Adverse Associations of Sleep Problems in Australian Preschoolers: National Population Study

Hiscock, Harriet; Canterford, Louise; Ukoumunne, Obioha C; Wake, Melissa

doi:10.1542/peds.2006-1757

Cited by 217 publications

(168 citation statements)

References 26 publications

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“…9,17,18 Night waking frequency was reported in the United States as 35%, in Switzerland as 30.8%, and in Australia as 17.8%. [19][20][21] In our study, night waking was more common than reported in the literature. Night waking is the best predictor of "severe sleep problem" during childhood.…”

Section: Discussionsupporting

confidence: 51%

Sleep Habits and Factors Associated with Sleep Problems Among Children in Southeastern Turkey

Araz¹,

Yılmaz²,

Gökçay³

2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Sleep has an important role in child development and is necessary for supporting optimal health for lifetime. This study examined the sleep habits of children in southeastern Turkey and certain risk factors that contribute to sleep problems. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The study included 300 parents who visited the paediatric outpatient department of Gaziantep University Hospital and agreed to complete the questionnaire. The questionnaire was based on the significant variables found in a review of the previous literature on childhood sleep, and was examined tested in a pilot study. Statistical significance was determined as p<0.05. R Re es su ul lt ts s: : The ages of the children (171 males, 129 females) included in the study ranged from 1 month to 12 years (median age 2.0 years). Fifty-three percent (128) of the children experienced night waking, 38.0% (114) had difficulty falling asleep and 39.3% (118) demonstrated bedtime resistance. Difficulty in falling asleep and bedtime resistance were more common among children whose parents did something to soothe them when they woke up crying, and whose bedtime varied each night (p<0.05). Night waking was affected by factors such as soothing the child when waking up crying, irregular bedtime and sleeping during the daytime (p<0.05). Parents were more likely to soothe the children who slept in the same room (p<0.001). The mean night sleep duration was longer among children whose parents did preparations before sleeping (p=0.010). C Co on nc cl lu us si io on n: : Sleep problems are very common in childhood. Certain factors such as irregular bedtime routines, varying bedtimes, and soothing activities are important factors in the development of sleep problems. Therefore, sleep problems and sleep quality should be assessed in routine visits to the paediatrician. K Ke ey y W Wo or rd ds s: : Sleep; child; Turkey; parasomnias Ö ÖZ ZE ET T A Am ma aç ç: : Çocuk gelişiminde önemli bir role sahip olan uyku, yaşam boyunca sağlıklı olmak açısın-dan gereklidir. Bu çalışmada, Güneydoğu Anadolu bölgesindeki çocukların uyku alışkanlıkları ve uyku problemlerinin gelişimine katkıda bulunan bazı risk faktörlerinin belirlenmesi amaçlandı. G Ge er re eç ç v ve e Y Yö ön n--t te em ml le er r: : Çalışmaya Gaziantep Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı polikliniklerine başvuran ve anket formunu doldurmayı kabul eden 300 aile dâhil edildi. Anket formu, çocukluk çağı uykusu hakkında daha önce yayımlanan literatürlerdeki önemli değişkenler incelenerek hazırlandı ve bir pilot çalışma ile soruların anlaşılabilirliği incelendi. Çalışmada p<0.05 değeri istatistiksel olarak anlamlı kabul edildi. B Bu ul lg gu ul la ar r: : Çalışmaya alınan çocukların (171 erkek, 129 kız) yaşları 1 ay-12 yaş arasında değişmekteydi (ortanca yaş 2,0 yıl). Çocukların %53'ünde (128) gece uyanmaları, %38'inde (114) uykuya dalma zorluğu ve %39,3'ünde (118) yatağa gitmeye direnme söz konusuydu. Uykuya ...

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Section: Discussionsupporting

confidence: 51%

Sleep Habits and Factors Associated with Sleep Problems Among Children in Southeastern Turkey

Araz¹,

Yılmaz²,

Gökçay³

2013

Turkiye Klinikleri J Med Sci

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“…[2][3][4][5][6][7] In this age group, the majority of sleep problems are behavioral in nature. For example, in a population sample of 4000 Australian children aged 6 to 7 years, sleep problems such as bedtime resistance and night waking occurred in 16% to 21% of children and were associated with poorer child behavior, health-related quality of life, and learning.…”

mentioning

confidence: 99%

A Brief Sleep Intervention Improves Outcomes in the School Entry Year: A Randomized Controlled Trial

