World Journal of Pediatrics

, Volume 10, Issue 3, pp 245–250 | Cite as

Somatic growth of lean children: the potential role of sleep

  • Yan-Rui Jiang
  • Karen Spruyt
  • Wen-Juan Chen
  • Xiao-Ming Shen
  • Fan JiangEmail author
Original Article



Despite the current obesity pandemic, childhood malnutrition remains an urgent, public health concern. Similar to the obesity pandemic, childhood malnutrition is influenced by genetic and a number of social, environmental and biological factors. In this study, we investigated the association between sleep duration and somatic growth in lean children.


A stratified, randomly clustered sampling design was used to select fifth grade students from 10 primary schools in Shanghai. Based on a body mass index below the 15th percentile a subsample of 143 lean children aged 10–11 years old was defined. Sleep duration and other potential confounders were surveyed through parental or self-report questionnaires. Body measurements were collected and used to calculate the Z score of weight, height, body mass index as well as body fat percentage.


Compared with children who slept <9 hours, those who slept for ≥10 hours grew taller and gained more weight after adjusting for confounding factors. When children slept 9–10 hours, they had significantly higher Z score of weight and body mass index.


Prolonged sleep not only benefits weight gain but also improves height in lean children. Our findings might provide important public health advice such that prolonged sleep may be an effective modifier of nutritional problems in childhood.

Key words

height lean children sleep somatic growth weight 


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Copyright information

© Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Yan-Rui Jiang
    • 1
    • 2
  • Karen Spruyt
    • 1
    • 2
  • Wen-Juan Chen
    • 1
    • 2
  • Xiao-Ming Shen
    • 3
  • Fan Jiang
    • 1
    • 2
    • 4
    Email author
  1. 1.Department of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical CenterShanghai Jiaotong University School of MedicineShanghaiChina
  2. 2.MOE-Shanghai Key Laboratory of Children’s Environmental HealthShanghai Jiaotong University School of Medicine and MOE-Shanghai Key Laboratory of Children’s Environmental HealthShanghaiChina
  3. 3.Shanghai Institute for Pediatric Research, Xinhua HospitalShanghai Jiaotong University School of Medicine and MOE-Shanghai Key Laboratory of Children’s Environmental HealthShanghaiChina
  4. 4.Department of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical CenterShanghai Jiaotong University School of MedicineShanghaiChina

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