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Children with obesity have poorer circadian health as assessed by a global circadian health score

World Journal of Pediatrics 2024年第8期20卷 787-800页

作者： María Rodríguez-Martín Nuria Martínez-Lozano Vicente Santaclara-Maneiro Antonio Gris-Peñas Diego Salmerón Rafael Ríos asta tvarijonaviciute Marta Garaulet Department of Physiology Regional Campus of International ExcellenceUniversity of Murcia30100MurciaCPSpain Biomedical Research Instituteof Murcia IMIB-Arrixaca-UMUUniversity Clinical Hospital30120MurciaSpain Health Area of Lorca LorcaMurciaSpain Health and Social Sciences Department University ofMurciaMurciaSpain Consortium for Biomedical Research in Epidemiology and Public Health MadridSpain Interdisciplinary Laboratory of Clinical Analysis(Interlab-UMU) University of MurciaMurciaSpain Division of Sleep and Circadian Disorders Brigham and Women's Hospital(BWH)and Division of Sleep MedicineHarvard Medical SchoolBostonMA 02115USA

Background Circadian health refers to individuals’well-being and balance in terms of their circadian *** is influenced by external *** adults,a close relationship between circadian-related alterations and obesity has been ***,studies in children are scarce,and circadian health and its association with obesity have not been evaluated *** aimed to assess whether circadian health differed between children with and without obesity as determined by a global circadian score(GCS)in a school-age *** Four hundred and thirty-two children(7–12 years)were recruited in ***-invasive tools were used to calculate the GCS:(1)7-day rhythm of wrist temperature(T),activity(A),position(P),an integrative variable that combines T,A,and P(TAP);(2)cortisol;and(3)7-day food and sleep *** mass index,body fat percentage,waist circumference(WC),melatonin concentration,and cardiometabolic marker levels were *** Circadian health,as assessed by the GCS,differed among children with obesity,overweight,and normal weight,with poorer circadian health among children with *** with obesity and abdominal obesity had 3.54 and 2.39 greater odds of having poor circadian health,respectively,than did those with normal weight or low *** percentage of rhythmicity,a marker of the robustness of the TAP rhythm,and the amplitude,both components of the GCS,decreased with increasing *** lifestyle behaviors were involved in the association between circadian health and obesity,particularly protein intake(P=0.024),physical activity level(P=0.076)and chronotype(P=0.029).Conclusions The GCS can capture the relationship between circadian health and obesity in school-age *** intake,physical activity level,and chronotype were involved in this *** intervention based on improving circadian health may help to prevent childhood obesity.

关键词： Children Chronodisruption Circadian Lifestyle Obesity

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