Impact of sleep on attention in primary school-aged autistic children: Exploratory cross-cultural comparison between Singapore and UK children

Chua, Beatrice; Neoh, Michelle Jin Yee; Jeon, Mina; Joyce, Anna; Iandolo, Giuseppe; Hayton, Jessica; Esposito, Gianluca; Dimitriou, Dagmara

doi:10.1016/j.ridd.2022.104271

Cited by 2 publications

(8 citation statements)

References 19 publications

(17 reference statements)

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“…Three articles, identified via a manual snowball search, also met the inclusion criteria. Finally, 28 studies were selected for systematic review and meta-analysis as the data was considered sufficient.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 17 studies, 2 reported cross-cultural comparison in sleep patterns between countries: UK vs Korea, UK vs Singapore . Thus, we included contrasts between participants with and without ASD in each country and treated them as independent contrasts in the analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Thus, we included contrasts between participants with and without ASD in each country and treated them as independent contrasts in the analysis. In total, 61 contrasts across 17 studies were identified: 17 effect sizes reported sleep latency results, 19 effect sizes reported total sleep time, 18 effect sizes reported sleep efficiency, and 7 effect sizes reported WASO.…”

Section: Resultsmentioning

confidence: 99%

“…Three articles, identified via a manual snowball search, also met the inclusion criteria. Finally, 28 studies 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 were selected for systematic review and meta-analysis as the data was considered sufficient.…”

Section: Resultsmentioning

confidence: 99%

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Age-Related Differences in Accelerometer-Assessed Physical Activity and Sleep Parameters Among Children and Adolescents With and Without Autism Spectrum Disorder

Liang,

Haegele,

Healy

et al. 2023

JAMA Netw Open

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ImportancePhysical inactivity and sleep disorders are health-related concerns of youth with autism spectrum disorder (ASD) that can persist from childhood and exacerbate core symptoms. However, evidence on group differences in accelerometer-assessed physical activity and sleep parameters among youth with and without ASD is inconclusive and age-specific effects remain unclear.ObjectiveTo synthesize evidence on group differences in accelerometer-assessed physical activity and sleep parameters and examine the moderating effects of age between children and adolescents with and without ASD.Data SourcesAmerican Psychological Association PsychInfo, CINAHL Ultimate, ERIC, MEDLINE, SPORTDiscus with Full Text, and Web of Science from inception to February 2023.Study SelectionTwo independent reviewers screened articles for observational research comparing accelerometer-assessed physical activity levels and sleep parameters in children and adolescents with and without ASD.Data Extraction and SynthesisAfter developing a standardized form, relevant data were extracted. Quality was assessed using the McMaster Critical Review Form and rated based on sample, measurement, and analyses. The Preferring Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed.Main Outcomes and MeasuresThe primary outcomes were actigraphy-measured MVPA, sleep latency, sleep efficiency, total sleep time, and wake after sleep onset. Data were pooled using a random-effects model. Hedges g was used to express the effect size index. Meta-regression on age was also performed to investigate the potential moderating effects.ResultsCollectively, 1757 studies were initially identified. Among 104 articles that were assessed, 28 were included, comprising moderate-to-vigorous physical activity (MVPA), 4 sleep parameters, and 73 independent effect sizes. A total of 28 studies were included in analysis, comprising 805 children and adolescents with ASD and 1573 without ASD (age range, 5.1-16.9 years). Compared with peers without ASD, children and adolescents with ASD had a small-to-moderate difference in MVPA (g = −0.450; 95% CI, −0.622 to −0.277), total sleep time (g = −0.332; 95% CI, −0.574 to −0.090), sleep efficiency (g = −0.424; 95% CI, −0.645 to −0.203), and a moderate difference in sleep latency (g = 0.514; 95% CI, 0.351 to 0.677) measured by actigraphy. Children and adolescents with ASD experienced an age-related decline in moderate-to-vigorous physical activity (β = −0.049 [95% CI, −0.097 to −0.001]; P = .045), indicating that younger children with ASD showed a smaller difference in MVPA compared with their peers without ASD. Moderating effects of age on sleep parameters were not significant.Conclusions and RelevanceThe findings of this meta-analysis suggested that children and adolescents with ASD had lower MVPA and worse sleep than peers without ASD, and the difference in MVPA varied with age. These findings reinforce the need for public health initiatives aimed at reducing these group disparities.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Age-Related Differences in Accelerometer-Assessed Physical Activity and Sleep Parameters Among Children and Adolescents With and Without Autism Spectrum Disorder

Liang,

Haegele,

Healy

et al. 2023

JAMA Netw Open

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“…The detrimental impact of poor sleep has been echoed across many countries, and is linked to the top five leading causes of death in the USA, including cardiovascular disease, cerebrovascular disease, road accidents, diabetes and hypertension [ 4 ]. Sleep has also been associated with cognitive performance, specifically attention [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Sleep Patterns in Adolescents: Comparisons between Saudi Arabia and the UK

Eid¹,

Lieu

Neoh

et al. 2022

Healthcare

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There are concerns regarding sleep deprivation among adolescents, especially with mounting evidence for the importance of sleep during puberty, and its effects on health and families. The present study aimed to characterise sleep in typical development (TD) adolescents in Saudi Arabia, and compare their sleep profiles to TD adolescents in the UK, to evaluate sleep patterns in adolescents in Saudi Arabia, and to examine the relationship between sleep patterns and the use of social media in both groups. Findings from the current study reported a shorter sleep duration for the Saudi Arabia group than in previous studies and the UK group, which may be attributed to the lack of sleep hygiene practised in Saudi Arabia. Multiple analysis of variance results found significant differences in daytime sleepiness (p < 0.001) and a preference for morningness/eveningness (p < 0.001) between Saudia Arabia and UK adolescents. Statistically significant negative correlations (p > 0.05) between the duration of social media usage and sleep duration were found in both the Saudi Arabia and UK adolescents, where a lower number of sleep hours was observed with a higher duration of social media use. This study fills a gap in the research of sleep in Saudi Arabia in adolescents, and offers important insights on the comparison in sleep habits between Saudi Arabia and UK adolescents.

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Impact of sleep on attention in primary school-aged autistic children: Exploratory cross-cultural comparison between Singapore and UK children

Cited by 2 publications

References 19 publications

Age-Related Differences in Accelerometer-Assessed Physical Activity and Sleep Parameters Among Children and Adolescents With and Without Autism Spectrum Disorder

Age-Related Differences in Accelerometer-Assessed Physical Activity and Sleep Parameters Among Children and Adolescents With and Without Autism Spectrum Disorder

Characteristics of Sleep Patterns in Adolescents: Comparisons between Saudi Arabia and the UK

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