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However, studies of these associations in children using objective methods are sparse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The study aims to determine the associations for sleep patterns with MetS indices, body composition, and EI using objective measures in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Free\u2010living sleep and physical activity were measured in 125 children (aged 8\u201017\u00a0years, BMI <jats:italic>z<\/jats:italic>\u00a0=\u00a00.57\u00a0\u00b1\u00a01.0, 55% female) using wrist\u2010worn actigraphs for 14 nights. Blood pressure, fasting blood levels of lipids, insulin, glucose, waist circumference, and body composition (dual\u2010energy X\u2010ray absorptiometry [DXA]) were obtained during outpatient visits. EI was assessed during an ad libitum buffet meal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Later weekday and weekend bedtimes were associated with higher systolic blood pressure (<jats:italic>P<\/jats:italic>s\u00a0&lt;\u00a00.05). Sleep duration and bedtime were not significantly associated with other components of MetS, body composition, or EI. Short sleepers (duration less than 7\u00a0hours) consumed a greater percentage of carbohydrates than those with adequate (greater than or equal to 7\u00a0hours) sleep (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Indicators of sleep duration were variably associated with children's eating patterns and risk for chronic disease. Prospective data are needed to determine whether these indicators of sleep quality represent unique or shared risk factors for poor health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12507","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T14:39:35Z","timestamp":1548945575000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Associations of sleep patterns with metabolic syndrome indices, body composition, and energy intake in children and adolescents"],"prefix":"10.1111","volume":"14","author":[{"given":"Sarah J.","family":"Mi","sequence":"first","affiliation":[{"name":"Section on Growth and Obesity, Program in Endocrinology, Metabolism and Genetics, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Department of Health and Human Services (DHHS)  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0812-4182","authenticated-orcid":false,"given":"Nichole R.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Section on Growth and Obesity, Program in Endocrinology, Metabolism and Genetics, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Department of Health and Human Services (DHHS)  Bethesda MD USA"},{"name":"Departments of Counseling Psychology and Human Services, and Prevention Science University of Oregon  Eugene OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Brychta","sequence":"additional","affiliation":[{"name":"Energy Metabolism Section, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH)  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Claire","family":"Grammer","sequence":"additional","affiliation":[{"name":"Section on Growth and Obesity, Program in Endocrinology, Metabolism and Genetics, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Department of Health and Human Services (DHHS)  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Jaramillo","sequence":"additional","affiliation":[{"name":"Section on Growth and Obesity, Program in Endocrinology, Metabolism and Genetics, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Department of Health and Human Services (DHHS)  Bethesda MD USA"},{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences (USUHS)  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kong Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"Energy Metabolism Section, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH)  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura A.","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Energy Metabolism Section, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH)  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanna B.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Nutrition Department Clinical Center, NIH  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber B.","family":"Courville","sequence":"additional","affiliation":[{"name":"Nutrition Department Clinical Center, NIH  Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Shank","sequence":"additional","affiliation":[{"name":"Section on Growth and Obesity, Program in Endocrinology, Metabolism and Genetics, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Department of Health and Human Services (DHHS)  Bethesda MD USA"},{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences (USUHS)  Bethesda MD USA"},{"name":"The Henry M. 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