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Joanna Dolgoff, M.D.

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Could an Earlier Bedtime Mean a Healthier Weight for Your Kids?

Posted: 10/22/10 09:49 AM ET

There seems to be a number of contributing factors to the obesity epidemic our nation is facing. Some of these include excessive caloric intake, decreased physical activity and cultural influences. Now some researchers are investigating whether sleep deprivation may contribute to obesity.

Research presented at the International AC21 Research Festival points out that short sleep duration may lead to obesity through an increase of appetite via hormonal changes caused by the sleep deprivation. Lack of sleep can produce the hormone ghrelin, which can stimulate appetite and creates less leptin, which suppresses appetite.

Babies and children under the age of five getting less than 10 hours of sleep at night are more likely to be overweight or obese five years later. Insufficient sleep at night may be a lasting risk factor for obesity later in life (napping cannot replace the benefits of nighttime sleep). Babies and children up to age four who didn't sleep enough at night were 80 percent more likely to be obese five years later. In older children (five to 13) this same link to obesity was not seen.

As for kids, studies show that most are not getting enough sleep. There is an epidemic of childhood and adolescent obesity, and video games and fast food are not solely to blame. Researchers uncovered that shortened sleep in children under five years old predicts weight problems later on. Also, short nighttime sleep duration increases the risk of early teens to shift from normal weight to overweight. In other words, adolescents who sleep less are more likely to pile on the pounds.

Sleep disorders in young children may be avoided by following established bedtime routines. Begin the calming-down process at dinnertime. Dinner should not be served watching T.V. every night. After dinner, allow the child to have some quiet playtime. Offer puzzles, blocks or books (as long as the activity is relatively quiet). Run a warm bath and allow for some playtime in the bath. After the bath, get your child in a routine of getting their pajamas on, brushing their teeth and cleaning up. Put your child into bed with a few books (or feel free to join in this time). Set a limit and have some relaxing reading time before bed. Have the books seem like a special treat every night, which will also help develop a love of reading. Most importantly, be firm with the bedtime routine. The less you deviate from it, the easier it will become. This lets your child know what to expect each night. Repetition for young children especially can be extremely comforting.

Many teens' hectic schedules keep them up late many nights. Most teens need at least 8.5 hours of sleep. However, studies show 85 percent of teens are getting less than eight hours every night. This sleep deficit causes many problems, including adverse effects on their health, causing weight gain. Some ways to prevent sleep disorders may be to avoid caffeinated beverages after lunchtime and limit stimulating activities before bedtime. Also, limiting extracurricular activities and practicing relaxation techniques before bedtime, such as gentle stretches, help prevent symptoms of insomnia.

So, are we overweight because we sleep less, or do we sleep less because we are overweight? Until we know these answers, it makes sense to include a good night's sleep in any child's routine. It turns out that getting good, regular sleep may help to eat more regular meals, which can be associated with better weight control. We should avoid using food as a "pick-me-up" when it turns out that it's really just sleep that we need!

 
 
 

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There seems to be a number of contributing factors to the obesity epidemic our nation is facing. Some of these include excessive caloric intake, decreased physical activity and cultural influences. N...
There seems to be a number of contributing factors to the obesity epidemic our nation is facing. Some of these include excessive caloric intake, decreased physical activity and cultural influences. N...
 
 
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HUFFPOST SUPER USER
sbrannon
thinker, photojournalist, humanitarian
04:51 PM on 10/28/2010
In Italy, where I live, the kids do not seem to have bedtimes. They just be, at two or 14. They get tired on their own and go lay down, or fall asleep where everyone is. Then they get taken to bed, when all goes to bed. No stress, no fuss, no muss, no social pressure. The kids a precious gifts, and are really treated as such!
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JavaManiac
...with liberty and justice for all
09:29 AM on 10/26/2010
When you choose to have children - you are choosing to change your life. Sometimes you have to change jobs - get up earlier - make healthier choices - miss out on some invites - etc.

But it is so worth it when they are smiling and healthy because you made the effort.
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11:24 AM on 10/25/2010
it's tough. My son is 17 months. I get home at 745. He has to get up at 630 am to go to the babysitter so my wife can get to work.

its hard to get him enough sleep and get me any time to see him.

Fathers should be involved. But kids need sleep. I work 12-13 hr days.
08:55 AM on 10/25/2010
Oh yeah, these small things make a difference. It really comes down to parents being parents. I learned a lot from listening and observing my patients during my 25 years as a holistic family doctor, and one lady advised me when I had my first child "Be the child's parent first, friend second." This means using tough love when necessary and keeping control - that includes bed time.
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Kari Henley
Make a Wish- now make it bigger.
11:40 AM on 10/24/2010
Hi there! Nice work! I have been researching this topic for an upcoming book on teens and sleep deprivation - from a mom's perspective. I believe that adolescents actually require 9.5 hours of sleep for optimum development, and with the change in their sleep cycle, typically want to sleep from 11pm-8am. A recent study at a boading school in RI, conducted by Dr. Judith Owens delayed the high school start time by 30 minutes. One of the most surprising outcome they found was the increase of hgh quality breakfast foods consumed by the students. Instead of just skipping breakfast or grabbing a 600 calorie muffin, they were actually wanting more milk, eggs and hearty breakfast foods. They actually doubled the amount of food! It just goes to show the powerful link between sleep and eating well to reduce potential weight loss or obesity.
Thanks!
Kari
09:05 PM on 10/24/2010
I notice that every summer when the kids basically sleep and eat nonstop we see growth spurts.
03:25 PM on 10/23/2010
I think that could help. I have always had my children in bed by 8:30 even on weekends. They are rested and refreshed and I have never had calls home from school saying my children were not attentive because they are tired. So I can see were it could possibly help with weight management.
08:17 PM on 10/23/2010
I agree.

