Journal of Child and Development

2636-8935

Hatice BEKİR

10.36731/cg.1799311

Other Fields of Education (Other)

Alan Eğitimleri (Diğer)

Mini Derleme: Uyku ve Çocukluk Çağı Obezitesi

Mini Review: Sleep and Chilhood Obesity

https://orcid.org/0000-0001-9425-9088

Keser Gümüş

Muteber Gizem

KTO KARATAY UNIVERSITY

04 30 2026

Özel Sayı 43 47 10 17 2025 12 03 2025

2018

Journal of Child and Development

Çocukluk çağı obezitesi, giderek yaygınlaşan ve çocuklarda çeşitli sosyal, fizyolojik ve psikolojik sorunlara yol açan karmaşık bir endokrin sorundur. Bu sorunun kötüleşmesinin birçok nedeni vardır. 2024 yılında beş yaşın altındaki çocuk nüfusunun 35 milyona ulaşacağı, 2022 yılında ise 5-19 yaş arası fazla kilolu olarak sınıflandırılan çocuk ve ergen sayısının 390 milyonu aşacağı tahmin edilmektedir. Türkiye'de çocukluk çağı obezitesinin yaygınlığı son yıllarda artış göstermektedir. Uyku ise, enfeksiyon kontrolü ve iyileşmesi, beyin gelişimi ve bilişsel performans (uyanıklık ve hafıza gibi) ve ruh hali, duygu ve davranış düzenlemesi gibi birçok işleve sahiptir. Gerekli uyku miktarı yaşa göre değişir. Yeterli uyku alamayan çocuk ve ergenlerin dikkat, duygu düzenleme açısından zorluklar yaşadıkları ve sinirlilik, dürtüsellik veya ruh hali dengesizliği gösterebildikleri bilinmektedir. Kısa uyku süresinin leptin seviyelerinde azalma ve ghrelin seviyelerinde artış ile ilişkili olduğu iyi bilinmektedir. Bu değişiklikler, iştah artışıyla bağlantılıdır ve potansiyel olarak aşırı yeme ve vücut kitle indeksinin yükselmesine yol açabilmektedir. Kötü uyku zamanlaması, geç yatma veya gerektiği kadar uyuyamama, "kaymış" veya "gecikmiş" bir uyku evresinin göstergesi olabilmektedir. Uyku eksikliği, herkesin, özellikle de çocukların genel uzun vadeli sağlığı üzerinde olumsuz bir etkiye sahip olmaktadır.

Childhood obesity is a complex endocrine issue that is becoming more common and often leads to various social, physiological and psychological problems in children. There are many reasons why this problem is getting worse. It is estimated that in 2024, the global population of children under the age of five will reach 35 million, while in 2022, the number of children and adolescents between the ages of 5 and 19 who are categorised as overweight will exceed 390 million. The prevalence of childhood obesity in Türkiye has been increasing in recent years. Sleep has many functions, including infection control and healing, brain development and cognitive performance (such as alertness and memory), and mood, emotion, and behaviour regulation. The amount of sleep required changes with age. Children and adolescents who do not receive adequate sleep are known to experience difficulties in terms of attention, emotional regulation, and may display irritability, impulsivity, or mood instability. It is well-known that short sleep duration is associated with decreased leptin levels and increased ghrelin levels. These changes are linked to increased appetite, potentially leading to overeating and an elevated body mass index. Poor sleep timing, late bedtimes or not getting as much sleep as needed may indicate a 'slipped' or 'delayed' sleep phase. A lack of sleep can have a detrimental effect on the general long-term health of everyone, but especially children

Childhood obesity sleep obesity

Çocukluk çağı obezitesi Uyku obezite

Adamo, K.B., Wilson, S., Belanger, K., & Chaput, J-P. (2013). Later bedtime is associated with greater daily energy intake and screen time in obese adolescents independent of sleep duration. Journal of Sleep Disorders & Therapy ,2,126–130.

