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Pediatric Obesity

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17 Sleeping <10 h at 16 mo of age in 1303 twins ere was a 50 kcal increased intake + Increasing pediatric sleep duration an average of 2 h 20 min (n = 37) ere was decreased caloric intake by 134 kcal/d and lowered plasma leptin + ree hundred eleven term infants; sleep duration at 9 mo, 18 mo, and 3 y of age ere was no relationship between sleep duration and adiposity indicators in 9- to 36-mo-old children: the SKOT cohort None Eight hundred two 4- to 14-y-old children and adolescents; sleep and intake followed for 7 d ere was no relationship between sleep duration and energ y intake, but there was a trend toward a positive association with intake of dietary fiber and vegetables and a negative association with intake of poultry, and a trend toward a negative association with intake of liquid "discretionary calories" None Longitudinal cohort study of 550 children of average age 9.6 y ere was an odds ratio of 2.08 for obesity with <10 h sleep + A meta-analysis of 12 studies including 20,003 children ere was a 1.86 odds ratio for obesity with "short" duration of sleep + Increased screen time Measurements at ~12 y of age of 234 parents from a previously established cohort were compared with 382 of their offspring for screen time and measures of adiposity Both generations demonstrated a relationship between screen time and obesity at about 12.5 y of age, demonstrating a need to target high- risk families across generations + Table 4. Factors Associated With Prevention of Pediatric Obesity (cont'd) Study Format Relationship Relationship to the Development of Obesity or Metabolic Improvement

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