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Archives of Disease in Childhood 2008;93:89-90; doi:10.1136/adc.2007.124768
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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PostScript

Letters

Sleep duration and metabolic dysregulation in overweight children and adolescents

S L Verhulst1, N Schrauwen1, D Haentjens1, R P Rooman1, L Van Gaal2, W A De Backer3, K N Desager4

1 Department of Pediatrics, Antwerp University Hospital, Antwerp, Belgium
2 Department of Diabetology, Metabolism and Clinical Nutrition, Antwerp University Hospital, Antwerp, Belgium
3 Department of Respiratory Medicine, Antwerp University Hospital, Antwerp, Belgium
4 Department of Pediatrics, Antwerp University Hospital, Antwerp, Belgium

Correspondence to:
Dr S Verhulst, University of Antwerp, Department of Pediatrics, Universiteitsplein 1, 2610 Wilrijk, Belgium; stijn.verhulst@ua.ac.be

The first 150 words of the full text of this article appear below.

Growing epidemiological evidence supports a link between sleep duration and obesity in children and adolescents.1 Furthermore, a recent study demonstrated an association between short sleep duration and insulin resistance.2 Identification of other conditions, such as sleep deprivation, which could be additionally implicated in the development of both obesity and its associated cardiovascular risk factors, is urgently needed in the treatment and prevention of obesity. Impaired sleep could certainly be one of these conditions as it influences both energy intake and expenditure. Shorter sleep duration results in tiredness that may hamper physical activity, and alters metabolic hormones to increase appetite and affect food selection. Additionally, extra time awake provides increased opportunity for food intake.1 We previously reported an independent association between sleep-disordered breathing and both glucose intolerance and dyslipidaemia, but in that paper we did not include information on sleep duration.3 We therefore retrospectively analysed the interaction between parentally-reported sleep . . . [Full text of this article]







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