How do infants and toddlers sleep in Spain? A cross-sectional study

Cassanello, Pia; Ruiz-Botia, Irene; Díez-Izquierdo, Ana; Cartanyà‐Hueso, Àurea; Martínez‐Sánchez, Jose M.; Balaguer, Albert

doi:10.1007/s00431-020-03786-2

Cited by 13 publications

(11 citation statements)

References 31 publications

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“…In a study that examined the sleeping habits of children aged 2–14 during the period from 1987 to 2011, De Ruiter et al found that almost 45% of children in Spain did not meet the recommended sleeping hours [ 18 ]. Cassanello et al also found that more than 30% of parents of children aged 3–36 months perceived that their children had short night sleep hours and longer periods of nocturnal awakenings [ 19 ]. The greater proportion of children under 6 years with sleep disturbances after lockdown could be explained, in part, by the high dependence that small children have to their family environment [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Children’s Health Habits and COVID-19 Lockdown in Catalonia: Implications for Obesity and Non-Communicable Diseases

et al. 2021

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Lockdown during the COVID-19 pandemic imposed changes in children’s daily routine that could lead to changes in behavior patterns. Using a survey targeted at children under 17 years of age, we described dietary (adherence to Mediterranean diet, AMD) and sleeping habits (disorders of initiating and maintaining sleep) after the implementation of lockdown, and examined the probability of the inadequate frequency of physical activity (PA) and use of TV and electronic devices (TV-ED) before and after lockdown through generalized estimating equation models, accounting for age and gender differences. From 3464 children included, 53.2% showed optimal AMD; 79.2% referred to delayed bedtime; and 16.3% were suspected of sleeping disorders after the implementation of lockdown. Delay in bedtime was more frequent among children older than 6 years, and inadequate sleeping hours among those younger than 11 years. There were no gender differences in AMD or sleeping habits. The odds of inadequate frequency of PA and TV-ED use were greater after lockdown, with a greater risk for TV-ED use. Boys were at greater risk of inadequate PA frequency and TV-ED use. Odds ratio of inadequate PA was greater at older ages. Lockdown could influence changes in children’s habits that could lead to risk factors for non-communicable diseases during adulthood if such behaviors are sustained over time.

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Section: Discussionmentioning

confidence: 99%

Children’s Health Habits and COVID-19 Lockdown in Catalonia: Implications for Obesity and Non-Communicable Diseases

et al. 2021

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“…We analyzed a repeated cross-sectional survey of Spanish infants and toddlers between three and 36 months of age. One conducted before COVID-19 con nement (2017-2018), (10) and another conducted during the strict home con nement of the rst wave of COVID-19 (March-May of 2020). We used an internet self-administrated questionnaire assessing sleep patterns using the Spanish validated Brief Infant Sleep Questionnaire (BISQ) criteria (11,12) in both surveys.…”

Section: Methodsmentioning

confidence: 99%

“…We used an internet self-administrated questionnaire assessing sleep patterns using the Spanish validated Brief Infant Sleep Questionnaire (BISQ) criteria (11,12) in both surveys. The sample recruitment, the inclusion and exclusion criteria as well as the variables measured and analyses mirrored our previous study in order to be able to perform adequate comparisons between both our samples (10).…”

Section: Methodsmentioning

confidence: 99%

Comparing Infant and Toddler Sleep Patterns Prior to and During the First Wave of Home Confinement Due to COVID-19 in Spain

