Sleep disorders and obesity in adolescents: peculiarities of psycho-cognitive status (literature review)

Adolescence is a time of important physical, cognitive, emotional, and social changes. Sleep is a primary aspect of adolescent development. Its disorders critically influence adolescents' ability to think, behave, and feel during daytime hours. Daytime activities, changes in the environment, and individual factors can have significant effects on adolescents' sleeping patterns. It is known, that a significant change of the sleep-wake cycle across adolescent development is a tendency to stay up later at night and to sleep in later in the morning. The peculiarity of this period of life is called a sleep delayed phase phenomenon, which can play the important role in the development of eating disorders and cause risk of obesity. The epidemic of childhood obesity presents a major public health problem. Many authors consider that obesity is a multisystem disease with potentially devastating consequences for physical and emotional health across the lifespan. Obesity may cause obstructive sleep apnea syndrome that can result in excessive daytime sleepiness in adolescents and have a negative effect on learning, school performance, and behavior. Early detection of risk factors, screening for metabolic and sleep disturbances in adolescents are major aims in reducing risk of cognitive and behavioral disorders. We assume that further studies of the psycho-cognitive impairments in adolescents with obesity in the sleep-wake continuum are necessary for the development of new approaches to forecasting, early diagnosis and pathogenically therapies of emotional and cognitive changes at the stage of personality formation as well as potentially reversible sleep and metabolic disorders.

adolescents, the sleep-wake cycle, sleep disorders, obesity, cognitive deficits, emotional-behavioral disorders

1. Дедов И.И. Морбидное ожирение. - М. - 2014. -608 с

2. Долгих В.В., Рычкова Л.В., Мандзяк Т.В. Состояние здоровья детского населения в связи с сочетанным воздействием факторов окружающей среды // Вопросы современной педиатрии. - 2005. - Т. 4, № S1. - С. 154

3. Зуева И.Б. Результаты скрининговой оценки когнитивных функций у лиц с избыточной массой тела // Артериальная гипертензия. - 2011. - Т. 17, № 2. - С. 156-161

4. Ковальзон В.М. Основы сомнологии: физиология и нейрохимия цикла «бодрствование - сон». - М.: Изд-во «Бином. Лаборатория знаний», 2011. - 239 с

5. Ковров Г.В., Вейн А.М. Стресс и сон у человека. -М.: НейроМедиа, 2004. - 96 с

6. Колесникова Л.И., Долгих В.В., Дзятковская Е.Н., Поляков В.М. Особенности психосоматического статуса у детей дошкольного и школьного возраста // Сибирский научный медицинский журнал. - 2003. -Т. 23, № 2. - C. 17-23

7. Колесникова Л.И., Долгих В.В., Поляков В.М., Рычкова Л.В. Проблемы психосоматической патологии детского возраста. - Новосибирск: Наука, 2005. - 221 c

8. Колосов Ю.А., Колесников С.И., Анищенко А.П., Бурдюкова Е.В., Гуревич К.Г. Избыточная масса тела и ожирение у детей, подростков и взрослых: причины развития и факторы риска // Патогенез. - 2017. -№ 14 (4). - C. 9-14

9. Мадаева И.М., Шевырталова О.Н., Мадаев В.В. Применение доксиламина при инсомнии у пациентов с артериальной гипертензией // Consilium Medicum. 2009. - Т. 11, № 9. - С. 69-72

10. Петров A.M., Гиниатуллин А.Р. Нейробиология сна: современный взгляд (учебное пособие). - Казань: КГМУ 2012. - 110 с

11. Пигарев И.Н., Пигарева М.Л. Сон, эмоции и висцеральный контроль // Физиология человека. -2013. - № 39 (6). - С. 31-44

12. Роттенберг В.С., Китаев-Смык Л.А. Сон и стресс // Вопросы психологии. - 2009. - № 5. - С. 64-73

13. Шевырталова О.Н., Протопопова О.Н., Мадаева И.М., Долгих В.В., Колесникова Л.И., Поляков В.М., Прохорова Ж.В. Нарушения сна в генезе эмоционально-личностных и когнитивных нарушений у подростков с эссенциальной артериальной гипертензией // Российский педиатрический журнал. - 2011. -№ 2. - С. 12-16

14. Шляхто Е.В., Конради А.О. Эпидемиология метаболического синдрома в различных регионах. Зависимость от используемых критериев и прогностическое значение // Артериальная гипертензия. -2007. - Т. 13, № 2. - С. 95-113

15. Algul A, Ates MA, Semiz UB, Basoglu C, Ebrinc S, Gecici O, Gülsün M, Kardesoglu E, Cetin M. (2009). Evaluation of general psychopathology, subjective sleep quality, and health-related quality of life in patients with obesity. Int J Psychiatry Med, 39, 297-312.

16. Asarnow LD, McGlinchey E, Harvey AG. (2015). Evidence for a possible link between bedtime and change in body mass index. Sleep, 38 (10), 1523-1527.

