Sleep is inversely associated with sedentary time among youth with obesity

Krista Schroeder, Martha Y. Kubik, John R. Sirard, Jiwoo Lee, Jayne A. Fulkerson

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Objective: Pathways underlying the sleep-obesity relationship in youth are poorly understood. In this study, we examined associations of sleep with sedentary time and moderate-to-vigorous physical activity (MVPA) among youth, stratified by weight category (obesity versus no obesity). A sub-aim examined whether controlling for screen time changed the sleep-sedentary time association. Methods: Methods entailed secondary analysis of baseline data collected June-August 2014-2017 during a school-based healthy weight management trial in Minneapolis/St. Paul, Minnesota. Participants (N = 114) were 8-to-12 years old with BMI ≥ 75th percentile, most of whom were members of racial/ethnic minority groups (57%) or from households receiving economic assistance (55%). Mean nightly sleep duration and daily screen time were measured by survey, MVPA and sedentary time by accelerometer, and height and weight by research staff. Multivariate linear regression examined associations of sleep with sedentary time and MVPA. Results: Sleep was inversely associated with hours of sedentary time (β = -1.34 [-2.11, -0.58] p =.001) and percent of time spent sedentary (β = -2.92 [-4.83, -1.01], p =.004), for youth with obesity only. The association was unchanged by screen time. Sleep was not significantly associated with MVPA in total sample or stratified models. Conclusions: Associations among sleep, activity levels, and obesity may differ based upon movement type (sedentary time vs MVPA) and weight category (obesity vs no obesity).

Original languageEnglish (US)
Pages (from-to)756-764
Number of pages9
JournalAmerican journal of health behavior
Issue number6
StatePublished - Nov 2020

Bibliographical note

Funding Information:
This work was supported by the National Institute of Nursing Research [grant number: R01NR013473, PI: M.Y. Kubik]. The content is solely the responsibility of the authors and does not necessarily represent the views of the National Institutes of Health. The authors would like to acknowledge the study statistician, Olga Gurvich, for her efforts in preparing the data and providing insight regarding analytic approaches.

Publisher Copyright:
© 2020 PNG Publications. All rights reserved.


  • Exercise
  • Pediatric obesity
  • Screen time
  • Sedentary behavior
  • Sleep


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