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However, it remains unknown whether these patterns are consistent from adolescence to young adulthood and how they relate to long-term obesity.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Seven-day accelerometry was conducted in German Infant Study on the influence of Nutrition Intervention PLUS environmental and genetic influences on allergy development\u00a0(GINIplus) and Influence of Lifestyle factors on the development of the Immune System and Allergies in East and West Germany\u00a0(LISA) birth cohorts during the 15-year and 20-year follow-ups, respectively. Five sleep clusters were identified by k-means cluster analysis using 12 sleep characteristics at each follow-up. Adjusted linear and logistic regression models using generalized estimating equations were examined. Further, the interaction effects with time of follow-ups and polygenic risk scores (PRS) for body mass index (BMI) were tested.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Five sleep clusters were classified consistently in both adolescence (<jats:italic>n<\/jats:italic>\u2009=\u20091347, aged 14.3\u201316.4\u00a0years) and young adulthood (<jats:italic>n<\/jats:italic>\u2009=\u20091262, aged 19.5\u201322.4\u00a0years). Adolescents in the \u201cgood sleep\u201d, \u201cdelayed sleep phase\u201d, and \u201cfragmented sleep\u201d clusters displayed greater stability transitioning into young adulthood, while those in the \u201csleep irregularity and variability\u201d, and \u201cprolonged sleep latency\u201d clusters showed lower stability (<jats:italic>n<\/jats:italic>\u2009=\u2009636). Compared to the \u201cgood sleep\u201d cluster, the \u201cprolonged sleep latency\u201d cluster exhibited associations with higher BMI [<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.56, 95% confidence interval (CI)\u2009=\u2009(0.06, 1.05)] and increased odds of overweight\/obesity [Odds ratio\u2009=\u20091.55, 95%\u00a0CI\u2009=\u2009(1.02, 2.34)]. No significant PRS-sleep cluster interaction was found for BMI or overweight\/obesity. Among males only, the \u201cdelayed sleep phase\u201d, \u201csleep irregularity and variability\u201d and \u201cfragmented sleep\u201d clusters showed stronger associations with overweight\/obesity as age increased.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Adolescents and young adults shared five consistent sleep patterns, with the \u201cprolonged sleep latency\u201d pattern linked to higher BMI and overweight\/obesity.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphical abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1007\/s12519-024-00872-5","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T09:31:31Z","timestamp":1735983091000},"page":"48-61","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Accelerometry-assessed sleep clusters and obesity in adolescents and young adults: a longitudinal analysis in GINIplus\/LISA birth cohorts"],"prefix":"10.1007","volume":"21","author":[{"given":"Mingming","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Flexeder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla P.","family":"Harris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Kress","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Schikowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Peters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5345-2049","authenticated-orcid":false,"given":"Marie","family":"Standl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"872_CR1","volume":"53","author":"J Sun","year":"2020","unstructured":"Sun J, Wang M, Yang L, Zhao M, Bovet P, Xi B. 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