Unraveling the interplay: Exploring the relationship between children's obesity, sleep disorders, depressive symptoms, and age dynamics

Betül Orhan Kiliç 1 * , Eda Çakmak 2
More Detail
1 Department of Pediatrics, Faculty of Medicine, Başkent University, Ankara, Turkey
2 Department of Audiology, Faculty of Health Sciences, Başkent University, Ankara
* Corresponding Author
J CLIN MED KAZ, Volume 20, Issue 5, pp. 42-46. https://doi.org/10.23950/jcmk/13761
OPEN ACCESS 531 Views 329 Downloads
Download Full Text (PDF)

ABSTRACT

Objective: This study explores the relationships between sleep disorders, depressive symptoms, and obesity among children of different ages.
Material and methods: The data for this study were collected from 163 Turkish children aged 7 to 10 and 11 to 15 years (mean age=9.4, SD=1.9) who were attending well-child visits. Parents completed an online questionnaire on sociodemographic data, while children completed the Children Depression Inventory and The Children's Sleep Habits Questionnaire.
Results: The regression model for the 7-10 years group included sleep resistance, sleep onset delay, nighttime awakenings, and daytime sleepiness, and explained 33.8% of the variance in Children Depression Inventory scores (R2=0.338, F=9.779, p<0.001). For the 11-15 age group, the regression model included obesity status, Children's Sleep Habits Questionnaire scores, sleep onset delay, sleep-related anxiety, and sleep-disordered breathing, and explained 80.3% of the variance in Children Depression Inventory scores (R2=0.803, F=28.489, p<0.001).
Conclusion: Overall, the results of this study emphasize the significance of addressing sleep disorders, obesity, and depressive symptoms in children, particularly in adolescents, to promote better mental health outcomes.

CITATION

Orhan Kiliç B, Çakmak E. Unraveling the interplay: Exploring the relationship between children's obesity, sleep disorders, depressive symptoms, and age dynamics. J CLIN MED KAZ. 2023;20(5):42-6. https://doi.org/10.23950/jcmk/13761

REFERENCES

  • Deng, X., He, M., He, D., Zhu, Y., Zhang, Z., & Niu, W. Sleep duration and obesity in children and adolescents: evidence from an updated and dose-response meta-analysis. Sleep medicine. 2021; 78:169-181. https://doi.org/10.1016/j.sleep.2020.12.027
  • Charlson, F., van Ommeren, M., Flaxman, A., Cornett, J., Whiteford, H., & Saxena, S. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. The Lancet. 2019; 394(10194):240-248.https://doi.org/10.1016/S0140-6736(19)30934-1
  • Garber, J., Brunwasser, S. M., Zerr, A. A., Schwartz, K. T., Sova, K., & Weersing, V. R. (2016). Treatment and prevention of depression and anxiety in youth: test of cross‐over effects. Depression and anxiety. 2016; 33(10): 939-959. https://doi.org/10.1002/da.22519
  • Hetrick, S. E., Cox, G. R., Witt, K. G., Bir, J. J., & Merry, S. N. Cognitive behavioural therapy (CBT), third‐wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents. Cochrane database of systematic reviews. 2016; 8. https://doi.org/10.1002/14651858.CD003380.pub4
  • Sutaria, S., Devakumar, D., Yasuda, S. S., Das, S., & Saxena, S. Is obesity associated with depression in children? Systematic review and meta-analysis. Archives of disease in childhood. 2019; 104(1):64-74. https://doi.org/10.1136/archdischild-2017-314608
  • Neyzi O, Günöz H, Furman A, Bundak R, Gokcay G. Türk Çocuklarinda Vücut Ağirliği, Boy Uzunluğu, Baş Çevresi ve Vücut Kitle İndeksi Referans Değerleri. Çocuk Sağlığı Ve Hastalıkları Dergisi; 2008; 51.
  • Kovacs M. The Children's Depression Inventory. Psychopharmacology Bulletin 1985; 21: 995-998.
  • Öy B. Çocuklar İçin Depresyon Ölçeği: Geçerlik ve Güvenirlik Çalışması. Türk Psikiyatri Dergisi. 1991; 2:132-136.
  • Owens, J.A., Spirito, A., & Mcguinn, M. The Children's Sleep Habits Questionnaire (Cshq): Psychometric Properties Of A Survey İnstrument For School-Aged Children. Sleep. 2000; 23:1-9. https://doi.org/10.1093/sleep/23.8.1d
  • Fiş P, N., Arman, A., Ay, P., Topuzoglu, A., Gueler, A. S., Imren, S. G., Ersu, R. The Validity And The Reliability Of Turkish Version Of Children's Sleep Habits Questionnaire. Anadolu Psikiyatri Dergisi-Anatolian Journal Of Psychiatry. 2010; 11(2):151-160.
  • Goldstone, A., Javitz, H. S., Claudatos, S. A., Buysse, D. J., Hasler, B. P., de Zambotti, M., Baker, F. C. Sleep disturbance predicts depression symptoms in early adolescence: initial findings from the adolescent brain cognitive development study. Journal of Adolescent Health. 2020; 66(5): 567-574. https://doi.org/10.1016/j.jadohealth.2019.12.005
  • Li, X., Buxton, O. M., Lee, S., Chang, A. M., Berger, L. M., & Hale, L. Sleep mediates the association between adolescent screen time and depressive symptoms. Sleep medicine. 2019; 57. https://doi.org/10.1016/j.sleep.2019.01.029
  • Crouse, J. J., Carpenter, J. S., Song, Y. J. C., Hockey, S. J., Naismith, S. L., Grunstein, R. R., Hickie, I. B. Circadian rhythm sleep-wake disturbances and depression in young people: implications for prevention and early intervention. The Lancet Psychiatry. 2021; 8(9):813-823. https://doi.org/10.1016/S2215-0366(21)00034-1
  • Cheng, W., Rolls, E., Gong, W., Du, J., Zhang, J., Zhang, X. Y., Feng, J. Sleep duration, brain structure, and psychiatric and cognitive problems in children. Molecular psychiatry. 2021; 26(8):3992-4003. https://doi.org/10.1038/s41380-020-0663-2
  • Moreno, J. P., Razjouyan, J., Lester, H., Dadabhoy, H., Amirmazaheri, M., Reesor-Oyer, L., Baranowski, T. Later sleep timing predicts accelerated summer weight gain among elementary school children: a prospective observational study. International Journal of Behavioral Nutrition and Physical Activity. 2021; 18(1):1-12. https://doi.org/10.1186/s12966-021-01165-0
  • Whitaker, B. N., Fisher, P. L., Jambhekar, S., Com, G., Razzaq, S., Thompson, J. E., Ward, W. L. Impact of degree of obesity on sleep, quality of life, and depression in youth. Journal of Pediatric Health Care. 2018; 32(2):e37-e44. https://doi.org/10.1016/j.pedhc.2017.09.008
  • Lewien, C., Genuneit, J., Meigen, C., Kiess, W., & Poulain, T. Sleep-related difficulties in healthy children and adolescents. BMC pediatrics. 2021; 21:51-60. https://doi.org/10.1186/s12887-021-02529-y