The Effect of Sleep Duration on Overweight or Obesity in Female Adolescents: A Meta-Analysis Study

Putri Isriyatil Jannah, Eti Poncorini Pamungkasari, Hanung Prasetya


Background: Overweight or obesity is a con­dition of excessive accumulation of fat in the body which is indicated by a Body Mass Index value exceeding 25 kg/m2. WHO esti­mated that in 2022 adolescents will expe­rience more obe­sity cases than underweight cases. One of the behaviors that can reduce the risk of overweight and obesity is having adequate sleep duration. This study aimed to analyze the magnitude of the effect of sleep duration on overweight or obesity in female adolescents with a meta-analysis study.

Subjects and Method: This was a syste­matic review and meta-analysis study. The study was carried out by following the PRISMA diagram. The process of the search for articles through a database that included: PubMed, Google Scholar, and Springer Link. The articles were selected in the period 2009-2020. The key­words used include: "sleep duration" AND adolescents, overweight AND "female adoles­cents", obesity AND adoles­cent, "sleep dura­tion" OR "overweight obe­sity" OR adolescents OR "cross-sectional", "sleep duration" AND "overweight obesity "AND adolescent," sleep timing "AND obesity AND girls. The inclusion criteria were full-text articles with cross-sectional study design, English and Indonesian articles, and articles that used multivariate analysis with adjusted Odds Ratio. The articles that qualify were analyzed using the Review Manager 5.3 application.

Results: A total of 9 primary articles from Korea, China, and the USA had conducted a meta-analysis with a sample of 104,726 female adolescents. The results of the meta-analysis showed that female adolescentswith short sleep duration had a risk of overweight or obesity 1.44 times compared with female adolescents with long sleep duration (aOR= 1.44, 95% CI= 1.24 to 1.69, p<0.001).

Conclusion: Short sleep duration signifi­cantly increases overweight/obesity in female adolescents.

Keywords: duration of sleep, overweight or obesity, female adolescents

Correspondence: Putri Isriyatil Jannah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: putriisriyatil@gmail.­com. Mobile: 089634956745.

Indonesian Journal of Medicine (2021), 06(01): 52-61



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Bonanno L, Metro D, Papa M, Finzi G, Maviglia A, Sottile F, et al. (2019). Assessment of sleep and obesity in adults and children. Medicine. 98 (46): 1-6.

CDC (2020). Consequences of obesity, more immediate health risks. Diakses Juli 2020.

Ferranti R, Marventano S, Castellano S, Giogianne G, Nolfo F, Rametta S, Metalone M, Mistretta A (2016). Sleep quality and duration is relate with diet and obesity in young adolescent living in Sicily, Southern Italy. Sleep Sci. 9(2): 117-122. doi: 10.1016/j.slsci.20-16.04.003.

Golley R, Maher C, Matricciani L, Olds T (2013). Sleep duration or bedtime? Exploring the association between sleep timing behavior, diet and BMI in children and adolescents. Int J Obes. 34(4): 546-551. doi: 10.1038/ijo.2012.212.

Hirshkowitz M, Whiton K, Albert S, Alessi C, Bruni O.(2015). National sleep foundation’s sleep time duration reco-mendations: methodology and result summary. Sleep Health. 1(1): 40-43.

Kementerian Kesehatan RI (2013). Pokok-pokok Hasil Riset Kesehatan Dasar (Riskesdas) 2013 Provinsi Jawa Timur. Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan Republik Indonesia Tahun 2013.

Kim J. (2017). Sleep duration and obesity. J Obes Metab Syndr. 26(1): 1-2. doi.-org/10.7570/jomes.2017.26.1.1.

Knutson K, Cauter V (2008). Associations between sleep loss and increased risk of obesity and diabetes. Ann N Y Acad Sci. 1129: 287-304.

Kracht C, Champagne C, Hsia D, Martin C, Newton R, Katzmarzyk P, Staiano A (2020). Association between meeting physical activity, sleep, and dietary guidelines and cardiometabolic risk factors and adiposity in adolescents. J Ado Health. 66(6): 733-739.

Larsen S, Horgan G, Mikkelsen M, Palmeira A, Scott S, Duarte C, Santos I, Encantando J, Driscoll R, Turicchi J, Michalowska J, Stubbs J, Heitmann B (2020). Association between objectively measured sleep duration, adipo-sity and weight loss history. Int J Obes 1-9. doi: 10.1038/s41366-020-0537-3.

Lobstein T, Leach R, Moodie M, Hall K, Gortmaker S, Swinburn B, James W, Wang Y (2015). Child and adolescent obesity: part of a bigger picture. Lancet. 385(9986): 2510-2520. doi:-10.1016/S0140-6736(14)61746-3.

Lobstein T (2010). Global prevalence of childhood obesity in Bouchard C and Katzmarzyk PT (eds) Physical Activity and Obesity. Champaign, IL: Human Kinetis.Chantry, Caroline J., Cynthia R. Howard, and Peggy Auinger. 2006. “Full Breastfeeding Duration and Associated Decrease in Respiratory Tract Infection in US Children.” Pediatrics 117(2): 425–32.

Lopez P, Oliver A, Pihu M, Gisladittir T, Dominguez R, Ries F (2020). Asso-ciation between adherence to the mediterranean diet and physical fit-ness with body composition para-meters in 1717 European adolescents: the adoles health study. Nutrients. 12(77): 1-19.

Machado-Rodrigues A, Silva M, Mota J, Padez C, Ronque E, Cumming S, Malina R (2012). Cardiorespiratory fitness, weight status and objectively measured sedentary behaviour and physical activity in rural and urban Portuguese adolescents. J Child Health Care. 16(2): 166-177. doi: 10.1177/1367493511430676.

Satriani H, Indarto D, Dewi Y (2018). The path analysis of body mass index, physical exercise, sleep quality and parental education on physical fitness among male adolescences. J Health Promot Behav. 3(4): 270-278. doi.-org/10.26911/thejhpb.2018.03.04.07.

Stefan L, Sporis G, Kristicevic T, Knjaz D (2018). Associations between sleep quality and its domains and insuffi-cient physical activity in alarge sample of Croatian young adults: across sectional study. BMJ. 8(7): 1-11. doi:10.1136/bmjopen-2018-021902.

Vgontzas A, Lin H, Papaliaga M, Calhoun S, Vela-Bueno A, Chrousos G, Bixler E (2008). Short sleep duration and obesity: the role of emotional stress and sleep disturbances. Int J Obes. 32: 801-809. doi:10.1038/ijo.2008.4.

Widiyanto A, Murti B, Soemanto (2018). Multilevel analysis on the effects of socio-cultural, lifestyle factors, and school environment, on the risk of overweight in adolescents, Karang-anyar, District, Central Java. J Epide-miol Public Health. 3(1): 94-104. doi.-org/10.26911/jepublichealth.2018.03-.01.08.


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