Distinct Developmental Trends in Sleep Duration During Early Childhood

Magee, Christopher A.; Gordon, Ross; Caputi, Peter

doi:10.1542/peds.2013-3806

Cited by 85 publications

(74 citation statements)

References 30 publications

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“…A recent longitudinal study mapped the sleep trajectories in around 3000 children from birth to 7 years and found that 60% of the children have atypical sleeping patterns: the majority of whom were initially short sleepers (45%), others were either persistent short sleepers (12%) or poor sleepers (3%). Compared to the typical sleepers, all three groups showed some degree of impaired physical, emotional and social functioning13. The results suggest that, even though some infants with atypical sleep patterns early on eventually develop typical patterns of sleep by 6 or 7 years of age, reduced sleep duration in the first two years of life may have long-term consequences on later developmental outcomes.…”

mentioning

confidence: 78%

Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset

Cheung

Bedford

Urabain

et al. 2017

Sci Rep

186

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Traditional screen time (e.g. TV and videogaming) has been linked to sleep problems and poorer developmental outcomes in children. With the advent of portable touchscreen devices, this association may be extending down in age to disrupt the sleep of infants and toddlers, an age when sleep is essential for cognitive development. However, this association has not been demonstrated empirically. This study aims to examine whether frequency of touchscreen use is associated with sleep in infants and toddlers between 6 and 36 months of age. An online survey was administered to 715 parents reporting on child media use (daily exposure to TV and use of touchscreens), sleep patterns (night-time and daytime sleep duration, sleep onset - time to fall asleep, and frequencies of night awakenings). Structural equation models controlling for age, sex, TV exposure and maternal education indicated a significant association between touchscreen use and night-time sleep, daytime sleep and sleep onset. No significant effect was observed for the number of night awakenings. To our knowledge, this is the first report linking the use of touchscreen with sleep problems in infants and toddlers. Future longitudinal studies are needed to clarify the direction of effects and the mechanisms underlying these associations using detailed sleep tracking.

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mentioning

confidence: 78%

Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset

Cheung

Bedford

Urabain

et al. 2017

Sci Rep

186

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“…(29, 30) School-age children and adolescents are, in general, less sensitive to sleep disruption. Infants may be somewhat protected as their circadian rhythm is incompletely established, while preschool-age children have newly acquired consolidation of sleep at this developmental stage.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Delirium and Associated Risk Factors

Silver

Traube²,

Gerber

et al. 2015

Pediatric Critical Care Medicine

160

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Objective To describe a single-institution pilot study regarding prevalence and risk factors for delirium in critically ill children. Design A prospective observational study, with secondary analysis of data collected during the validation of a pediatric delirium screening tool, the Cornell Assessment of Pediatric Delirium (CAPD). Setting This study took place in the pediatric intensive care unit (PICU) at an urban academic medical center. Patients 99 consecutive patients, ages newborn to 21 years. Intervention Subjects underwent a psychiatric evaluation for delirium based on the DSM-IV criteria. Measurements and Main Results Prevalence of delirium in this sample was 21%. In multivariate analysis, risk factors associated with the diagnosis of delirium were presence of developmental delay, need for mechanical ventilation, and age 2-5 years. Conclusions In our institution, pediatric delirium is a prevalent problem, with identifiable risk factors. Further large-scale prospective studies are required to explore multi-institutional prevalence, modifiable risk factors, therapeutic interventions, and effect on long-term outcomes.

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“…Bedtime resistance may impact overall sleep duration and result in increased risk for obesity. Poor sleep during childhood has been associated with reduced cognitive performance, lower quality of life, and secondary effects including impaired family functioning (Chen et al, 2008; Lavigne et al, 1999; Magee et al, 2014). The relationships between child functioning and specific sleep problems in children at high risk for obesity remains unclear in the extant literature.…”

Section: Child Functioningmentioning

confidence: 99%

“…Short sleep duration has been identified as a strong predictor, independent of other obesity risk factors, and most consistently during early childhood (Chen, Beydoun, & Wang, 2008). Longitudinal studies with preschoolers identified 4 distinct sleep trajectories and short sleep duration was found to be predictive of being overweight and poorer physical health (Magee, Gordon, & Caputi, 2014; Touchette et al, 2007). Physiologically, short sleep duration has been associated with increased ghrelin and decreased leptin, in which hormonal changes have been linked with increased appetite (Taheri, Lin, Austin, Young, & Mignot, 2004).…”

mentioning

confidence: 99%

Family Chaos and Child Functioning in Relation to Sleep Problems Among Children at Risk for Obesity

Boles

Halbower

Daniels

et al. 2016

Behavioral Sleep Medicine

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This study evaluated the influence of child and family functioning on child sleep behaviors in low-income minority families who are at risk for obesity. A cross-sectional study was utilized to measure child and family functioning from 2013 to 2014. Participants were recruited from Head Start classrooms while data were collected during home visits. A convenience sample of 72 low-income Hispanic (65%) and African American (32%) families of preschool aged children. We assessed the association of child and family functioning with child sleep behaviors using a multivariate multiple linear regression model. Bootstrap mediation analyses examined the effects of family chaos between child functioning and child sleep problems. Poorer child emotional and behavioral functioning related to total sleep behavior problems. Chaos associated with bedtime resistance, Chaos significantly mediated the relationship between BESS and Bedtime Resistance. Families at high risk for obesity showed children with poorer emotional and behavioral functioning were at higher risk for problematic sleep behaviors, although we found no link between obesity and child sleep. Family chaos appears to play a significant role in understanding part of these relationships. Future longitudinal studies are necessary to establish causal relationships between child and family functioning and sleep problems to further guide obesity interventions aimed at improving child sleep routines and increasing sleep duration.

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Distinct Developmental Trends in Sleep Duration During Early Childhood

Cited by 85 publications

References 30 publications

Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset

Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset

Pediatric Delirium and Associated Risk Factors

Family Chaos and Child Functioning in Relation to Sleep Problems Among Children at Risk for Obesity

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