scholarly journals Prevalence of sleep problems and its relation to sleeping habits in toddlers

2019 ◽  
Vol 2 (1) ◽  
pp. 29-34
Author(s):  
Sima Maree ◽  
Esa Mohammadi Zidi ◽  
Saeed Yari ◽  
Maryam Javadi

Background: Sleep problems in children have serious physical and psychological consequences such as obesity, aggression and attention deficit disorder in toddlers. The aim of the present study was to determine the prevalence of sleep problems and its relation with sleeping habits of toddlers in 2017. Methods: By random sampling from rural families of Razan city of Hamadan province, 120 mothers of 12- to 36-month-old children were selected and data collection tools included contextual questions, medical history and 33-question questionnaire of children's sleep habits (CSHQ) completed. Data were analyzed by SPSS software version 23, independent t-test, chi-square, Pearson correlation coefficient and multiple linear regression. Results: The mean age of the children was 22.82±7.53 months and 55% of them were boys and the prevalence of sleep problems was 70.8% (95% confidence interval: 71.9-69.7). The average sleep duration of the children was 11 hours and more than 60% of the children went to bed after 23 o'clock. Results show that age is an important factor in most dimensions of CSHQ and age predicts daytime sleepiness (β = -0.263), nocturnal wakefulness (β = -0.113) and duration, Sleep time (β = -0.108) and sleep resistance (β = 0.194) respectively. Also, parents' education and child's current weight were predictors of subscales of CSHQ questionnaire (P <0.05). In addition, there was a positive and significant correlation between sleep duration with infant sleep anxiety (r = 0.527) and resistance to sleep (r = 0.473) as well as nocturnal wakefulness with parasomnia (r = 0.416) (P <0.001). Conclusion: Given the alarming prevalence of sleep problems in toddlers in the present study and the impact of some changeable factors on children's sleep health, designing interventions aimed at educating mothers to improve healthy sleep habits in toddlers is necessary.

Author(s):  
Sima Maree ◽  
Esa Mohammadi Zidi ◽  
Saeed Yari ◽  
Maryam Javadi

Background: Sleep problems in children have serious physical and psychological consequences such as obesity, aggression and attention deficit disorder in toddlers. The aim of the present study was to determine the prevalence of sleep problems and its relation with sleeping habits of toddlers in 2017. Methods: By random sampling from rural families of Razan city of Hamadan province, 120 mothers of 12- to 36-month-old children were selected and data collection tools included contextual questions, medical history and 33-question questionnaire of children's sleep habits (CSHQ) completed. Data were analyzed by SPSS software version 23, independent t-test, chi-square, Pearson correlation coefficient and multiple linear regression. Results: The mean age of the children was 22.82±7.53 months and 55% of them were boys and the prevalence of sleep problems was 70.8% (95% confidence interval: 71.9-69.7). The average sleep duration of the children was 11 hours and more than 60% of the children went to bed after 23 o'clock. Results show that age is an important factor in most dimensions of CSHQ and age predicts daytime sleepiness (β = -0.263), nocturnal wakefulness (β = -0.113) and duration, Sleep time (β = -0.108) and sleep resistance (β = 0.194) respectively. Also, parents' education and child's current weight were predictors of subscales of CSHQ questionnaire (P <0.05). In addition, there was a positive and significant correlation between sleep duration with infant sleep anxiety (r = 0.527) and resistance to sleep (r = 0.473) as well as nocturnal wakefulness with parasomnia (r = 0.416) (P <0.001). Conclusion: Given the alarming prevalence of sleep problems in toddlers in the present study and the impact of some changeable factors on children's sleep health, designing interventions aimed at educating mothers to improve healthy sleep habits in toddlers is necessary.


2021 ◽  
Author(s):  
Reiko Hori ◽  
Eiji Shibata ◽  
Iwao Okajima ◽  
Masahiro Matsunaga ◽  
Tomohiro Umemura ◽  
...  

Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic has changed our daily life. Owing to the imposed restrictions, many educational facilities have introduced remote teaching. This study aims to understand the impact of remote teaching on Japanese university students' sleeping habits.Methods: The participants were medical university students. We used data from an ongoing longitudinal sleeping habits survey. For 684 participants who enrolled in the university during 2018–2020, multilevel analyses of sleep duration during weekdays and weekends across 3 years were conducted, adjusting for gender, grade, place of stay, sleep problems and lifestyle habits. Results: Among the participants, 356 male (mean ± standard deviation: 22 ± 3, 18–37 years old) and 288 female (22 ± 3, 18–32 years old) students in 2018, 365 male (24 ± 3,18–36 years old) and 284 female (22 ± 2, 18–33 years old) students in 2019, and 226 male (20 ± 3,18-36 years old) and 167 female (21 ± 2, 18–34 years old) students in 2020 answered the questionnaire. The mean sleep duration during weekdays (in minutes) was 407.6 ± 60.3 in 2018, 406.9 ± 63.0 in 2019, and 417.3 ± 80.9 in 2020. The mean sleep duration during weekends (in minutes) was 494.5 ± 82.5 in 2018, 488.3 ± 87.9 in 2019, and 462.3 ± 96.4 in 2020. The analysis showed that sleep duration during weekdays was associated with the place of stay and survey year. Moreover, students reported significantly longer sleep duration during weekdays in 2020 than 2019, but no significant difference in sleep duration between 2018 and 2019. Sleep duration during weekends was found to be associated with the survey year, gender and always doing something before going to bed. Sleep duration during weekends was shorter in 2020 than 2019 and longer in male students and students who always do something before going to bed. Ten students were reported to have a delayed sleep phase in 2020. Conclusions: Students' sleep duration increased during weekdays and decreased during weekends in 2020. This difference could be explained by the COVID-19 pandemic and the introduction of remote teaching.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A245-A246
Author(s):  
Yu-Ting Wu ◽  
Ya-Chuan Huang ◽  
Yung-Sen Chang ◽  
Chien-Ming Yang

Abstract Introduction ‘Co-sleep’ is defined as the sleep arrangements in which parents and their child sharing a sleeping surface (bed-sharing or room-sharing). Similar to the other Asian countries, Taiwan has a high reported rates of bed-sharing. Previous researches had shown shorter sleep duration and poorer sleep quality in children with co-sleep. However, the association between co-sleep and the children’s emotional and behavioral problems has not been well studied. This study aims to explore the association between sleeping arrangements and children’s sleep, as well as their daytime emotional and behavioral problems. Methods 9,582 caregivers of preschoolers (age= 4.70±0.806; Male: Female=52%:48%) completed a questionnaire regarding their children’s sleep schedule, the Children’s Sleep Habits Questionnaire (CSHQ) and Strength and Difficulties Questions (SDQ). The reported frequency on the items of the CHSQ question regarding co-sleep, asking whether the child falls asleep in parent’s or sibling’ s bed or sleep alone, were used to divide the children into three groups: usually co-sleep group, sometimes co-sleep group and sleep-alone group. Results Among 2,967 preschoolers, 6,272 children (65.5%) reported usually co-sleep, 816 children (8.5%) reported sometimes co-sleep, and 2,494 children (26%) reported sleeping alone. One-way ANOVAs showed significant differences among three groups in: 1) sleep patterns, including weekday nighttime sleep duration (F=24.43, p&lt;.01), weekend nighttime sleep duration (F=3.13, p&lt;.05), weekday nap duration (F=4.24, p&lt;.05), and weekend nap time (F=4.39, p&lt;.05); 2) sleep problems on the CHSQ, including bed time resistance (F=7027.25, p&lt;.01), sleep onset delay (F=33.06, p&lt;.01), sleep duration (F=65.51, p&lt;.01), sleep anxiety (F=788.48, p&lt;.01), night waking (F=37.90, p&lt;.01), parasomnias (F=47.43, p&lt;.01), sleep disorder breathing (F=7.58, p&lt;.01), and sleepiness (F=13.44, p&lt;.01); 3) behavioral problems and development on the SDQ, including hyperactivity (F=21.16, p&lt;.01), emotional symptom (F=23.08, p&lt;.01), conduct problem (F=8.65, p&lt;.01), peer problems (F=20.59, p&lt;.01), and prosocial (F=17.67, p&lt;.01). Conclusion Our results indicate that children with more frequent co-sleep may have shorter sleep duration, more sleep problems as well as more external and internal behavioral problems, while sleep-alone children showed more prosocial behaviors, longer sleep duration, and less sleep problems. The potential developmental problems related to co-sleep may be underestimated in Asian culture and need more attentions. Support (if any):


