Increasing the number of hours of sleep that adolescents get each night may reduce the prevalence of adolescent obesity, according to researchers from the University of Pennsylvania’s Perelman School of Medicine.
Results of a study, which was published in Pediatrics, revealed that fewer hours of sleep was associated with greater increases in adolescent body mass index (BMI) for participants between 14 and 18 years old. The findings suggest that increasing sleep duration to 10 hours per day, especially for those in the upper half of the BMI distribution, could help to reduce the prevalence of adolescent obesity.
The study observed over 1,000 Philadelphia-area high school students from grade 9 through 12. At each 6-month interval, participants were asked to report their sleep patterns, along with their heights and weights, which were used to calculate BMI.
Overall, researchers noted the strength of the association between sleep and BMI was weaker at the lower tail of the BMI distribution, compared to the upper tail. For example, each additional hour of sleep was associated with only a slight reduction in BMI (0.07 kg/m2) at the 10th BMI percentile. In comparison, at the 50th percentile a higher reduction in BMI was observed (0.17 kg/m2), and at the 90th percentile an even greater reduction in BMI was observed (0.28 kg/m2).
Study authors suggest the results could have far-reaching implications and aid in reducing the high levels of adolescent obesity in the United States, which have more than tripled over the last four decades.
“What we found in following these adolescents is that each additional hour of sleep was associated with a reduced BMI for all participants, but the reduction was greater for those with higher BMIs,” said lead author Jonathan A. Mitchell, PhD, postdoctoral fellow in the Center for Clinical Epidemiology and Biostatistics at Penn Medicine. “The study is further evidence to support that getting more sleep each night has substantial health benefits during this crucial developmental period.”
Based on the results, the authors suggest that increasing sleep from 8 to 10 hours per day at age 18 could result in a 4 percent reduction in the number of adolescents with a BMI above 25 kg/m2. At the current population level, a 4 percent reduction would translate to roughly 500,000 fewer overweight adolescents, according to researchers.
“Educating adolescents on the benefits of sleep, and informing them of sleep hygiene practices, have shown to have little impact on adolescent sleep duration,” said Mitchell. “One possible solution could be for high schools to delay the start to the school day. Previous research has shown that delaying the start of the school day even by 30 minutes results in a 45-minute per day increase in sleep. Since our study shows increasing sleep by an hour or more could lead to a lower BMI, delaying the start of the school day could help to reduce obesity in adolescents.”