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198885 Association of sleep duration with obesity among US high school studentsMonday, November 9, 2009: 12:45 PM
Purpose: To determine if sleep duration is associated with obesity (BMI≥95th percentile) among a representative sample of US high school students.
Significance: Increasing attention is being focused on shortened sleep duration as a potential modifiable risk factor that may lead to obesity in children and adolescents. Procedures: We analyzed data from the 2007 national Youth Risk Behavior Survey. Associations were examined separately for female and male students using logistic regression models which controlled for potential confounders, including race/ethnicity, grade, participation in physical activity, TV viewing time, feeling sad and hopeless, and use of exercise and eating fewer calories for weight control. Findings: Mean sleep duration for students was 6.8 hours, with shorter sleep duration among females (6.7 h) than males (6.9 h), among black students (6.6 h) than white (6.8 h) or Hispanic (6.9 h) students, and among 12th graders (6.5 h) than 11th graders (6.6 h), 10th graders (6.9 h), and 9th graders (7.1 h). Controlling for potential confounders, among female students, obesity was more likely among students who reported 4 or less hours of sleep (OR=2.05) or 10 or more hours of sleep (OR=2.67) compared to those who slept 7 hours. In contrast, among male students, there was no significant association between obesity and the duration of sleep. Conclusions: Both shortened and prolonged sleep duration were associated with increased obesity among female high school students. Additional research is needed prior to recommending alterations in sleep time as a means of addressing the current obesity epidemic among adolescents.
Learning Objectives: Keywords: Obesity, Adolescent Health
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: RICHARD LOWRY December, 2008
Division of Adolescent and School Health
National Center for Chronic Disease Prevention and Health Promotion
Centers for Disease Control and Prevention
4770 Buford Highway, NE (Mailstop K-33)
Atlanta, Georgia 30341-3717
phone: (770) 488-6176
fax: (770) 488-6156
e-mail: RLowry@cdc.gov
EDUCATIONAL BACKGROUND
M.D. Medicine, Case Western Reserve University School of Medicine, 1978
M.S. Preventive Medicine, Ohio State University, 1989
A.B. Biochemistry, University of California, Berkeley, 1974
A.A. Biology, Orange Coast College (Costa Mesa, CA), 1972
PROFESSIONAL EXPERIENCE
1992-present Medical Officer (Epidemiologist), Surveillance Research Section, Surveillance and Evaluation Research Branch, Division of Adolescent and School Health, Centers for Disease Control and Prevention (CDC), Atlanta, GA.
1990-1992 Epidemic Intelligence Service Officer, Epidemiology Program Office, CDC
(assigned to: Division of Adolescent and School Health, CDC), Atlanta, GA.
1986-1990 Corporate Medical Consultant for Occupational and Preventive Health Services: Occupational Health Services, Inc., Kansas City, MO.
1984-1986 Preventive Medicine Resident: Ohio State University, Columbus, OH.
1982-1984 Private Practice: Family Practice and Occupational Medicine, Columbus, OH.
1981-1982 Research Fellow: Dept. of Family Medicine, Ohio State University, Columbus, OH.
1978-1981 Family Practice Resident: Mount Carmel Medical Center, Columbus, OH.
PROFESSIONAL LICENSURE & CERTIFICATIONS
1. Licensed to practice Medicine in:
! Missouri: 1986 - present
! Ohio: 1979 - present
2. Professional Certifications include:
! American Board of Preventive Medicine (Occupational Medicine): 1991
! American Board of Family Practice: certified 1981; recertified 1987
! Preventive & Rehabilitative Exercise Program Director certification by
American College of Sports Medicine: 1984
! Diplomate of the National Board of Medical Examiners: 1979
PUBLICATIONS (Peer Reviewed)
Lowry, Richard; Lee Sarah M., McKenna, Mary; Galuska, D.A.; Kann, Laura. Weight management and fruit and vegetable intake among US high school students. Journal of School Health 2008;78:417-24.
Wang, Li Yan; Chyen, David; Lee, Sarah; Lowry, Richard. The association between body mass index in adolescence and obesity in adulthood. Journal of Adolescent Health 2008;42:512-8.
