{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:46:44Z","timestamp":1777470404667,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 107 - 2314 - B - 002 - 025 - MY3"],"award-info":[{"award-number":["MOST 107 - 2314 - B - 002 - 025 - MY3"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Biological Research For Nursing"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To examine four dimensions of sleep (timing, quality, quantity, and variability) and their association with adiposity outcomes in a community sample of school-age children with overweight and obesity.\n                    <jats:bold>Design<\/jats:bold>\n                    : A cross-sectional actigraphic study.\n                    <jats:bold>Methods:<\/jats:bold>\n                    246 school-age children aged 6\u20139\u00a0years with overweight or obesity were recruited from 10 public elementary schools in Taipei, Taiwan. Children\u2019s sleep was objectively assessed over a 7-day period using a wrist actigraph. Adiposity outcomes, including BMI, BMI-for-age z-score, and percent body fat, were computed based on measured weight, height, and skinfold thickness following standardized procedures. Associations between sleep and child adiposity outcomes were examined using bivariate and multiple linear regression analyses.\n                    <jats:bold>Results:<\/jats:bold>\n                    In the bivariate analyses, later sleep onset time was correlated with greater percent body fat (\n                    <jats:italic>p =<\/jats:italic>\n                    .01); shorter daily sleep duration was correlated with higher BMI and percent body fat (both\n                    <jats:italic>p &lt;<\/jats:italic>\n                    .05); greater variability in daily sleep duration was correlated with higher BMI, BMI-for-age z-score, and percent body fat (all\n                    <jats:italic>p &lt;<\/jats:italic>\n                    .05). In multiple linear regression analyses, variability in daily sleep duration was the only sleep characteristic that showed a statistically significant association with percent body fat in children (b = 2.36; 95% CI: 0.28 to 4.43;\n                    <jats:italic>p =<\/jats:italic>\n                    .02).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Overweight and obesity treatment interventions targeting child weight management should prioritize the assessment and promotion of children\u2019s sleep regularity. Future randomized controlled trials are needed to investigate the impact of maintaining a more consistent sleep pattern on measures of adiposity in school-age children with overweight and obesity.\n                  <\/jats:p>","DOI":"10.1177\/10998004251339743","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T04:06:07Z","timestamp":1746417967000},"page":"592-600","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sleep and Adiposity Outcomes in School-Age Children with Overweight and Obesity"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2874-5202","authenticated-orcid":false,"given":"Shao-Yu","family":"Tsai","sequence":"first","affiliation":[{"name":"School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan"},{"name":"Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Ching","family":"Tung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, National Taiwan University Children\u2019s Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuen-Min","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Information Management, National Yunlin University of Science and Technology, Yunlin, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-Yu","family":"Kuo","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien-Chang","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvac137"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.07.004"},{"key":"e_1_3_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13534-w"},{"key":"e_1_3_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-023-01111-4"},{"key":"e_1_3_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044769"},{"key":"e_1_3_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12873"},{"key":"e_1_3_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045433"},{"key":"e_1_3_7_9_1","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2021.2331"},{"key":"e_1_3_7_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-022-01140-0"},{"key":"e_1_3_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2020.11.001"},{"key":"e_1_3_7_12_1","unstructured":"Health Promotion Administration Ministry of Health and Welfare. (2018). Reference for body mass index of children and adolescents in Taiwan. https:\/\/www.hpa.gov.tw\/Pages\/Detail.aspx?nodeid=542&pid=9547 (Accessed 12 June 2024)."},{"key":"e_1_3_7_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2013.4"},{"key":"e_1_3_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(22)00047-X"},{"key":"e_1_3_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2019.04.010"},{"key":"e_1_3_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23281"},{"key":"e_1_3_7_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.657322"},{"key":"e_1_3_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12241"},{"key":"e_1_3_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101425"},{"key":"e_1_3_7_20_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.5836"},{"key":"e_1_3_7_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0029665123004846"},{"key":"e_1_3_7_22_1","volume-title":"A clinical guide to pediatric sleep: Diagnosis and management of sleep problems","author":"Mindell J. 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