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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 s.ntaclara-maneiro Antonio Gris-Peñas Diego salmerón Rafael Ríos Asta Tvarijonaviciute Marta Garaulet Department of Physiology Regional Campus of International Excellence University of Murcia Murcia Spain Biomedical Research Institute of Murcia IMIB-Arrixaca-UMU University Clinical Hospital Murcia Spain Health Area of Lorca Lorca Spain Health and social sciences Department University of Murcia Murcia Spain Consortium for Biomedical Research in Epidemiology and Public Health Madrid Spain Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU) University of Murcia Murcia Spain Division of sleep and Circadian Disorders Brigham and Women’s Hospital (BWH) and Division of Sleep Medicine Harvard Medical School Boston USA

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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