mgdl vs. 161.2 mgdl, LDL 92.3 mgdl vs. 95.6 mgdl, and TG 84.1 mgdl vs. 106.3 mgdl than those who slept later p0.743, p0.619 and p0.067, respectively. However, children who went to bed before 21:30 had significantly higher HDL levels 49.7 mgdl vs. 44.3 mg dl, p0.019. Regarding sleep duration and 25OHD levels, 58.0  of children with 25OHD levels 20 µgL slept 7 hours, whereas 42.0  slept 8 hours. In contrast, 73.5  of children with 25OHD levels 20 µgL slept 8 hours, whereas only 26.5  slept 7 hours p0.003. Conclusions: Earlier bedtimes and sufficient sleep duration are associated with reduced insulin resistance, more favorable lipid profiles, and higher vitamin D levels in obese children.

Article Details

Insights into Childhood Obesity: Sleep Patterns, Vitamin D, and Metabolic Dynamics

Authors:

Ekin Zeynep Altun | Pelin Bilir | Ayça Törel Ergür

Publisher:

Istanbul University

Main Topics:

Çocuk Endokrinolojisi

Journal:

Çocuk Dergisi Vol.24 Issue 4, pp.201-206

Document Type:

Article

Publication Date:

2/2025

Document Language:

English

Document ID (Org No.):

2001342389

pISSN:

1308-8491

Obese children

sleep time

sleep duration

vitamin D

insulin resistance

Issues

Article Details

Insights into Childhood Obesity: Sleep Patterns, Vitamin D, and Metabolic Dynamics

Authors: Ekin Zeynep Altun | Pelin Bilir | Ayça Törel Ergür

Publisher: Istanbul University

Main Topics: Çocuk Endokrinolojisi

Journal: Çocuk Dergisi Vol.24 Issue 4, pp.201-206

Document Type: Article

Publication Date: 2/2025

Document Language: English

Document ID (Org No.): 2001342389

pISSN: 1308-8491

Obese children

sleep time

sleep duration

vitamin D

insulin resistance

Issues

Authors:

Ekin Zeynep Altun | Pelin Bilir | Ayça Törel Ergür

Publisher:

Istanbul University

Main Topics:

Çocuk Endokrinolojisi

Journal:

Çocuk Dergisi Vol.24 Issue 4, pp.201-206

Document Type:

Article

Publication Date:

2/2025

Document Language:

English

Document ID (Org No.):

2001342389

pISSN:

1308-8491