17. Boeka AG, Lokken KL. (2008). Neuropsychological performance of a clinical sample of extremely obese individuals. Arch Clin Neuropsychol, 23 (4), 467-474.

18. Cappuccio FP, Taggart FM, Kandala NB. (2008). Meta-analysis of short sleep duration and obesity in children and adults. Sleep, 31, 619-626.

19. Carskadon MA, Acebo C, Richardson GS, Tate BA, Seifer R. (1997). An approach to studying circadian rhythms of adolescent humans.J Biol Rhythm, 12, 278-289.

20. Dorheim SK, Bondevik GT, Eberhard-Gran M, Bjorvatn B. (2009). Sleep and depression in postpartum women: a population-based study. Sleep, 32, 847-855.

21. Gonnissen HK, Rutters F, Mazuy C, Martens EA, Adam TC. (2012). Effect of a phase advance and phase delay of the 24-h cycle on energy metabolism, appetite, and related hormones. Am J Clin Nutr, 96, 689-697.

22. Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Epling JW Jr, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Phipps MG, Silverstein M, Simon MA, Tseng CW. (2017). Screening for obesity in children and adolescents: US Preventive Services Task Force Recommendation Statement. J Am Med Assoc, 317 (23), 2417-2426.

23. Hamilton NA, Nelson CA, Stevens N, Kitzman H. (2007). Sleep and psychological well-being. Soc Indic Res, 82, 147-163.

24. Hannon TS, Rofey DL, Ryan CM, Clapper DA, Chakravorty S, Arslanian SA. (2012). Relationships among obstructive sleep apnea, anthropometric measures, and neurocognitive functioning in adolescents with severe obesity. Pediatrics, 160 (5), 732-735.

25. Hayes JF, Balantekin KN, Altman M, Wilfley DE, Taylor CB, Williams J. (2017). Sleep patterns and quality are associated with severity of obesity and weight-related behaviors in adolescents with overweight and obesity. Child Obes. Available at: http://online.liebertpub.com/ doi/10.1089/chi.2017.0148.

26. Kaur H, Bhoday HSJ. (2017). Changing adolescent sleep patterns: factors affecting them and the related problems. Assoc Physicians India, 65 (3), 73-77.

27. Kim DS, Lee CL, Ahn YM. (2017). Sleep problems in children and adolescents at pediatric clinics. Korean J Pediatr, 60 (5), 158-165.

28. Llewellyn A, Simmonds M, Owen CG, Woolacott N. (2015). Childhood obesity as a predictor of morbidity in adulthood: a systematic review and meta-analysis. Obesity Reviews, 17, 56-67.

29. Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J, Schechter MS, Ward SD, Sheldon SH, Shiffman RN, Lehmann C, Spruyt K; American Academy of Pediatrics. (2012). Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 130, 576-584.

30. Nilsson LG, Nilsson E. (2009). Overweight and cognition. Scand J Psychol, 50 (6), 660-667.

31. Price DW, Ma Y, Rubin RR, Perreault L, Bray GA, Marrero D, Knowler WC, Barrett-Connor E, Lacoursiere DY; Diabetes Prevention Program Research Group. (2013). Depression as a predictor of weight regain among successful weight losers in the diabetes prevention program. Diabetes Care, 36, 216-221.

32. Segura-Jimenez V, Carbonell-Baeza A, Keating XD, Ruiz JR, Castro-Pinero J. (2015). Association of sleep patterns with psychological positive health and health complaints in children and adolescents. Qual Life Res, 24, 885-895.

33. Sharma N, Lee J, Youssef I, Salifu MO, McFarlane SI. (2017). Obesity, cardiovascular disease and sleep disorders: insights into the rising epidemic. J Sleep Disord Ther, 6 (1), 260.

34. Sheldon SH. (2005). Polysomnography in infants, children and adolescents. Principles of Pediatric Sleep Medicine, 49-71.

35. Siegel JM. (2000). Brain steam mechanisms generation REM sleep. Principles and Practice of Sleep Medicine. Philadelphia, 112-133.

36. Taheri S, Lin L, Austin D, Young T, Mignot E. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med, 1 (3), 62.

37. Tonetti L, Fabbri M, Natale V. (2008). Sex difference in sleep-time preference and sleep need: a cross-sectional survey among Italian pre-adolescents, adolescents, and adults. Chronobiol Int, 25, 745-759.

38. Umer A, Kelley GA, Cottrell LE, Giacobbi P Jr, Innes KE, Lilly CL. (2017). Childhood obesity and adult cardiovascular disease risk factors: a systematic review with meta-analysis. BMC Public Health, 17 (1), 683.

39. Yeh TK, Cho YC, Yeh TC, Hu CY, Lee LC, Chang CY. (2015). An exploratory analysis of the relationship between cardiometabolic risk factors and cognitive/academic performance among adolescents. Biomed Res Int, 520619. doi: 10.1155/2015/520619.

40. Young T, Finn L, Peppard PE, Szklo-Coxe M, Austin D, Nieto FJ, Stubbs R, Hla KM. (2008). Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep, 31 (8), 1071-1078.