2021 ◽  
Author(s):  
Paraskevi Tatsiopoulou ◽  
Vasiliki Holeva ◽  
Vasiliki Aliki Nikopoulou ◽  
Eleni Parlapani ◽  
Ioannis Diakogiannis

Abstract The COVID- 19 pandemic and the restrictions to minify contagion, affected globally the entire population. The prolonged home confinement during the COVID-19 outbreak changed dramatically the family life taking into consideration school closures, online education, continuous need for self-protection, restrictions of social interactions and work schedule alterations. Designed to examine the impact of COVID-19 lockdown on preschoolers’ sleep this study documented sleep patterns during the COVID-19 lockdown and explored the effects of screen time and diet. Parents of 146 children provided survey data on their children's night-time sleep habits, dietary habits and screen time usage. Children's sleep problems were measured with the Children Sleep Habits Questionnaire. Descriptive and qualitative analyses showed that most parents (54.1%) reported that children’s sleep patterns changed during the imposed home confinement. Children with more sleep problems were more likely to have increased screen exposure. The present study provides evidence on the negative impact of the COVID-19 pandemic on the sleep behavior of Greek preschoolers. Focused action is probably needed to safeguard and promote children’s overall physical and mental health outcomes during the pandemic and afterwards during the crisis recovery period.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A378-A378
Author(s):  
H E Gunn ◽  
K R Eberhardt

Abstract Introduction Early school start times contribute to insufficient sleep in adolescents; however, we know little about the impact of school start times at a family level. Moreover, even among similar school start times, sleep opportunity varies depending on mode of transportation and travel time. Thus, the purpose of this study was to determine whether AM school departure time is associated with sleep duration in parents and young adolescents. Methods Parent-adolescent dyads (n=31) completed 10 days of actigraphy and sleep diaries. Adolescents were 10-14 year olds (58% male). Parents were predominately mothers (87%) and their mean age was 44 yrs (SD = 5.9). Dyads were 77% White, 11% Black, and 12% Biracial or Other. Youth leave for school time was assessed with the School Sleep Habits Survey. Actigraphy- and diary-assessed total sleep time (TST) was averaged across 10 days and on weekdays. Separate regressions models for parents and adolescents determined associations between school leave time (predictor) and two outcomes: 10-day TST and weekday TST. Results For adolescents, later leave for school time was associated with longer 10-day actigraphy-assessed TST (β = .504, p = .012) and diary-assessed TST (β =.683, p &lt;.001). Later leave for school time was also associated with more weekday actigraphy and diary-assessed TST (β = .661 and .426, respectively, p’s &lt; .05). For parents, later leave for school time predicted more diary-assessed sleep across 10 days (β = .481, p = .013) and on weekdays, but this finding did not reach significance (β = .373, p = .061). Leave for school time was not associated with parents’ actigraphy-assessed TST across the 10-day period or on weekdays (p’s &gt; .10). Conclusion The time that youth need to leave for school may more closely approximate sleep opportunity regardless of actual school start time. This is particularly relevant for urban and rural youth with long commutes. Findings add to the strong support that delayed school start times or flexible scheduling will benefit adolescent sleep and also suggest positive impacts at the family level. Support This material is based upon work supported by the Sleep Research Society Foundation.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A71-A72
Author(s):  
Gianna Rea-Sandin ◽  
Reagan Breitenstein ◽  
Leah Doane ◽  
Emily Vakulskas ◽  
Carlos Valiente ◽  
...  

