Sleep and Breathing

, Volume 11, Issue 4, pp 285–293 | Cite as

Association between short sleeping hours and overweight in adolescents: results from a US Suburban High School survey

  • Andreea Seicean
  • Susan Redline
  • Sinziana Seicean
  • H. Lester Kirchner
  • Yuan Gao
  • Michikazu Sekine
  • Xiaobei Zhu
  • Amy Storfer-Isser
Original Article


Insufficient sleep may lead to adverse health effects, influencing body weight. This study quantified the prevalence of short sleep and the association between sleep duration and overweight in a sample of suburban students. Cross-sectional study was conducted in 2004, involving 529 students from Bay High School, Bay Village, OH, USA, using self-administered questionnaires assessing lifestyle and sleep behaviors. Students with a body mass index Z Score >85th percentile for sex and age were deemed overweight. Ninety percent of students reported average sleep time less than 8 h on school nights, with 19% reported less than 6 h of sleep per night. Twenty percent of the sample were overweight. Overweight was significantly associated with the male gender, increased caffeine consumption, and short sleep duration. Compared with students sleeping >8 h, the age and gender-adjusted odds ratio of overweight was 8.53 (95% CI: 2.26, 32.14) for those with <5 h sleep (P = 0.0036); 2.79 (1.03, 7.55) for those with 5–6 h sleep; 2.81 (1.14, 6.91) for those with 6–7 h sleep; and 1.29 (0.52, 3.26) for those with 7–8 h sleep. Short sleep duration was common and associated with overweight with evidence of a “dose–response” relationship. These results confirm a high prevalence of short sleep among suburban high school students and provide additional support suggesting significant association between short sleeping hours and overweight.


Overweight/obese Sleep duration Lifestyle 



Special thanks to Bay High School’s Mrs. Lynn Aring, Principal James Cahoon, and the entire student body, graduation classes of 2002 through 2005 for your friendships and support with this work.


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Andreea Seicean
    • 1
    • 5
  • Susan Redline
    • 2
  • Sinziana Seicean
    • 3
  • H. Lester Kirchner
    • 2
  • Yuan Gao
    • 2
  • Michikazu Sekine
    • 4
  • Xiaobei Zhu
    • 2
  • Amy Storfer-Isser
    • 3
  1. 1.Department of Public HealthCase School of MedicineClevelandUSA
  2. 2.Department of Pediatrics, Rainbow Babies & Children’s Hospital, School of MedicineCase Western Reserve UniversityClevelandUSA
  3. 3.Department of Epidemiology and Biostatistics, School of MedicineCase Western Reserve UniversityClevelandUSA
  4. 4.Department of Welfare Promotion and Epidemiology, Graduate School of Medical and Pharmaceutical SciencesUniversity of ToyamaSugitaniJapan
  5. 5.Department of Public Health, School of MedicineCase Western Reserve UniversityClevelandUSA

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