@article{3179727,
    title = "The Effect of Nutrition and Sleep Habits on Predisposition for Metabolic
Syndrome in Greek Children",
    author = "Katsa, Maria Efthymia and Ioannidis, Anastasios and Zyga, Sofia and and Tsironi, Maria and Koutsovitis, Paraskevas and Chatzipanagiotou, and Stylianos and Panagiotakos, Demosthenes and Sachlas, Athanasios and and Kolovos, Petros and Routsi, Kleopatra and Pistikou, Anna Maria and and Dimoliani, Dafni Eleni Kougioumtzi and Gil, Andrea Paola Rojas",
    journal = "JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES",
    year = "2018",
    volume = "40",
    pages = "E2-E8",
    publisher = "EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC",
    doi = "10.1016/j.pedn.2018.01.012",
    keywords = "Childhood metabolic syndrome; Obesity; Lifestyle; Nutrition; Sleep
habits",
    abstract = "Purpose: To investigate the effect of lifestyle habits in childhood
Metabolic Syndrome (MTS).
Design and Methods: Descriptive correlation study with 480 participants
(5-12 years old) using a specially designed questionnaire was conducted.
Anthropometric and biochemical analyses were performed.
Results: Fifteen percent of children exhibited predisposition for MTS.
Regarding sleep habits, logistic regression analysis (LRA) showed that
hour of sleep -before 22: 00- was associated with decreased waist
circumference (WC%) (p = .026). Midday siesta was negatively correlated
with systolic (SBP) (p = .001) and diastolic blood pressure (DBP) (p =
.046). In children without MTS, lack of sleep and night time sleep was
positively correlated with DBP (p = .044) and fasting blood glucose
(FBG) (p = .005). Regarding nutrition habits, fast food consumption was
positively correlated with SBP (p = .006) and meat consumption was
positively correlated with both Body Mass Index% (BMI%) (p = .038) and
WC% (p = .023). LRA showed that fruit (p = .001) and legume (p = .040)
consumption was associated with decreased FBG; fish consumption with
decreased Low Density Lipoprotein (LDL) cholesterol (p = .031),
vegetable (p = .054) and cereal consumption (p = .012) with decreased
DBP. In children with MTS, fruits were associated with increased FBG (p
= .034). In children without MTS, meat consumption was associated with
increased LDL (p = .024), cereal with increased WC% (p = .002) and
olive products with increased High Density Lipoprotein (HDL) cholesterol
and BMI% (p = .037).
Conclusions: The adoption of both balanced diet and sleep habits seemed
to be crucial for the prevention of MTS. Practice Implications: Clinical
health nurses could develop and implement preventive intervention
programs in order to avoid metabolic complications in adulthood. (C)
2018 Elsevier Inc. All rights reserved."
}