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Wang, M. ; Flexeder, C. ; Harris, C. ; Kress, S.* ; Schikowski, T.* ; Peters, A. ; Standl, M.

Accelerometry-assessed sleep clusters and obesity in adolescents and young adults: A longitudinal analysis in GINIplus/LISA birth cohorts.

World J. Pediatr. 21, 48-61 (2025)
Publ. Version/Full Text Research data DOI PMC
Open Access Gold (Paid Option)
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BACKGROUND: Some studies have revealed various sleep patterns in adolescents and adults using multidimensional objective sleep parameters. However, it remains unknown whether these patterns are consistent from adolescence to young adulthood and how they relate to long-term obesity. METHODS: Seven-day accelerometry was conducted in German Infant Study on the influence of Nutrition Intervention PLUS environmental and genetic influences on allergy development (GINIplus) and Influence of Lifestyle factors on the development of the Immune System and Allergies in East and West Germany (LISA) birth cohorts during the 15-year and 20-year follow-ups, respectively. Five sleep clusters were identified by k-means cluster analysis using 12 sleep characteristics at each follow-up. Adjusted linear and logistic regression models using generalized estimating equations were examined. Further, the interaction effects with time of follow-ups and polygenic risk scores (PRS) for body mass index (BMI) were tested. RESULTS: Five sleep clusters were classified consistently in both adolescence (n = 1347, aged 14.3-16.4 years) and young adulthood (n = 1262, aged 19.5-22.4 years). Adolescents in the "good sleep", "delayed sleep phase", and "fragmented sleep" clusters displayed greater stability transitioning into young adulthood, while those in the "sleep irregularity and variability", and "prolonged sleep latency" clusters showed lower stability (n = 636). Compared to the "good sleep" cluster, the "prolonged sleep latency" cluster exhibited associations with higher BMI [β = 0.56, 95% confidence interval (CI) = (0.06, 1.05)] and increased odds of overweight/obesity [Odds ratio = 1.55, 95% CI = (1.02, 2.34)]. No significant PRS-sleep cluster interaction was found for BMI or overweight/obesity. Among males only, the "delayed sleep phase", "sleep irregularity and variability" and "fragmented sleep" clusters showed stronger associations with overweight/obesity as age increased. CONCLUSION: Adolescents and young adults shared five consistent sleep patterns, with the "prolonged sleep latency" pattern linked to higher BMI and overweight/obesity.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Accelerometry ; Adolescents ; Obesity ; Sleep Clusters ; Young Adults; Body-mass Index; Sedentary Behavior; Physical-activity; Children; Associations; Actigraphy; Disorders; Mortality; Duration; Validity
ISSN (print) / ISBN 1708-8569
e-ISSN 1867-0687
Journal World Journal of Pediatrics
Quellenangaben Volume: 21, Issue: 1, Pages: 48-61 Article Number: , Supplement: ,
Publisher Zhejiang Univ Press
Publishing Place Xixi Campus, Zhejiang University, No. 148 Tianmushan Road, Hangzhou, Zhejiang, Peoples R China
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology (EPI)
Grants European Research Council (ERC) under the European Union
Federal Ministry for Environment
Projekt DEAL
Mead Johnson
Nestle
Federal Ministry for Education, Science, Research and Technology
Helmholtz Zentrum Muenchen
Helmholtz Centre for Environmental Research -UFZ, Leipzig
Research Institute at Marien-Hospital Wesel, Pediatric Practice
China Scholarship Council
Commission of the European Communities