Zapata LB, Hillis SD, Marchbanks PA, Curtis KM, Lowry R. Methamphetamine use is independently associated with recent risky sexual behaviors and adolescent pregnancy. Journal of School Health 2008;78:641-8.
Brown, David R.; Galuska, Deborah A.; Zhang, J.; Eaton, Danice K.; Fulton, Janet E.; Lowry, Richard: Maynard, L. M. Physical activity, sport participation, and suicidal behavior: U.S. high school students. Med Sci Sports Exerc 2007; 39(12): 2248-57.
Martin, Sarah L.; Lee, Sarah M.; Lowry, R. National prevalence and correlates of walking and bicycling to school. American Journal of Preventive Medicine 2007;33(2):98-105.
Lowry, Richard; Lee, Sarah M.; Galuska, Deborah A.; Fulton, Janet E.; Barrios, Lisa C.; Kann, Laura. Physical activity-related injury and body mass index among US high school students. Journal of Physical Activity and Health 2007;4:325-42.
Wang, Li Yan; Yang, Q.; Lowry, Richard; Wechsler, H. Response. Obesity 2006;14:1483-4.
Lowry, Richard; Galuska, Deborah A.; Fulton, Janet E.; Burgeson, Charlene R.; Kann Laura. Weight management goals and use of exercise for weight control among US high school students, 1991-2001. Journal of Adolescent Health 2005;36:320-6.
Eaton, Danice K.; Lowry, Richard; Brener, Nancy D.; Galuska, Deborah A.; Crosby, Alex E. Associations of body mass index and perceived weight with suicide ideation and suicide attempts among U.S. high school students. Archives of Pediatrics & Adolescent Medicine 2005;159(6):513-519.
Brener, Nancy D.; Eaton, Danice K.; Lowry, Richard; McManus, Tim. The association between weight perception and BMI among high school students. Obesity Research 2004;12(11):1866-1874.
Eaton, Danice K.; Lowry, Richard; Brener, Nancy D.; Grunbaum, JoAnne; Kann, Laura. Passive versus active parental permission in school-based survey research: does type of permission affect prevalence estimates of risk behaviors? Evaluation Review 2004;28(6):564-577.
Burstein, Gale R.; Lowry, Richard; Klein, Jonathan D.; Santelli, John S. Missed opportunities for sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention services during adolescent health supervision visits. Pediatrics 2003;111(5 Pt 1):996-1001.
Brener, Nancy D.; McManus Timothy; Galuska, Deborah A.; Lowry, Richard; Wechsler, Howell. Reliability and validity of self-reported height and weigth among high school students. Journal of Adolescent Health 2003;32(4):281-287.
Levin, Sarah; Lowry, Richard; Brown, David R.; Dietz, William H. Physical activity and body mass index among US adolescents: Youth Risk Behavior Survey, 1999. Archives of Pediatrics & Adolescent Medicine 2003;157(8):816-820.
Wang, Li Yan; Wang, Q.; Lowry, Richard; Wechsler Howell. Economic analysis of a school-based obesity prevention program. Obesity Research 2003;11(11):1313-1324.
Lowry, Richard; Wechsler, Howell; Galuska, Deborah A.; Fulton, Janet E.; Kann, Laura. Television viewing and its associations with overweight, sedentary lifestyle, and insufficient consumption of fruits and vegetables among US high school students: differences by race, ethnicity, and gender. Journal of School Health 2002;72(10):413-421.
Lowry, Richard; Galuska, Deborah A.; Fulton, Janet E.; Wechsler, Howell; Kann, Laura. Weight management goals and practices among US high school students: associations with physical activity, diet, and smoking. Journal of Adolescent Health. 2002;31(2):133-144.
Grunbaum, Jo Anne; Lowry, Richard; Kann Laura. Prevalence of health-related behaviors among alternative high school students as compared with students attending regular high schools. Journal of Adolescent Health. 2001;29(5):337-343.
Santelli, John S.; Robin, Leah; Brener, Nancy D.; Lowry, Richard. Timing of alcohol and other drug use and sexual risk behaviors among unmarried adolescents and young adults. Family Planning Perspectives. 2001;33(5):200-205.