Abstract Introduction Elementary-aged children in low socioeconomic environments are more likely to experience poor sleep, which can negatively impact academic performance. However, it is unknown whether early-life socioeconomic status (SES) influences associations between sleep and academic achievement later in childhood. Using a demographically diverse sample of children followed longitudinally from 1 to 8 years, we tested linear and nonlinear associations between actigraphy-based sleep duration, midpoint time, sleep duration variability, and parent-reported sleep problems with academic achievement. In addition, we examined whether these associations varied by early SES. Methods The sample comprised 707 twins (52% female; Mage=8.44 years; 28.7% Hispanic/Latinx; 29.7% at or below the poverty line). SES was ascertained at 1 and 8 years, and children wore actigraph watches to assess sleep for 7 nights (Mnights=6.79) and completed the Applied Math, Picture Vocabulary, and Passage Comprehension subtests of the Woodcock-Johnson IV Tests of Achievement. Primary caregivers also reported on their children’s sleep and academic performance (Children’s Sleep Habits Questionnaire and Health and Behavior Questionnaire, respectively). Results Sleep was not linearly related to academic achievement, but there was a significant quadratic association between sleep midpoint with Picture Vocabulary (b=0.28, p&lt;.01) and Passage Comprehension (b=0.17, p&lt;.05). More parent-reported sleep problems were negatively related to Applied Problems performance for lower (b=-1.16, p&lt;.001) and positively associated for higher early SES (b = 1.00, p &lt; .01). More parent-reported sleep problems predicted lower Passage Comprehension for lower (b = -0.59, p &lt; .05), but not higher early SES. Longer sleep duration predicted higher parent-reported academic achievement for lower early SES (b=0.14, p&lt;.01) and lower achievement for higher early SES (b=-0.23, p&lt;.001). Conclusion Our findings illustrate the complex, sometimes nonlinear associations between children’s sleep and academic performance. Many associations varied by early-life SES, suggesting that early childhood environments have long-lasting implications for child functioning, over and above the effect of concurrent SES. Increasing the quantity and quality of children’s sleep could improve academic outcomes, particularly for children who have experienced socioeconomic disadvantage. Support (if any) This research was supported by grants from NICHD (R01HD079520 and R01HD086085) and ASU T. Denny Sanford School of Social and Family Dynamics.


2016 ◽  
Vol 33 (S1) ◽  
pp. s266-s267
Author(s):  
M. Abouzed ◽  
S. Kinawy

Sleep problems frequently coexist in epileptic patient. The effect of them on each the other has been extensively evaluated. Little review exists on the reciprocal interaction of sleep problems and epilepsy in the children.Aim of studyTo evaluate prevalence, pattern and risk factors of sleep problems in epileptic children.MethodEighty-two epileptic children and 40 healthy controlled children were evaluated using children's sleep habits questionnaire – Arabic form and night polysomnography (2 consecutive nights).ResultPrevalence of sleep problem in epileptic children was 45% and 17% of normal control children with significant difference in sleep latency, total sleep time and number of awaking per night with significant prevalence with partial epilepsy, poly therapy and poor controlled epilepsy.ConclusionSleep problems are common in epileptic children with close relation to partial epilepsy, number of anti epileptic and poor controlled epilepsy. This is important to deal with it in order to better control of sleep problems in such patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A70-A70
Author(s):  
Jennifer Holmes ◽  
Olivia Hanron ◽  
Rebecca Spencer