Cassanello

Ruiz-Botia

Pere

et al. 2021

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IntroductionRecent literature has shown that sleep patterns are shaped during the first years of life, playing a relevant role in children’s functioning. We focused on comparing sleep patterns in infants and toddlers in Spain before and during COVID-19 home confinement to assess the immediate impact on sleep patterns. Methodse compared data from two cross-sectional surveys from parents of 1,658 children three to 36 months of age from Spain. One conducted before COVID-19 (2017-2018, n=1,380) and another during COVID-19 pandemic (March-May of 2020, n=254). We used an internet self-administrated questionnaire using the Brief Infant Sleep Questionnaire (BISQ) criteria in both surveys.ResultsDuring confinement infants and toddlers went to sleep later (median bedtime 21.5 before confinement vs. 21.6 during confinement p=0.004). We found a statistically significant increase in infants’ and toddlers’ sleep latency by >30 minutes during confinement (p<0.001). Based on the recommended BISQ criteria for classifying inadequate sleep patterns, we observed a statistically significant increase in poor sleepers meeting at least one criterion during confinement (p<0.001). ConclusionsParents during COVID-19 home confinement reported several factors affecting the quality of their children’s sleep. Follow-up studies can help understand the potential long-term effects of the COVID-19 pandemic on sleep patterns.

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“…We analyzed a repeated cross-sectional survey of parents who reported having a healthy infant/toddler between three and 36 months of age in Spain. One conducted before COVID-19 con nement (2017-2018) (9) and another conducted during the strict home con nement of the rst wave of COVID-19 (March-May of 2020). We used an internet self-administrated questionnaire assessing sleep patterns using the Spanish validated Brief Infant Sleep Questionnaire (BISQ) criteria (10,11) in both surveys.…”

Section: Methodsmentioning

confidence: 99%

“…We used an internet self-administrated questionnaire assessing sleep patterns using the Spanish validated Brief Infant Sleep Questionnaire (BISQ) criteria (10,11) in both surveys. The sample recruitment, the inclusion and exclusion criteria as well as the variables measured and analyses mirrored our previous study in order to be able to perform adequate comparisons between both our samples (9).…”

Section: Methodsmentioning

confidence: 99%

Comparing Infant and Toddler Sleep Patterns Prior To and During The First Wave of Home Confinement Due To COVID-19 in Spain

Cassanello

Ruiz-Botia

Sala-Castellvi

et al. 2021

Preprint

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Introduction: Recent literature has shown that sleep patterns are shaped during the first years of life, playing a relevant role in children’s functioning. We focused on comparing sleep patterns in infants and toddlers in Spain before and during COVID-19 home confinement to assess the immediate impact on sleep patterns. Methods We compared data from two cross-sectional surveys from parents of 1,658 children three to 36 months of age from Spain. One conducted before COVID-19 (2017–2018, n = 1,380) and another during COVID-19 pandemic (March-May of 2020, n = 254). We used an internet self-administrated questionnaire using the Brief Infant Sleep Questionnaire (BISQ) criteria in both surveys. Results During confinement infants and toddlers went to sleep later (median bedtime 21:30 before confinement vs. 21.36 during confinement (p = 0.004)). More infants and toddlers showed longer sleep latencies (> 30 minutes) during confinement median 33.9% versus 12.3% (p < 0.001). Based on the recommended BISQ criteria, we observed an increase in poor sleepers meeting at least one criterion of inadequate patterns during confinement (p < 0.001). Parental perception of a child’s sleep as problematics were 39.4% and 44.1% (adjusted p = 0.363) before and under lockdown, respectively. Conclusions Home confinement generally affected infant’s and toddler’s sleep patterns negatively, however parents didn’t report worse perception of sleep quality of their children. Follow-up studies can help understand the potential long-term effects of the COVID-19 pandemic on sleep patterns.

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How do infants and toddlers sleep in Spain? A cross-sectional study

Cited by 13 publications

References 31 publications

Children’s Health Habits and COVID-19 Lockdown in Catalonia: Implications for Obesity and Non-Communicable Diseases

Children’s Health Habits and COVID-19 Lockdown in Catalonia: Implications for Obesity and Non-Communicable Diseases

Comparing Infant and Toddler Sleep Patterns Prior to and During the First Wave of Home Confinement Due to COVID-19 in Spain

Comparing Infant and Toddler Sleep Patterns Prior To and During The First Wave of Home Confinement Due To COVID-19 in Spain

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