The Association of Power Napping with Obesity and Dietary Habits Among the Age Group of 6-18 Years: Corresponding authors: wanrohani@unisza.edu.my, shanthikrishnasamy@ukm.edu.my

The Association of Power Napping with Obesity and Dietary Habits Among the Age Group of 6-18 Years

Corresponding authors: wanrohani@unisza.edu.my, shanthikrishnasamy@ukm.edu.my

Authors

  • Faheem Mustafa Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Malaysia l Department of Nutrition and Dietetics, School of Health Sciences, University of Management and Technology, Lahore, Pakistan
  • Syeda Bisma Aamer Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Syeda Momna Ali Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Iram Akmal Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Tehreem Akram Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Mubashara Akbar Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Arooj Gull Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Ammara Arshad Department of Nutrition and Dietetics, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Rabiatul Adawiyah Binti Umar Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Malaysia
  • Atika Hashmi Department of Biomedical Lab Sciences, School of Health Science, University of Management and Technology, Lahore, Pakistan
  • Fatin Hanani Mazri Faculty of Health Sciences, National University of Malaysia
  • Shanthi Krishnasamy* Faculty of Health Sciences, National University of Malaysia
  • Wan Rohani Wan Taib* Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Malaysia

Keywords:

dietary habits, obesity, powernap, waist circumference, body mass index

Abstract

Obesity, characterized by excessive fat accumulation, is often defined by the WHO using BMI. Power naps, short daytime sleeps of 10 to 90 minutes, impact body metabolism and weight regulation. The aim of this research was to explore the association between power napping and the risk of obesity using anthropometric measurements, waist circumference percentile, BMI percentile, and usual dietary intake to evaluate the risk of obesity-related metabolic conditions. This was a cross-sectional and comparative study conducted among 300 children and young adolescents aged between 6 and 18 years. Anthropometric measurements (weight, height, waist circumference, BMI) were taken according to WHO guidelines. Dietary history was obtained through a 24-hour usual dietary recall and a food frequency questionnaire. The Cronometer tool was used for dietary analysis, and statistical analysis was performed using SPSS 28.0 software. The results showed that 36.30% of power nappers were normal, 2.60% were overweight, while 2.30% were obese. However, 32% of non-nappers were normal, 7.60% were overweight, and 6% were obese. The mean prevalence of overweight and obesity was higher in non-nappers than power nappers, but no significant association was found between them (P > 0.05). Dietary habits were better in power nappers than in non-nappers, with a significant association found (P < 0.05). Interventions for pediatric obesity are limited, and understanding all factors contributing to the risk of obesity is crucial. Although research supports biphasic sleeping patterns, the topic requires further investigation to fully understand its implications. Limitations of this study highlight the need for additional research to validate and expand upon these findings.

References

1. Di Cesare M, Sorić M, Bovet P, et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Med. 2019;17:1-20. doi: 10.1186/s12916-019-1449-8

2. Costa-Urrutia P, Vizuet-Gámez A, Ramirez-Alcántara M, et al. Obesity measured as percent body fat, relationship with body mass index, and percentile curves for Mexican pediatric population. PLoS One. 2019;14(2):e0212792. doi: 10.1371/journal.pone.0212792

3. Haqq AM, Kebbe M, Tan Q, Manco M, Salas XR. Complexity and stigma of pediatric obesity. Childhood Obesity. 2021;17(4):229-40. doi: 10.1089/chi.2021.0003

4. Rafi MA, Ahmad N, Iqbal MU, et al. Effects of power napping on the working population of Islamabad. J Riphah Coll Rehabil Sci. 2023;11(01). doi: 10.53389/JRCRS.2023110105

5. De Leon AA, Hanlon EC. Impact of sleep restriction on food intake and food choice. Neurol Modulation Sleep. 2020:217-28. doi: 10.1016/B978-0-12-816658-1.00023-5

6. Morrissey B, Taveras E, Allender S, Strugnell C. Sleep and obesity among children: a systematic review of multiple sleep dimensions. Pediatr Obes. 2020;15(4):e12619. doi: 10.1111/ijpo.12619

7. Syed NK, Syed MH, Meraya AM, et al. The association of dietary behaviors and practices with overweight and obesity parameters among Saudi university students. PLoS One. 2020;15(9):e0238458. doi: 10.1371/journal.pone.0238458

8. Barrea L, Frias-Toral E, Aprano S, et al. The clock diet: a practical nutritional guide to manage obesity through chrononutrition. Minerva Med. 2022;113(1):172-88. doi: 10.23736/S0026-4806.21.07207-4

9. Chaput JP, McHill AW, Cox RC, et al. The role of insufficient sleep and circadian misalignment in obesity. Nat Rev Endocrinol. 2023;19(2):82-97. doi: 10.1038/s41574-022-00747-7

10. Monk TH, Buysse DJ, Carrier J, et al. Effects of afternoon “siesta” naps on sleep, alertness, performance, and circadian rhythms in the elderly. Sleep. 2001;24(6):680-7. doi: 10.1093/sleep/24.6.680

11. Miller AL, Lumeng JC, LeBourgeois MK. Sleep patterns and obesity in childhood. Curr Opin Endocrinol Diabetes Obes. 2015;22(1):41-7. doi: 10.1097/MED.0000000000000125

12. Chaokromthong K, Sintao N. Sample size estimation using Yamane and Cochran and Krejcie and Morgan and green formulas and Cohen statistical power analysis by G* Power and comparisions. APHEIT Int J Interdiscip Soc Sci Technol. 2021;10(2):76-86.