Abstract Introduction Sleep is known to be associated with socioeconomic status (SES) in older children and adults with those from lower SES households often experiencing poorer sleep quality. Whether this disparity exists in early childhood is relatively unknown, despite being an important age marked by sleep transitions and the establishment of lifelong sleep habits. Furthermore, it is a critical period for cognitive development and learning, which are supported by sleep. Here, we explore associations between sleep and SES in a preschool population. We hypothesized that children from lower SES households would exhibit shorter overnight sleep, longer and more frequent naps, and shorter 24-hr sleep. Additionally, we considered racial and ethnic disparities in sleep which can be confounded with SES in some samples. Methods Child (n=441; M age=51.9mo; 45.4% female) sleep was measured objectively using actigraph watches, worn for 3-16 days (M=9.5 days). Caregivers reported child demographics and household data. Race/ethnicity of our sample was 72% White, 10.2% Black, 17.8% other or more than one race, and 28.4% identified as Hispanic. 20.1% of our sample was categorized as low SES. Effects of SES and race/ethnicity on continuous sleep measures were assessed using multiple regression models, with age and gender as covariates. Nap habituality was assessed using chi-square tests. Results Lower SES was associated with shorter nighttime sleep duration, longer nap duration, and shorter 24-hr sleep duration (p’s&lt;.001). Children from lower SES households were also more likely to nap habitually (p=.04) as were Hispanic children (p&lt;.001). Hispanic children also tended to have longer nap bouts (p=.002). Hispanic and Black children on average had shorter overnight sleep durations than White children (p’s&lt;.04), but their 24-hr sleep did not differ. Conclusion SES-related sleep disparities were present in this preschool population, with lower SES children exhibiting poorer sleep. When controlling for SES, Hispanic children tended to sleep less overnight which was compensated for by longer, more frequent naps. This underscores the necessity of naps for some children to achieve adequate sleep. Future directions will explore the relationship between parenting factors and sleep, such as bedtime routines and parent knowledge surrounding child sleep needs. Support (if any) NIH R01 HL111695


Sleep Health ◽  
2017 ◽  
Vol 3 (3) ◽  
pp. 136-141 ◽  
Author(s):  
Karen A. Bonuck ◽  
Beth L. Goodlin-Jones ◽  
Clyde Schechter ◽  
Judith Owens

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sae Ono ◽  
Hiroto Ogi ◽  
Masato Ogawa ◽  
Daisuke Nakamura ◽  
Teruhiko Nakamura ◽  
...  

Abstract Background Sleep problems in preschool children can stunt their health and growth. However, the factors that cause sleep problems in children are not well understood. The aim of this study was to determine the relationship between parents’ health literacy (HL) and children’s sleep problems. The study was conducted at two kindergartens, two nursery schools, and a center for early childhood education in Chitose-city, Hokkaido, Japan. Method This study used a multicenter cross-sectional design. The sample comprised 354 preschoolers (aged 3–6 years) and their parents. In families with two or more children attending the same facility, only the oldest child was asked to participate in the study. Exclusion criteria included participants whose completed questionnaires had missing values. Children’s sleep problems were assessed using the Japanese version of the Children’s Sleep Habits Questionnaire (CSHQ-J). Parents’ HL was assessed using the 14-item Health Literacy Scale (HLS-14). The parents were classified into two groups (high HL group and low HL group). Multiple regression modelling was used to determine the association between HLS-14 and CSHQ-J scores. Results Of the 354 parents, 255 (72%) were in the high HL group and 99 (28%) in the low HL group. The mean CSHQ-J score was significantly lower in the high HL group than in the low HL group (45.3 ± 6.0 points vs. 46.8 ± 5.9 points, p = 0.043). In multiple regression analyses, parents’ HL was independently associated with their CSHQ-J score after adjusting for all confounding factors (adjusted R2 = 0.22, β = − 0.11; p = 0.043). Conclusions Parents’ HL appears to affect their children’s sleep problems. This finding suggests that parents’ HL may be a target for intervention to improve children’s sleep problems.


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