Roles of Parental Sleep/Wake Patterns, Socioeconomic Status, and Daytime Activities in the Sleep/Wake Patterns of Children
Roles of Parental Sleep/Wake Patterns, Socioeconomic Status, and Daytime Activities in the Sleep/Wake Patterns of Children
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DOI：
10.1016/j.jpeds.2009.10.036
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发表时间：
2010-04-01
影响因子：
5.1
通讯作者：
Wing, Yun Kwok
中科院分区：
文献类型：
--
作者：
Zhang, Jihui;Li, Albert Martin;Wing, Yun Kwok
目的探讨小学儿童的睡眠/觉醒模式及其相关因素。研究设计本研究共招募了4470组以社区为基础的母亲-父亲-孩子三人组。结果最佳拟合模型能解释40%~ 71%的儿童不同睡眠/觉醒模式的方差，这些模式受学校开学时间、父母睡眠/觉醒模式、社会人口统计学和白天活动等交互因素的影响。各种睡眠/觉醒模式的最强预测因素是上学时间。更高的社会经济地位会缩短儿童和父母的TIB，但通过不同的途径（通过提前唤醒时间和推迟儿童的就寝时间，但通过推迟父母的就寝时间）。媒体使用和家庭作业缩短了儿童的TIB，而休闲课外活动和晚些时候上学的时间延长了它。年龄和性别对睡眠/觉醒模式的影响，至少部分是由白天活动介导的。儿童的日间活动也影响他们的父母的睡眠/觉醒模式，特别是他们的母亲。一个一致的模式，更强的母亲-孩子比父亲-孩子协会被发现在各种睡眠/觉醒patterns.Conclusions有一个复杂的互动关系，学校的时间表，父母的睡眠/觉醒模式，社会经济地位，白天的活动，在确定儿童的睡眠/觉醒模式。这些发现对儿童睡眠/觉醒习惯和问题的管理具有重要的临床意义。（J Pediatr 2010; 156：606-12）。
Objectives To determine sleep/wake patterns of primary school children and their correlates.Study design A total of 4470 sets of mother-father-child community-based trios were recruited in this study. We constructed 3 integrated models with structural equation modeling to predict sleep/wake patterns of children (bedtime, wakeup time, and time in bed [TIB]).Results Our best-fitting models explained 40% to 71% variances of various sleep/wake patterns of the children, which were influenced by a web of interactive factors including school start time, parental sleep/wake patterns, sociodemographics, and daytime activities. The strongest predictor of various sleep/wake patterns was school start time. Higher socioeconomic status would shorten TIB of both children and parents, but through different pathways (by advancing wakeup time and delaying bedtime in children but by delaying bedtime in parents). Media use and homework shortened TIB of children, while leisure extracurricular activities and later school start time lengthened it. The age and sex effects on sleep/wake patterns, at least in part, were mediated by daytime activities. Daytime activities of children also influenced their parental sleep/wake patterns, especially their maternal one. A consistent pattern of stronger mother-child than father-child associations were found in various sleep/wake patterns.Conclusions There was a complex and interactive relationship among school schedule, parental sleep/wake patterns, socioeconomic status, and daytime activities in determining the sleep/wake patterns of children. These findings have important clinical implications for the management of childhood sleep/wake habits and problems. (J Pediatr 2010; 156: 606-12).