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dc.contributor.authorTorres López, Lucía Victoria 
dc.contributor.authorCadenas Sánchez, Cristina 
dc.contributor.authorHidalgo Migueles, Jairo 
dc.contributor.authorOrtega Porcel, Francisco Bartolomé 
dc.date.accessioned2022-07-08T08:31:57Z
dc.date.available2022-07-08T08:31:57Z
dc.date.issued2022-03-10
dc.identifier.citationLucia V. Torres-Lopez... [et al.]. Associations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesity, The Journal of Pediatrics, Volume 246, 2022, Pages 170-178.e2, ISSN 0022-3476, [https://doi.org/10.1016/j.jpeds.2022.03.006]es_ES
dc.identifier.urihttp://hdl.handle.net/10481/75882
dc.description.abstractObjective 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.es_ES
dc.description.sponsorshipSpanish Governmentes_ES
dc.description.sponsorshipEuropean Commission DEP2013-47540 DEP2016-79512-R DEP2017-91544-EXP RYC-2011-09011es_ES
dc.description.sponsorshipSpanish Government FPU17/04802 FJC2018-037925-I FPU15/02645es_ES
dc.description.sponsorshipUniversity of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence, Scientific Excellence Unit on Exercise and Healthes_ES
dc.description.sponsorshipConsejeria de Conocimiento, Investigacion y Universidadeses_ES
dc.description.sponsorshipEuropean Commission B-CTS-355-UGR18 SOMM17/6107/UGRes_ES
dc.description.sponsorshipSAMID III network, RETICS - PNI + D + I 2017-2021 (Spain)es_ES
dc.description.sponsorshipISCIII Sub-Directorate General for Research Assessment and Promotiones_ES
dc.description.sponsorshipEXERNET Research Network on Exercise and Health DEP2005-00046/ACTI 09/UPB/19 45/UPB/20 27/UPB/21es_ES
dc.description.sponsorshipEuropean Commission 667302es_ES
dc.description.sponsorshipHL-PIVOT network Healthy Living for Pandemic Event Protectiones_ES
dc.description.sponsorshipAndalusian Operational Programmees_ES
dc.description.sponsorshipJunta de Andaluciaes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.rightsAtribución 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleAssociations of Sleep-Related Outcomes with Behavioral and Emotional Functioning in Children with Overweight/Obesityes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/H2020/667302es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES
dc.identifier.doi10.1016/j.jpeds.2022.03.006
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones_ES


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