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT:Sleep problems are common in school-aged children and might compromise the function of children and parents and contribute to a poor transition to school, which can result in later academic difficulties. Improvement of child sleep through brief behavioral strategies might improve the school transition. WHAT THIS STUDY ADDS:Large-scale screening of new school entrants for sleep problems, followed by a targeted behavioral intervention, was demonstrated to be feasible and was beneficial for short-to medium-term child psychosocial outcomes. Larger effectiveness trials are needed to confirm the public health benefits of these interventions. abstract OBJECTIVE: To determine the feasibility of screening for child sleep problems and the efficacy of a behavioral sleep intervention in improving child and parent outcomes in the first year of schooling. METHODS:A randomized controlled trial was nested in a population survey performed at 22 elementary schools in Melbourne, Australia. Intervention involved 2 to 3 consultations that covered behavioral sleep strategies for children whose screening results were positive for a moderate/severe sleep problem. Outcomes were parent-reported child sleep problem (primary outcome), sleep habits, psychosocial health-related quality of life, behavior, and parent mental health (all at 3, 6, and 12 months) and blinded, face-to-face learning assessment (at 6 months). RESULTS:The screening survey was completed by 1512 parents; 161 (10.8%) reported a moderate/severe child sleep problem, and 108 of 136 (79.2% of those eligible) entered the trial. Sleep problems tended to resolve more rapidly in intervention children. Sleep problems affected 33% of 54 intervention children versus 43% of 54 control children at 3 months (P ϭ .3), 25.5% vs 46.8% at 6 months (P ϭ .03), and 32% vs 33% at 12 months (P ϭ .8). Sustained sleep-habit improvements were evident at 3, 6, and 12 months (effect sizes: 0.33 [P ϭ .03]; 0.51 [P ϭ .003]; and 0.40 [P ϭ .02]; respectively), and there were initial marked improvements in psychosocial scores that diminished over time (effect sizes: 0.47 [P ϭ .02]; 0.41 [P ϭ .09]; and 0.26 [P ϭ .3]; respectively). Better prosocial behavior was evident at 12 months (effect size: 0.35; P ϭ .03), and learning and parent outcomes were similar between groups.CONCLUSIONS: School-based screening for sleep problems followed by a targeted, brief behavioral sleep intervention is feasible and has benefits relevant to school transition. Pediatrics 2011;128:692-701

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“…One, a large nationally representative cross-sectional sample of 5000 Australian 4-to 5-year-olds, found that neither SDQ total, nor the Hyperactivity, Peer, or Emotional scale (actual) scores were greater among children with "snoring and/or breathing difficulties" during sleep $4 times per week. 33 Likewise, among 635 6-to 8-year-olds, snoring $1 time per week in the past 6 months was not associated with high (upper 10th percentile) SDQ scores. 34 This is the first study to assess SDB as a trajectory of combined symptoms, across a key period of SDB development from 6 months to 81 months, in a large sample.…”

Section: Discussionmentioning

confidence: 85%

“…33,34 Based on this literature review, and exploratory analyses, 15 potential confounders were incorporated into analyses.…”

Section: Behavior Assessmentmentioning

confidence: 99%

Sleep-Disordered Breathing in a Population-Based Cohort: Behavioral Outcomes at 4 and 7 Years

2012

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Sleep-disordered breathing is associated with neurobehavioral morbidity in children. Prior related research has generally been cross-sectional or short (ie, 1-2 years) follow-up studies of a single symptom (ie, snoring, obstructive sleep apnea, mouth breathing), with limited control for confounders.WHAT THIS STUDY ADDS: Sleep-disordered breathing was assessed as a trajectory of combined symptoms from 6 months to 69 months, in more than 11 000 children. Sleep-disordered breathing was associated with 40% and 60% more behavioral difficulties at 4 and 7 years, respectively. abstract OBJECTIVES: Examine statistical effects of sleep-disordered breathing (SDB) symptom trajectories from 6 months to 7 years on subsequent behavior. METHODS:Parents in the Avon Longitudinal Study of Parents and Children reported on children' s snoring, mouth breathing, and witnessed apnea at $2 surveys at 6, 18, 30, 42, 57, and 69 months, and completed the Strengths and Difficulties Questionnaire at 4 (n = 9140) and 7 (n = 8098) years. Cluster analysis produced 5 "Early" (6-42 months) and "Later" (6-69 months) symptom trajectories ("clusters"). Adverse behavioral outcomes were defined by top 10th percentiles on Strengths and Difficulties Questionnaire total and subscales, at 4 and 7 years, in multivariable logistic regression models. RESULTS:The SDB clusters predicted 20% to 100% increased odds of problematic behavior, controlling for 15 potential confounders. Early trajectories predicted problematic behavior at 7 years equally well as at 4 years. In Later trajectories, the "Worst Case" cluster, with peak symptoms at 30 months that abated thereafter, nonetheless at 7 years predicted hyperactivity (1.85 [1.30-2.63]), and conduct (1.60 [1.18-2.16]) and peer difficulties (1.37 [1.04-1.80]), whereas a "Later Symptom" cluster predicted emotional difficulties (1.65 [1.21-2.07]) and hyperactivity (1.88 [1.42-2.49]) . The 2 clusters with peak symptoms before 18 months that resolve thereafter still predicted 40% to 50% increased odds of behavior problems at 7 years. CONCLUSIONS:In this large, population-based, longitudinal study, early-life SDB symptoms had strong, persistent statistical effects on subsequent behavior in childhood. Findings suggest that SDB symptoms may require attention as early as the first year of life. Pediatrics 2012;129:e857-e865

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Adverse Associations of Sleep Problems in Australian Preschoolers: National Population Study

Abstract: Given that sleep problems are very common, the adverse outcomes shown here could affect the transition to school for a very large number of preschoolers.

Cited by 217 publications

References 26 publications

Sleep Habits and Factors Associated with Sleep Problems Among Children in Southeastern Turkey

Sleep Habits and Factors Associated with Sleep Problems Among Children in Southeastern Turkey

A Brief Sleep Intervention Improves Outcomes in the School Entry Year: A Randomized Controlled Trial

Sleep-Disordered Breathing in a Population-Based Cohort: Behavioral Outcomes at 4 and 7 Years

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