Open Access
CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(04): 298-303
DOI: 10.5935/1984-0063.20200037
Short Communications

Effect of obesity on sleep quality, anthropometric and autonomic parameters in adolescent

Authors

  • Bruna Cruz Magalhães

    1   Federal University of Maranhão, Department of Nutrition - São Luís - Maranhão - Brazil.
  • Nivaldo de Jesus Silva Soares Júnior

    2   Federal University of Maranhão, Physical Education Department - São Luís - Maranhão - Brazil.
  • Carlos Alberto Alves Dias Filho

    3   Federal University of Maranhão, Laboratory of Cardiovascular Adaptations to Exercise (LACORE) - São Luís - Maranhão - Brazil.
  • Rafael Martins Andrade

    3   Federal University of Maranhão, Laboratory of Cardiovascular Adaptations to Exercise (LACORE) - São Luís - Maranhão - Brazil.
  • Carlos José Moraes Dias

    2   Federal University of Maranhão, Physical Education Department - São Luís - Maranhão - Brazil.
  • Silvana de Figueredo Alencar de Oliveira

    1   Federal University of Maranhão, Department of Nutrition - São Luís - Maranhão - Brazil.
  • Luanda Sinthia Oliveira Silva Santana

    1   Federal University of Maranhão, Department of Nutrition - São Luís - Maranhão - Brazil.
  • Carlan da Silva Sena

    3   Federal University of Maranhão, Laboratory of Cardiovascular Adaptations to Exercise (LACORE) - São Luís - Maranhão - Brazil.
  • Janaína de Oliveira Monzani-Brito

    3   Federal University of Maranhão, Laboratory of Cardiovascular Adaptations to Exercise (LACORE) - São Luís - Maranhão - Brazil.
  • Andressa Coelho Ferreira

    3   Federal University of Maranhão, Laboratory of Cardiovascular Adaptations to Exercise (LACORE) - São Luís - Maranhão - Brazil.
  • Cristiano Teixeira Mostarda

    2   Federal University of Maranhão, Physical Education Department - São Luís - Maranhão - Brazil.

Objective To compare the effects of obesity on sleep quality, the anthropometric and autonomic parameters of adolescents.

Material and Methods A cross-sectional study was carried out with adolescents aged 11 to 18, analyzing parameters such as BMI, sleep quality records, waist circumference, fat percentage, blood pressure and sexual maturation, in addition to autonomic cardiac function through the analysis of heart rate variability.

Results The anthropometric parameters of waist circumference, percentage fat mass, were significantly higher in the group of obese adolescents. Sympathetic modulation in LF% was significantly higher in obesity. Parasympathetic modulation in HF% was significantly lower in obese than in eutrophic.

Conclusion Obese adolescents do not have poor sleep quality; there is no distinction between boys and girls regarding the analyzed variables; however, obesity alone was responsible for negatively influencing anthropometric parameters, as well as impairing the autonomic cardiac modulation.



Publication History

Received: 08 November 2019

Accepted: 13 July 2020

Article published online:
09 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • REFERENCES

  • 1 Bloch KV, Cardoso MA, Sichieri R. Estudo dos Riscos Cardiovasculares em Adolescentes (ERICA): resultados e potencialidade. Rev Saúde Pública. 2016;50(Suppl 1):2s.
  • 2 European Society of Cardiology, North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation. 1996 Mar;93(5):1043-65.
  • 3 Nagai N, Moritani T. Effect of physical activity on autonomic nervous system function in lean and obese children. Int J Obes. 2004;28(1):27-33.
  • 4 Matthews KA, Pantesco EJ. Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review. Sleep Med. 2016 Feb;18:36-49.
  • 5 Acharya, U. Rajendra et al. Heart rate variability: a review. Medical and biological engineering and computing, v. 44, n. 12, p. 1031-1051, 2006.
  • 6 Moodithaya S, Avadhany ST. Gender differences in age-related changes in cardiac autonomic nervous function. J Aging Res. 2011;2012:679345.
  • 7 Onis Md, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007 Sep;85(9):660-7.
  • 8 Beevers G, Lip GY, O’Brien E. Blood pressure measurement: Part II - conventional sphygmomanometry: technique of auscultatory blood pressure measurement. BMJ. 2001 Apr;322(7293):1043-7.
  • 9 Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT. 7ª Diretriz brasileira de hipertensão arterial. Arq Bras Cardiol. 2016 Sep;107(Suppl 3):1-83.
  • 10 Falkner B, Daniels SR, Flynn JT, Gidding S, Green LA, Ingelfinger JR, et al. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2 III):555-76.
  • 11 Pagani M, Montano N, Porta A, Malliani A, Abboud FM, Birkett C, et al. Relationship between spectral components of cardiovascular variabilities and direct measures of muscle sympathetic nerve activity in humans. Circulation. 1997 Mar;95(6):1441-8.
  • 12 Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969 Jun;44(235):291-303.
  • 13 Knutson KL. Does inadequate sleep play a role in vulnerability to obesity?. Am J Hum Biol. 2012 May/Jun;24(3):361-71.
  • 14 Farah BQ, Prado WL, Tenório TR, Ritti-Dias RM. Heart rate variability and its relationship with central and general obesity in obese normotensive adolescents. Einstein (São Paulo). 2013 Sep;11(3):285-90.
  • 15 Jarrin DC, McGrath JJ, Drake CL. Beyond sleep duration: distinct sleep dimensions are associated with obesity in children and adolescents. Int J Obes. 2013;37(4):552-8.
  • 16 Kaufman CL, Kaiser DR, Steinberger J, Kelly AS, Dengel DR. Relationships of cardiac autonomic function with metabolic abnormalities in childhood obesity. Obesity. 2007 May;15(5):1164-71.
  • 17 Gupta NK, Mueller WH, Chan W, Meininger JC. Is obesity associated with poor sleep quality in adolescents?. Am J Hum Biol. 2002 Nov/ Dec;14(6):762-8.
  • 18 Ryder JR, O’Connell M, Bosch TA, Chow L, Rudser KD, Dengel DR, et al. Impaired cardiac autonomic nervous system function is associated with pediatric hypertension independent of adiposity. Pediatr Res. 2016 Jan;79(1):49-54.
  • 19 Johncy SS, Karthik CS, Bondade SY, Jayalakshmi MK. Altered cardiovascular autonomic function in young normotensive offspring of hypertensive parents–Is obesity an additional risk factor?. J Basic Clin Physiol Pharmacol. 2015 Nov;26(6):531-7.
  • 20 Rabbia F, Silke B, Conterno A, Grosso T, Vito B, Rabbone I, et al. Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res. 2003 Apr;11(4):541-8.
  • 21 Riva P, Martini G, Rabbia F, Milan A, Paglieri C, Chiandussi L, et al. Obesity and autonomic function in adolescence. Clin Exp Hypertens. 2001;23(1-2):57-67.
  • 22 Baum P, Petroff D, Classen J, Kiess W, Blüher S. Dysfunction of autonomic nervous system in childhood obesity: a cross-sectional study. PloS ONE. 2013;8(1):e54546.
  • 23 Qi Z, Ding S. Obesity-associated sympathetic overactivity in children and adolescents: the role of catecholamine resistance in lipid metabolism. J Pediatr Endocrinol Metabol. 2016 Feb;29(2):113-25.