Akıncı, E., & Orhan, F. (2016). Circadian rhythm sleep disorders. Psikiyatride Güncel Yaklaşımlar, 8(2), 178-189. https://doi.org/10.18863/pgy.81775

Asher, G., & Sassone-Corsi, P. (2015). Time for food: the intimate interplay between nutrition, metabolism, and the circadian clock. Cell, 161, 84–92. https://doi.org/10.1016/j.cell.2015.03.015

Baş, V. N., & Aycan, Z. (2020). Approach to obesity in childhood. Archives of Current Medical Research, 1(1), 6-11. https://doi.org/10.47482/acmr.2020.1

Baştürk, B., & Koç Özerson, Z. (2023). Circadian rhythm and adjusting the diet. Fenerbahce University Journal of Health Sciences, 3(2), 287-296. https://doi.org/10.56061/fbujohs.1156342

Blüher, M. (2019). Obesity: global epidemiology and pathogenesis. Nature Reviews Endocrinology, 15(5),288-298. https://doi.org/10.1038/s41574-019-0176-8.

Brown, T., Moore, T.H., Hooper, L., Gao, Y., Zayegh, A., Ijaz, S., Elwenspoek, M., Foxen, S.C., Magee, L., O'Malley, C., Waters, E., & Summerbell, C.D. (2019). Interventions for preventing obesity in children. Cochrane Database Syst Rev, 23,7(7),CD001871. https://doi.org/10.1002/14651858.CD001871.pub4.

Chen X, Beydoun MA, & Wang Y. (2008). Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity, 16, 265–74. https://doi.org/10.1038/oby.2007.63.

Chung S. (2017). Growth and puberty in obese children and implications of body composition. Journal of Obesity & Metabolic Syndrome ,30,26(4),243- 250. https://doi.org/10.7570/jomes.2017.26.4.243.

COSI-TUR. Chilhood Obesity Surveillance Initiative – COSI-TUR (2022) ISBN: 978-975-590-915-8 Sağlık Bakanlığı Yayın No: 1295

Decaluwe, V., & Braet, C. (2003). Prevalence of binge−eating disorder in obese children and adolescents seeking weight−loss treatment. International Journal of Obesity And Related Metabolic Disorders, 27,404–409. https://doi.org/10.1038/sj.ijo.0802233.

Elizabeth, B., Wanda, D., & Apriyanti, E. (2021). The correlation between sleep quality and the prevalence of obesity in school-age children. Journal of Public Health Research, 31,10(s1),jphr.2021.2331. https://doi.org/10.4081/jphr.2021.2331.

Fan, H., & Zhang, X. (2022).Influence of parental weight change on the incidence of overweight and obesity in offspring. BMC Pediatr, 22, 330. https://doi.org/10.1186/s12887-022-03399-8

Freedman, D.S., Khan, L.K., Serdula, M.K., Dietz, W.H., Srinivasan, S.R., & Berenson, G.S. (2002). Relation of age at menarche to race, time period, and anthropometric dimensions: the Bogalusa Heart Study. Pediatrics, 110:e43. https://doi.org/10.1542/peds.110.4.e43.

Golley, R., Maher, C., Matricciani, L., & Olds, T. (2013).Sleep duration or bedtime? Exploring the association between sleep timing behaviour, diet and BMI in children and adolescents. Int J Obes, 546–551. https://doi.org/10.1038/ijo.2012.212.

Gombert, M., Carrasco-Luna, J., Pin-Arboledas, G., & Codoñer-Franch, P. (2018). Circadian rhythm variations and nutrition in children. J Child Sci,8, e60–e66. doi: 10.1055/s-0038-1670667.

Hirshkowitz, M., Whiton, K., Albert, S.M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E.S., Kheirandish-Gozal, L., Neubauer, D.N., O'Donnell, A.E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R.C., Setters, B., Vitiello, M.V., Ware, J.C., & Adams Hillard, P.J. (2015). National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43. https://doi.org/10.1016/j.sleh.2014.12.010.

Hunt, J., Coulson, E.J., Rajnarayanan, R., Oster, H., Videnovic, A., & Rawashdeh, O. (2022). Sleep and circadian rhythms in Parkinson's disease and preclinical models. Mol Neurodegener, 9,17(1):2. https://doi.org/10.1186/s13024-021-00504-w.

Johnson, D.A., Billings, M.E.& Hale, L. (2018) Environmental determinants of insufficient sleep and sleep disorders: implications for population health. Curr Epidemiol Rep, 5, 61– 69. https://doi.org/10.1007/s40471-018-0139-y.

Karamelikli, E., & Gül, H. (2022). The effects of childhood obesity on health spending: Evidence from Turkey. Hacettepe Sağlık İdaresi Dergisi, 25(2), 361-372.