Wang, Li Yan; Crossett, Linda S.; Lowry Richard; Sussman, Steve; Dent, Clyde W. Cost-effectiveness of a school-based tobacco-use prevention program. Archives of Pediatric and Adolescent Medicine 2001;155(9):1043-1050.
Lowry, Richard; Wechsler, Howell; Kann, Laura; Collins, Janet L. Recent trends in participation in physical education among US high school students. Journal of School Health 2001;71(4):145-152.
Everett, Sherry A.; Shults, Ruth A.; Barrios, Lisa C.; Sacks, Jeffery J.; Lowry, Richard; Oeltmann, John. Trends and subgroup differences in transportation-related injury risk and safety behaviors among high school students, 1991-1997. Journal of Adolescent Health 2001;28(3):228-234.
Santelli, John S.; Lowry, Richard; Brener, Nancy D.; Robin, Leah. The association of sexual behaviors with socioeconomic status, family structure, and race/ethnicity among US adolescents. American Journal of Public Health. 2000;90(10):1582-1588.
Grunbaum, Jo Anne; Lowry, Richard; Kann, Laura; Pateman, Beth. Prevalence of health risk behaviors among Asian American/Pacific Islander high school students. Journal of Adolescent Health. 2000; 27(5):322-330.
Lowry, Richard; Galuska, Deborah A.; Fulton, Janet E.; Wechsler, Howell; Kann, Laura; Collins, Janet L. Physical activity, food choice, and weight management goals and practices among US college students. American Journal of Preventive Medicine. 2000:18(1):18-27.
Lowry, Richard; Cohen, Lisa R.; Modzeleski, William; Kann, Laura; Collins, Janet L.; Kolbe, Lloyd J. School violence, substance use, and availability of illegal drugs on school property. Journal of School Health, 1999;69(9):347-355.
Brener, Nancy D.; Simon, Thomas R.; Krug, Etienne G.; Lowry, Richard. Recent trends in violence-related behaviors among high school students in the United States. JAMA. 1999;282(5):440-446.
Everett, Sherry A.; Lowry, Richard; Cohen, Lisa R.; Dellinger, Ann M. Unsafe motor vehicle practices among substance-using college students. Accident Analysis & Prevention. 1999;31(6):667-673.
Santelli, John; Vernon, Mary; Lowry, Richard; Osorio, Jenny; DuShaw, Martha; Lancaster, Mary Sue; Pham, Ngoc; Song, Elisa; Ginn, Elizabeth; Kolbe, Lloyd J. Managed care, school health programs, and adolescent health services: opportunities for health promotion. Journal of School Health. 1998;68(10):434-440.
Santelli, John S.; Brener, Nancy D.; Lowry, Richard; Bhatt, Amita; Zabin, Laurie S. Multiple sexual partners among U.S. adolescents and young adults. Family Planning Perspectives. 1998;30(6):271-275.
Lowry, Richard; Powell, Kenneth; Kann, Laura; Collins, Janet; Kolbe, Lloyd. Weapon-carrying, physical fighting, and fight-related injury among U.S. adolescents. American Journal of Preventive Medicine. 1998;14(2):122-129.
Santelli, John S.; Warren, Charles W.; Lowry, Richard; Sogolow, Ellen; Collins, Janet; Kann, Laura; Kaufmann, Rachel B.; Celentano, D.D. The use of condoms with other contraceptive methods among young men and women. Family Planning Perspectives. 1997; 29(6):261-267.
Lowry, Richard; Kann, Laura; Collins, Janet L.; Kolbe, Lloyd J. The effect of socioeconomic status on chronic disease risk behaviors among US adolescents. JAMA. 1996; 276(10):792-797.
Kachur, S. Patrick; Stennies, Gail M.; Powell, Kenneth E.; Modzeleski, William; Stephens, Ronald; Murphy, Rosemary; Kresnow, Marcie-Jo; Sleet, David; Lowry, Richard. School-associated violent deaths in the United States, 1992 to 1994. JAMA. 1996;275(22):1729-1733.
Lowry, Richard; Sleet, David; Duncan, Carlton; Powell, Ken; Kolbe, Lloyd. Adolescents at risk for violence. Educational Psychology Review. 1995;7(1):7-39.