13. Lansdown G, Vaghri Z. Article 1: Definition of a child. In: Monitoring state compliance with the UN Convention on the Rights of the Child: An analysis of attributes. Cham, Switzerland: Springer International Publishing; 2022. p. 407-12. doi: 10.1007/978-3-030-84647-3_45

14. Autumn M, Monica H, Jitendra M, et al. The perfect nap. Adv Manag. 2016;9(4):1-8.

15. Hsouna H, Boukhris O, Abdessalem R, et al. Effect of different nap opportunity durations on short-term maximal performance, attention, feelings, muscle soreness, fatigue, stress and sleep. Physiol Behav. 2019;211:112673. doi: 10.1016/j.physbeh.2019.112673

16. Boukhris O, Trabelsi K, Ammar A, et al. A 90 min daytime nap opportunity is better than 40 min for cognitive and physical performance. Int J Environ Res Public Health. 2020;17(13):4650. doi: 10.3390/ijerph17134650

17. Mauldin K, Gieng J, Saarony D, et al. Performing nutrition assessment remotely via telehealth. Nutr Clin Pract. 2021;36(4):751-68. doi: 10.1002/ncp.10682

18. Cronometer. Web app. Available from: https://cronometer.com/

19. Gioia S, Vlasac IM, Babazadeh D, et al. Mobile apps for dietary and food timing assessment: evaluation for use in clinical research. JMIR Form Res. 2023;7:e35858. doi: 10.2196/35858

20. Mahan LK, Raymond JL. Food and the nutrition care process. Krause's Food & The Nutrition Care Process. 2017. doi: 10.1111/pme.12679

21. Whitney EN, Rolfes SR, Crowe T, et al. Understanding nutrition. Cengage AU; 2019.

22. World Health Organization (2017). Physical measurement. Available from: https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/steps/part3-section5.pdf?sfvrsn=a46653c7_2

23. Centers for Disease Control and Prevention (2013). Assessing your weight. Available from: https://www.cdc.gov/healthyweight/assessing/index.html

24. Ma WY, Yang CY, Shih SR, et al. Measurement of waist circumference: midabdominal or iliac crest? Diabetes Care. 2013;36(6):1660-6. doi: 10.2337/dc12-1452

25. Xi B, Zong XN, Kelishadi R, et al. International waist circumference percentile cutoffs for central obesity in children and adolescents aged 6 to 18 years. J Clin Endocrinol Metab. 2020;105(4):e1569-83. doi: 10.1210/clinem/dgz195

26. Xia Y, Gu Y, Yu F, et al. Association between dietary patterns and metabolic syndrome in Chinese adults: a propensity score-matched case-control study. Sci Rep. 2016;6:34748. doi: 10.1038/srep34748

27. Vizmanos B, Cascales AI, Rodríguez‐Martín M, et al. Lifestyle mediators of associations among siestas, obesity, and metabolic health. Obesity (Silver Spring). 2023;31(5):1227-39. doi: 10.1002/oby.23765

28. Wang N, Zou J, Fang S, et al. Association between daytime napping and obesity in Chinese middle-aged and older adults. J Glob Health. 2020;10(2):020804. doi: 10.7189/jogh.10.020804

29. Cai Z, Yang Y, Zhang J, et al. The relationship between daytime napping and obesity: a systematic review and meta-analysis. Sci Rep. 2023;13(1):12124. doi: 10.1038/s41598-023-37883-7

30. Soliman GA. Dietary fiber, atherosclerosis, and cardiovascular disease. Nutrients. 2019;11(5):1155. doi: 10.3390/nu11051155

31. Dayib M, Larson J, Slavin J. Dietary fibers reduce obesity-related disorders: mechanisms of action. Curr Opin Clin Nutr Metab Care. 2020;23(6):445-50. doi: 10.1097/MCO.0000000000000696

32. Cronin P, Joyce SA, O’Toole PW, et al. Dietary fibre modulates the gut microbiota. Nutrients. 2021;13(5):1655.

33. Zhang F, Ye J, Zhu X, et al. Anti-obesity effects of dietary calcium: the evidence and possible mechanisms. Int J Mol Sci. 2019;20(12):3072. doi: 10.3390/ijms20123072

34. Das S, Choudhuri D. Calcium supplementation shows a hepatoprotective effect against high-fat diet by regulating oxidative-induced inflammatory response and lipogenesis activity in male rats. J Tradit Complement Med. 2020;10(5):511-9. doi: 10.1016/j.jtcme.2019.06.002

35. García OP, Long KZ, Rosado JL. Impact of micronutrient deficiencies on obesity. Nutr Rev. 2009;67(10):559-72. doi: 10.1111/j.1753-4887.2009.00228.x

Downloads

Published

25-06-2025

Issue

Section

Original articles

How to Cite

1.
Mustafa F, Syeda Bisma Aamer, Syeda Momna Ali, Akmal I, Tehreem Akram, Mubashara Akbar, et al. The Association of Power Napping with Obesity and Dietary Habits Among the Age Group of 6-18 Years: Corresponding authors: wanrohani@unisza.edu.my, shanthikrishnasamy@ukm.edu.my. Progr Nutr [Internet]. 2025 Jun. 25 [cited 2025 Sep. 28];27(2):16707 . Available from: https://mail.mattioli1885journals.com/index.php/progressinnutrition/article/view/16707