Trajectories and Predictors of Nocturnal Awakenings and Sleep Duration in Infants
Trajectories and Predictors of Nocturnal Awakenings and Sleep Duration in Infants
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DOI：
10.1097/dbp.0000000000000064
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发表时间：
2014-06-01
影响因子：
2.4
通讯作者：
Sivertsen, Borge
中科院分区：
文献类型：
--
作者：
Hysing, Mari;Harvey, Allison G.;Sivertsen, Borge
目的：研究6 ~ 18个月婴儿睡眠持续时间和夜间觉醒的轨迹，并确定短睡眠持续时间和夜间觉醒的预测因素。方法：本研究的数据来自挪威公共卫生研究所进行的挪威母亲和儿童队列研究。共有55，831名母亲报告了儿童睡眠情况，用于评估觉醒和短睡眠的稳定性和预测因素。结果：6个月大的儿童夜间觉醒频繁。虽然从6个月到18个月，睡眠时间和夜间觉醒的总体减少，但睡眠问题的慢性化程度很高，并受到先前睡眠行为和睡眠安排的影响。同床是夜间觉醒和睡眠时间短的独立和分级预测因子，也是在控制了先前的睡眠之后。母乳喂养与同时夜间觉醒有关，但与后来的夜间觉醒无负相关。结论：考虑到夜间觉醒的长期性及其与同床共睡的关系，我们的研究结果支持目前减少同床共睡以改善婴儿睡眠的建议。
Objectives: To examine the trajectories of sleep duration and nocturnal awakenings in infants from 6 to 18 months of age and to identify predictors of short sleep duration and nocturnal awakenings. Methods: Data for this study come from the Norwegian Mother and Child Cohort Study conducted at the Norwegian Institute of Public Health. A total of 55,831 mother reports of child sleep were used to estimate the stability and predictors of awakenings and short sleep. Results: Nocturnal awakenings were frequent among 6-month-old children. Although there was an overall reduction in both sleep duration and nocturnal awakenings from 6 to 18 months, the chronicity of sleep problems was high and impacted by prior sleep behavior and sleeping arrangements. Bedsharing was an independent and graded predictor of nocturnal awakenings and short sleep duration, also after controlling for prior sleep. Breastfeeding was related to concurrent nocturnal awakening but was not negatively related to later nocturnal awakenings. Conclusions: Considering the chronicity of nocturnal awakening and its association with bedsharing, our findings support current recommendations of reducing bedsharing to improve sleep among infants.