Sleep duration and cardiovascular risk factors in children and adolescents: A systematic review

Jiahong Sun; Mingming Wang; Lili Yang; Min Zhao; Pascal Bovet; Bo Xi

doi:10.1016/j.smrv.2020.101338

Sleep duration and cardiovascular risk factors in children and adolescents: A systematic review

Sleep Med Rev. 2020 Oct:53:101338. doi: 10.1016/j.smrv.2020.101338. Epub 2020 May 19.

Authors

Jiahong Sun¹, Mingming Wang², Lili Yang², Min Zhao³, Pascal Bovet⁴, Bo Xi⁵

Affiliations

¹ Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China; The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China; Department of Child Health, School of Public Health, Huazhong University of Science and Technology, Wuhan, China.
² Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
³ Department of Nutrition and Food Hygiene, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
⁴ Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
⁵ Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China; The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. Electronic address: xibo2007@126.com.

PMID: 32619932
DOI: 10.1016/j.smrv.2020.101338

Abstract

An association between short sleep duration and cardiovascular risk factors and outcomes is well demonstrated in adults. However, findings on the association in children and adolescents have been inconsistent. In this review, we searched PubMed, Embase and ISI Web of Science for eligible publications until March 16, 2020. We identified 37 reviews/meta-analyses on the association between sleep duration and cardiovascular risk factors and 15 studies on the association between sleep duration and metabolic syndrome (MetS) in children and adolescents. We found strong evidence on the association between short sleep duration and increased adiposity markers and high blood pressure, some evidence on the association between short sleep duration and insulin resistance, but inconsistent findings on the association between sleep duration and blood lipids, inflammation and MetS. Although more studies are needed to further assess the association between sleep duration and selected cardiovascular risk factors, our findings support interventions to improve sleep duration and quality as a potential means to promote cardiovascular health in children and adolescents.

Keywords: Adolescents; Cardiovascular risk factors; Children; Metabolic syndrome; Short sleep duration.

Publication types

Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review

MeSH terms

Adiposity / physiology
Adolescent
Cardiovascular Diseases / prevention & control*
Child
Heart Disease Risk Factors*
Humans
Hypertension / etiology
Obesity
Sleep / physiology*