Distinct Developmental Trends in Sleep Duration During Early Childhood
Distinct Developmental Trends in Sleep Duration During Early Childhood
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DOI：
10.1542/peds.2013-3806
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发表时间：
2014-06-01
期刊：
影响因子：
8
通讯作者：
Caputi, Peter
中科院分区：
文献类型：
--
作者：
Magee, Christopher A.;Gordon, Ross;Caputi, Peter
背景和目的：睡眠对儿童发育很重要，但对睡眠的个体发育模式、其潜在决定因素以及这些因素如何影响健康和福祉的理解有限。本文探讨了存在的各种睡眠模式的儿童及其健康相关的quality of life.METHODS：数据收集的纵向研究澳大利亚儿童。参与者包括2926名年龄从0到1岁到6到7岁的幼儿。每2年收集一次睡眠持续时间的数据，并在基线时评估协变量（例如，儿童睡眠问题，母亲教育）。生长混合模型被用来确定不同的纵向模式的睡眠时间和显着的协变量。线性回归分析不同的睡眠模式是否与健康相关的生活quality of life.RESULTS：结果确定了4种不同的睡眠持续时间模式：典型睡眠者（40.6%），最初短睡眠者（45.2%），睡眠差者（2.5%）和持续短睡眠者（11.6%）。诸如儿童睡眠问题、儿童易怒、母亲就业、家庭经济困难和家庭规模等因素在轨迹之间进行了区分。结果表明，这些轨迹对健康相关的生活质量有不同的影响。例如，持久的短睡眠者有较差的身体，情绪和社会健康比典型sleepers.CONCLUSIONS：结果提供了一个新的洞察儿童睡眠的性质和不同的睡眠模式对健康相关的生活质量的影响。这些发现可以为制定有效的干预措施以促进儿童健康的睡眠模式提供信息。
BACKGROUND AND OBJECTIVES: Sleep is important to child development, but there is limited understanding of individual developmental patterns of sleep, their underlying determinants, and how these influence health and well-being. This article explores the presence of various sleep patterns in children and their implications for health-related quality of life.METHODS: Data were collected from the Longitudinal Study of Australian Children. Participants included 2926 young children followed from age 0 to 1 years to age 6 to 7 years. Data on sleep duration were collected every 2 years, and covariates (eg, child sleep problems, maternal education) were assessed at baseline. Growth mixture modeling was used to identify distinct longitudinal patterns of sleep duration and significant covariates. Linear regression examined whether the distinct sleep patterns were significantly associated with health-related quality of life.RESULTS: The results identified 4 distinct sleep duration patterns: typical sleepers (40.6%), initially short sleepers (45.2%), poor sleepers (2.5%), and persistent short sleepers (11.6%). Factors such as child sleep problems, child irritability, maternal employment, household financial hardship, and household size distinguished between the trajectories. The results demonstrated that the trajectories had different implications for health-related quality of life. For instance, persistent short sleepers had poorer physical, emotional, and social health than typical sleepers.CONCLUSIONS: The results provide a novel insight into the nature of child sleep and the implications of differing sleep patterns for health-related quality of life. The findings could inform the development of effective interventions to promote healthful sleep patterns in children.