Sleep is a big factor in how fast or how slow metabolism works. Not getting enough sleep not only makes a person cranky and less attentive but it also greatly slows down the metabolism.
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khanti
Cultivator
11:00 AM on 10/23/2010
If kids go to sleep early then they can get a longer period of rest because the waking hours are usually predetermined especially if the kid is schooling. The most damaging cause of insuffcient rest is playing video games or watching an exciting video before going to bed.
So the wise old saying 'early to bed and ealy to rise makes a person healthy and wise' is proven right by modern day research.
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Lawson Meadows
Plant in your kids, the seeds of greatness!
04:03 AM on 10/23/2010
Joanna,

I managed a store that sold that 5 Hour Energy shot. When people purchased it, I would say, "You know there is something better than that!" They would always ask what it could be, anticipating a more effective over-the-counter drink or pill to combat the "drowzies". I would smile and say, "Eight hours sleep." Needless to say they either did not see or chose to ignore the wisdom in my answer. If nothing else, people seem to have mastered the art of self-deception, which too often is modeled and passed to the kids along with other bad behaviors.

Suggestions about going to bed early are great and will work if is weren't for the 24hr demand for goods and services that require second and third shift workers that can effect the kid's routines.

Of course it is 4:00AM and I am yawning like a hard partying college student the night before finals. Oh my... another one... sack time.

Seriously, great information about a problem with a good sense solution.

Lawson Meadows
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joannadolgoffmd
05:39 PM on 10/23/2010
Thanks! And I love your answer to your customers. :)
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Thinklongterm
Conservatives are a disease....we are the cure.
01:01 AM on 10/23/2010
Good info.
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06:45 PM on 10/22/2010
Yes.
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Nosybear
Liar, damn liar, statistician and brewer
11:58 AM on 10/22/2010
If nothing else, statistically, an earlier bedtime would leave them less time to eat.
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Lawson Meadows
Plant in your kids, the seeds of greatness!
03:40 AM on 10/23/2010
Nosybear,

LOL, but darned if it might not be true. Hmmmmm...

Lawson Meadows
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joannadolgoffmd
05:39 PM on 10/23/2010
Ha!
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TXfemmom
Grandma with eye on the future
10:21 AM on 10/22/2010
Good quality sleep and enough of it stabilizes metabolism and provides one with energy. In the face of fatigue due to inadequate sleep or poor quality sleep, one often interprets that as needing to eat, and often triggers the desire for empty caloric intake.
08:19 PM on 10/23/2010
I think you may need to do a PSA for all the ill informed out there in America. F & F.
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TXfemmom
Grandma with eye on the future
10:43 PM on 10/23/2010
Thanks. I have a sleep disorder and I have learned a great deal about it. Even if one knows what is causing that feeling, it is difficult to refrain from hitting those salty, crunchy greasy carbs when one feels fatigue from the lack of quality sleep.

My son was one little spit fire from the moment of his birth regarding sleep. Sleep was the enemy. I used to sit up with his at night while he fussed and tell him that one day, he was going to look upon being able to take a nap or sleep at night as being something grand. He is 31 now, and I reminded him of that when I caught him snoring on my couch in front of the TV.
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Robert Nix
My bio is not micro
09:44 AM on 10/22/2010
I just can't seem to get my kid into bed at night. We don't have a set bed time I think that is one of our problems. But we are are big nappers. I'm not sure how to fix it but I do think that schools should start later. Also what about this?

http://www.psychologytoday.com/articles/200911/intelligence-the-evolution-night-owls
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TXfemmom
Grandma with eye on the future
10:23 AM on 10/22/2010
Schools should start later. There have been schools which have done it and the children perform better and there are fewer behavior problems.

My oldest grandson is like my son was...in that he thinks that sleep it the enemy and is very difficult to get to bed. We tried everything with our son, but with a strong-willed child, one can force them to get in bed, but one cannot force someone to actually go to sleep.
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Robert Nix
My bio is not micro
10:49 AM on 10/22/2010
" but one cannot force someone to actually go to sleep." exactly even when we don't let our kid get a nap and we move the bed time up all she does is sit in the bed with some books and tell stories to her stuffed animals.
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joannadolgoffmd
05:40 PM on 10/23/2010
Schools should absolutely start later!!!!
08:25 PM on 10/23/2010
The whole reason most schools don't start later is because so many parents work and need their kids to be leaving out the door at or near the same time they do. You can't have schools start later if there is no one at home to get them (especially young children) off to school.

I would bet if more parents were able to be a stay at home parent - schools would and could start later.