Krebs, N.F., & Jacobson, M.S. (2003). Prevention of pediatric overweight and obesity. Pediatrics, 112,424–430. https://doi.org/10.1542/peds.112.2.424.

Litsfeldt, S., Ward, T.M., Hagell, P., & Garmy, P. (2020). Association between sleep duration, obesity, and school failure among adolescents. J Sch Nurs, 36(6),458-463. https://doi.org/10.1177/1059840520901335.

Marfuah, D., Hadi, H., & Huriyati, E. (2013). Durasi dan kualitas tidur hubungannya dengan obesitas pada anak sekolah dasar di Kota Yogyakarta dan Kabupaten Bantul. Jurnal Gizi dan Dietetik Indonesia, 1, 93-101.

Miller, A.L., Kaciroti, N., Lebourgeois, M.K., Chen, Y.P., Sturza, J., & Lumeng, J.C. (2014). Sleep timing moderates the concurrent sleep duration-body mass index association in low-income preschool-age children. Acad Pediatr, 14(2), 207-13. https://doi.org/10.1016/j.acap.2013.12.003.

Mühürdaroğlu, A.M. & Akdağ ,S.İ. Taştemur M. (2024). Determination of etiology and risk factors in patients applying to our outpatient clinic for weight loss. CMJ, 46(3), 198-204 https://doi.org/10.7197/cmj.1539734

Pulat Demir, H. (2022). Prevalence of obesity between 6-15 years children in Istanbul. IGUSABDER, 497–512.

Seo, S.H.& Shim, Y.S. (2019). Association of sleep duration with obesity and cardiometabolic risk factors in children and adolescents: A population-based study. Sci. Rep, 9, 9463. https://doi.org/10.1038/s41598-019-45951-0.

Sharma, A. M. & Padwal, R. (2010). Obesity is a sign - over- eating is a symptom: an aetiological framework for the assessment and management of obesity. Obes. Rev, 1,:362–370. https://doi.org/10.1111/j.1467-789X.2009.00689.x.

Shenoy, M.T. & Nayak, V.K.R. (2023). Childhood obesity: Impact, outcome and preventive strategies. Clinical Epidemiology and Global Health, 21, https://doi.org/10.1016/j.cegh.2023.101304.

Sprajcer, M., Dawson, D., Kosmadopoulos, A., Sach, E.J., Crowther, M.E., Sargent, C., & Roach, G.D. (2023). How tired is too tired to drive? A systematic review assessing the use of prior sleep duration to detect driving ımpairment. Nat Sci Sleep, 4;15,175-206. https://doi.org/10.2147/NSS.S392441.

The Lancet Diabetes & Endocrinology. (2022). Childhood obesity: a growing pandemic. Lancet Diabetes Endocrinol, 10, 1. https://doi.org/10.1016/S2213-8587(21)00314-4

Tung, J.Y.L., Poon, G.W.K., Du, J., & Wong, K.K.Y. (2023). Obesity in children and adolescents: Overview of the diagnosis and management. Chronic Dis Transl Med, 7,9(2),122-133. https://doi.org/10.1002/cdt3.58.

Turkish Statistical Institute. (2020). Health Survey. https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661. Access date: 12.10.2025

WHO. (2025a). Report of The Commission on Ending Childhood Obesity. Access from: http://www.who.int/end-childhood-obesity/en/ Accessed date: 15.10.2025

Word Obesity Federation. (2020). Obesity: missing the 2025 global targets. Access from: https://data.worldobesity.org/publications/WOF-Missing-the-2025-Global-Targets-Report-FINAL-WEB.pdf Accessed date: 17.10.2025

WHO.(2025b). Access from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight, Access date:18.09.25

Yardımcı, H., Özdoğan, Y., Özfer-Özçelik, A., & Hovland, E.D. (2016). Turkish adolescents’ adherence to the Mediterranean diet. Anthropologist, 25(1-2),174-79.

Yildiz F, Aksakal MZT, Yıldız R, & Baş F. (2024). The Relationship between sleep quality, sleep duration, social jet lag and obesity in adolescents. J Clin Res Pediatr Endocrinol, 4, 16(4):419-425. https://doi.org/10.4274/jcrpe.galenos.2024.2024-2-2.