@misc{10481/75882,
year = {2022},
month = {3},
url = {http://hdl.handle.net/10481/75882},
abstract = {Objective To evaluate the associations of parent-reported sleep-disordered breathing (SDB) and device-assessed sleep behaviors with behavioral and emotional functioning in pediatric patients with overweight/obesity.

Study design A total of 109 children with overweight/obesity (mean age, 10.0 +/- 1.1 years) were included in this cross-sectional study. We used the Spanish version of the Pediatric Sleep Questionnaire (PSQ) to assess SDB and its subscales (ie, snoring, daytime sleepiness, and inattention/hyperactivity). Device-assessed sleep behaviors (ie, wake time, sleep onset time, total time in bed, total sleep time, and waking after sleep onset) were estimated using wrist-worn accelerometers. We used the Behavior Assessment System for Children, second edition to assess behavioral and emotional functioning (ie, clinical scale: aggressiveness, hyperactivity, behavior problems, attention problems, atypicality, depression, anxiety, retreat, and somatization; adaptive scale: adaptability, social skills, and leadership).

Results SDB was positively associated with all clinical scale variables (all beta > 0.197, P <=.041) and with lower adaptability and leadership (all beta < -0.226, P < .021). Specifically, the PSQ subscale relating to daytime sleepiness was associated with higher attention problems, depression, anxiety, and retreat (all beta > 0.196, P .045) and lower adaptability (beta = -0.246, P = .011). The inattention/hyperactivity subscale was significantly associated with the entire clinical and adaptive scales (all beta > vertical bar 0.192 vertical bar, P <= .046) except for somatization. The snoring subscale and device-assessed sleep behaviors were not related to any behavioral or emotional functioning variables.

Conclusions Our study suggests that SDB symptoms, but not device-assessed sleep behaviors, are associated with behavioral and emotional functioning in children with overweight/obesity. Specifically, daytime sleepiness, a potential SDB symptom, was related to higher attention problems, depression, anxiety, and retreat and lower adaptability.},
organization = {Spanish Government},
organization = {European Commission	DEP2013-47540	
DEP2016-79512-R	
DEP2017-91544-EXP	
RYC-2011-09011},
organization = {Spanish Government	FPU17/04802	
FJC2018-037925-I	
FPU15/02645},
organization = {University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence, Scientific Excellence Unit on Exercise and Health},
organization = {Consejeria de Conocimiento, Investigacion y Universidades},
organization = {European Commission	B-CTS-355-UGR18	
SOMM17/6107/UGR},
organization = {SAMID III network, RETICS - PNI + D + I 2017-2021 (Spain)},
organization = {ISCIII Sub-Directorate General for Research Assessment and Promotion},
organization = {EXERNET Research Network on Exercise and Health	DEP2005-00046/ACTI	
09/UPB/19	
45/UPB/20	
27/UPB/21},
organization = {European Commission	667302},
organization = {HL-PIVOT network Healthy Living for Pandemic Event Protection},
organization = {Andalusian Operational Programme},
organization = {Junta de Andalucia},
publisher = {Elsevier},
title = {Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity},
doi = {10.1016/j.jpeds.2022.03.006},
author = {Torres López, Lucía Victoria and Cadenas Sánchez, Cristina and Hidalgo Migueles, Jairo and Ortega Porcel, Francisco Bartolomé},
}