Lowry, Richard; Holtzman, Deborah; Truman, Benedict I.; Kann, Laura; Collins, Janet L.; Kolbe, Lloyd J. Substance use and HIV-related sexual behaviors among US high school students: are they related? American Journal of Public Health. 1994;84(7):1116-1120.
Holtzman, Deborah; Lowry, Richard; Kann, Laura; Collins, Janet L.; Kolbe, Lloyd J. Changes in HIV-related information sources, instruction, knowledge, and behaviors among US high school students, 1989 and 1990. American Journal of Public Health. 1994;84(3):388-393.
PUBLICATIONS (Non-Peer Reviewed)
Balaji A, Lowry R, Brener N, Kann L, Romero L, Wechsler H. Trends in HIV- and STD-related risk behaviors among high school students – United States, 1991-2007. MMWR 2008;57:817-22.
Centers for Disease Control and Prevention. Cigarette use among high school students – United States, 1991-2007. MMWR 2008;57:686-8.
Brener N, Kann L, Lowry R, Wechsler H, Romero L. Trends in HIV-related risk behaviors among high school students – United States, 1991-2005. MMWR 2006;55:851-4.
Centers for Disease Control and Prevention. Cigarette use among high school students – United States, 1991-2005. MMWR 2006;55:724-6.
Eaton DK, Kann L, Kinchen S, Ross J, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Shanklin S, Lim C, Grunbaum JA, Wechsler H. Youth Risk Behavior Surveillance – United States, 2005. MMWR 2006;55(No. SS-5):1-108.
Lowry, Richard; Brener, Nancy; Lee, Sarah; Epping, Jackie; Fulton, Janet; Eaton, Danice. Participation in high school physical education--United States, 1991-2003. MMWR Morb Mortal Wkly Rep 2004;53:844-847.
Brener, Nancy; Lowry, Richard; Barrios, Lisa; Simon, Thomas. Violence-related behaviors among high school students--United States, 1991-2003. MMWR Morb Mortal Wkly Rep 2004;53:651-655.
Centers for Disease Control and Prevention. Cigarette use among high school students—United States, 1991-2003. MMWR Morb Mortal Wkly Rep 2004;53:499-502.
Grunbaum, Jo Anne; Kann, Laura; Kinchen, Steve; Ross, James; Hawkins, Joseph; Lowry, Richard; Harris, William A.; McManus, Tim; Chyen, David; Collins, Janet. Youth risk behavior surveillance -- United States, 2003. MMWR Surveill Summ 2004;53(SS-2):1-96.
Centers for Disease Control and Prevention. Trends in cigarette smoking among high school students—United States, 1991-2001. MMWR Morb Mortal Wkly Rep 2002;51:409-412.
Brener N, Lowry R, Kann L, Kolbe L, Lehnherr J, Janssen R, Jaffe H. Trends in sexual risk behaviors among high school students--United States, 1991-2001. MMWR Morb Mortal Wkly Rep 2002;51:856-859.
Grunbaum, Jo Anne; Kann, Laura; Kinchen, Steve A.; Williams, Barbara ; Ross, James G.; Lowry, Richard; Kolbe, Lloyd. Youth risk behavior surveillance -- United States, 2001. MMWR Surveill Summ 2002;51(SS-4):1-64.
Kann, Laura; Kinchen, Steve A.; Williams, Barbara I.; Ross, James G.; Lowry, Richard; Grunbaum, Jo Anne; Kolbe, Lloyd J. Youth risk behavior surveillance -- United States, 1999. MMWR Surveill Summ 2000;49(SS-5):1-94.
Kann, Laura; Kinchen, Steve A.; Williams, Barbara I.; Ross, James G.; Lowry, Richard; Hill, Carl V.; Grunbaum, Jo Anne; Blumson, Pamela S.; Collins, Janet L.; Kolbe, Lloyd J. Youth risk behavior surveillance -- United States, 1997. MMWR Surveill Summ, 1998;47(SS-3):1-89.
Centers for Disease Control and Prevention. Violence-related attitudes and behaviors of high school students - New York City, 1992. MMWR Morb Mortal Wkly Rep 1993;42(40):773-777.
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation. |
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