Abstract
Objectives
The purpose of the current study was to examine the association between poor sleep
health (ie, excessive daytime sleepiness), obesity sequelae (ie, percent overweight
and serum leptin levels), and addictive-like eating behaviors, an obesity phenotype,
in a sample of Black/African American (B/AA) adolescents.
Design
The current study analyzed archival baseline data from a sample of B/AA adolescents
with obesity enrolled in a sequential randomized clinical trial.
Setting
Data were collected in the participants’ homes by trained research assistants unaware
of treatment condition.
Participants
A sample of 181 B/AA adolescents with obesity between the ages of 12 and 16 years
(M = 14.26, SD = 1.46) and having a body mass index (BMI) above the 95th percentile for age and
gender were sampled.
Measurements
Self-report measures included the Cleveland Adolescent Sleepiness Questionnaire and
the Yale Food Addiction Scale-Children (YFAS-C). Anthropomorphic data and blood samples
were used to determine BMI and serum leptin levels, respectively.
Results
Excessive daytime sleepiness was positively correlated with YFAS-C symptom count,
r = 0.295, P < .001. Serum leptin levels and percent overweight were both positively correlated
with each other, r = 0.445, P < .001 and with YFAS-C symptom count, r = 0.215, P = .006. After controlling for age and gender, results supported an indirect effect
from daytime sleepiness to both serum leptin levels (estimate = 2.210, SE = 0.932, P = .018) and percent overweight (estimate = 2.817, SE = 1.415, P = .046) through YFAS-C symptom count.
Conclusions
Culturally informed interventions on eating behaviors (ie, addictive-like eating)
when excessive daytime sleepiness is reported are needed. Early intervention may help
prevent the onset or worsening of obesity among adolescents.
Keywords
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Article info
Publication history
Published online: October 20, 2022
Accepted:
August 18,
2022
Received in revised form:
July 6,
2022
Received:
March 21,
2022
Identification
Copyright
Published by Elsevier Inc. on behalf of National Sleep Foundation.
