{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T17:58:55Z","timestamp":1772560735721,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,8,27]],"date-time":"2015-08-27T00:00:00Z","timestamp":1440633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Childhood obesity is a growing health challenge. Recent studies show that children with late bedtime and late awakening are more obese independent of total sleep time. In adolescents and adults, a delayed sleep phase has been associated with higher caloric intake. Furthermore, an adult study showed a positive correlation between <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content> sleep and energy balance. This relationship has not been demonstrated in children. However, it may be important as a delayed sleep phase would increase the proportion of <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content> sleep.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study investigated the relationship between hunger score and sleep physiology in a paediatric population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010six patients referred for a polysomnogram for suspected obstructive sleep apnoea were enrolled in the study. Sleep stages were recorded as part of the polysomnogram. Hunger scores were obtained using a visual analogue scale. Mean age was 9.6\u2009\u00b1\u20093.5 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean hunger scores were 2.07\u2009\u00b1\u20092.78. Hunger scores were positively correlated with percentage of total rapid eye movement (<jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content>) sleep (r\u2009=\u20090.438, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content> sleep duration in minutes (r\u2009=\u20090.471, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Percentage slow wave sleep (<jats:styled-content style=\"fixed-case\">SWS<\/jats:styled-content>) was negatively correlated with hunger score (r\u2009=\u2009\u22120.360, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). There were no correlations between age, sex, body mass index percentiles, apnoea\u2013hypopnoea index, total sleep time, sleep efficiency, sleep onset latency, stage 2 sleep duration and hunger scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggest that delayed bedtime, which increases the proportion of <jats:styled-content style=\"fixed-case\">REM<\/jats:styled-content> sleep and decreases the proportion of <jats:styled-content style=\"fixed-case\">SWS<\/jats:styled-content>, results in higher hunger levels in children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12064","type":"journal-article","created":{"date-parts":[[2015,8,27]],"date-time":"2015-08-27T10:42:08Z","timestamp":1440672128000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Association between sleep stages and hunger scores in 36 children"],"prefix":"10.1111","volume":"11","author":[{"given":"R.","family":"Arun","sequence":"first","affiliation":[{"name":"Department of Pediatrics St. Barnabas Hospital  Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Pina","sequence":"additional","affiliation":[{"name":"Department of Pediatrics St. Barnabas Hospital  Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics St. Barnabas Hospital  Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Erichsen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics St. Barnabas Hospital  Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0497"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.229"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2011.250"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2012.212"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1203\/pdr.0b013e3180536591"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8986.1989.tb00714.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1216951110"},{"key":"e_1_2_6_10_1","first-page":"137","article-title":"Overnight and basal metabolic rates in men and women","volume":"2","author":"Goldberg GF","year":"1988","journal-title":"Eur J Clin Nutr"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2009.02.025"}],"container-title":["Pediatric Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijpo.12064","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijpo.12064","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijpo.12064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T16:56:45Z","timestamp":1696352205000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijpo.12064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,27]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1111\/ijpo.12064"],"URL":"https:\/\/doi.org\/10.1111\/ijpo.12064","archive":["Portico"],"relation":{},"ISSN":["2047-6302","2047-6310"],"issn-type":[{"value":"2047-6302","type":"print"},{"value":"2047-6310","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,27]]},"assertion":[{"value":"2014-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-07-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-08-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}