Prevalence and Course of Sleep Problems in Childhood

Fricke-Oerkermann, Leonie; Plück, Julia; Schredl, Michael; Heinz, Kathrin; Mitschke, Alexander; Wiater, Alfred; Lehmkuhl, Gerd

doi:10.1093/sleep/30.10.1371

Cited by 228 publications

(162 citation statements)

References 26 publications

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“…The results of the Children's Sleep Comic, the SSR-DE and the CSHQ-DE were compared to the DIKS, the parental interview for sleep disorders. The frequency distribution of the differential diagnoses was comparable to previous epidemiological studies [8,14,15,29].…”

Section: Discussionsupporting

confidence: 86%

A new diagnostic tool for children with sleep disorders

et al. 2013

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Section: Discussionsupporting

confidence: 86%

A new diagnostic tool for children with sleep disorders

et al. 2013

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“…To determine daily screen time for children, parents were asked how many hours a day their child spent in front of a screen on weekdays and weekends, including (1) watching TV shows; (2) watching DVDs, videos, or movies; (3) playing video or computer games; and (4) on Internet-related activities such as email, iPhone apps, Facebook, or YouTube. Homework-related screen time was not included.…”

Section: Screen Time and Limit-settingmentioning

confidence: 99%

“…1 Sleep problems affect 30% to 40% of the school-aged population, 2,3 and approximately 10% to 18% of school-aged children complain of daytime sleepiness. 3,4 Numerous studies have explored the effect of insufficient quantity and quality of sleep on child health.…”

Section: Introductionmentioning

confidence: 99%

Associations of Parent Health Behaviors and Parenting Practices with Sleep Duration in Overweight and Obese Children

Rea

Smith

Taveras

2016

Journal of Clinical Sleep Medicine

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Study Objectives: To examine the extent to which parent health behaviors and parenting practices are associated with school-age children's sleep duration. Methods: We surveyed 790 parents of children, aged 6 to 12 y, who had a body mass index (BMI) ≥ 90th percentile and were participating in a randomized controlled obesity trial. The main exposures were parent sleep duration, screen time and physical activity, parental limits placed on child TV viewing time and TV content, and parents' confidence regarding their ability to help their child get enough sleep. The primary outcome was child sleep duration. We used linear regression models to examine associations of parent behaviors and parenting practices with child sleep duration. Results: On average, children slept 9.2 h per night, whereas parents slept 6.9 h. Parents reported having an average of 1.9 h of screen time per day and 0.6 h of physical activity. There were 57.3% of parents who reported feeling very/extremely confident that they could help their child get enough sleep. In adjusted multivariate analyses, child sleep duration was 0.09 h/day (95% confidence interval: 0.03, 0.15) longer for each 1-h increment in parent sleep duration. Additionally, children whose parents reported being very/extremely confident they could help their child get age-appropriate sleep duration slept 0.67 h/day longer (95% confidence interval: 0.54, 0.81) than those whose parents were not/somewhat confident. Conclusions: Educating parents about their own sleep health and enhancing parent confidence to help their children get enough sleep are potential areas of intervention to increase child sleep duration. Keywords: child sleep, parent confidence, parent health behaviors, parent sleep, parenting practices Citation: Rea CJ, Smith RL, Taveras EM. Associations of parent health behaviors and parenting practices with sleep duration in overweight and obese children.

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“…This is surprising given that Յ40% of all children are estimated to experience sleep problems and that the problem persists in approximately half of those affected. 5 Furthermore, elevated blood pressure (BP) and hypertension in pediatric populations are more commonly recognized than in the past. 6 BP tracks over time from childhood to adulthood, 7 and longitudinal data show that elevated BP levels in childhood are associated with hypertension, 8 manifestations of carotid atherosclerosis, 9 and coronary heart disease 10 in adulthood.…”

mentioning

confidence: 99%

Poor Sleep and Cardiovascular Function in Children

et al. 2011

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Abstract-We investigated whether sleep quantity and quality were related to 24-hour ambulatory blood pressure and cardiovascular reactivity in children. We studied term-born, healthy 8.0-year olds (SD: 1.4 years) without sleepdisordered breathing (231 and 265 children provided valid data for analyses of ambulatory blood pressure and cardiovascular reactivity, respectively). Sleep was registered with an actigraph for 6 nights on average (SD: 1.2; range: 3 to 13 nights). Ambulatory blood pressure was measured for 24-hours (41% nonschool days) with an oscillometric device. The children underwent the Trier Social Stress Test for Children, during which blood pressure, electrocardiography, and thoracic impedance were recorded and processed offline to give measures of cardiovascular and autonomic function. Neither quantity nor quality of sleep was related to 24-hour ambulatory blood pressure or cardiovascular reactivity after accounting for major covariates (sex, age, height, body mass index, and parental education). Although lower sympathetic nervous system activation and higher cardiac activation under stress were found in the group of children who slept for short duration when they were compared with the average sleep duration group, these associations were not significant after correction for multiple testing and were not seen in linear regression models of the effects of sleep duration. 3,4 are established in adults but not in children. This is surprising given that Յ40% of all children are estimated to experience sleep problems and that the problem persists in approximately half of those affected. 5 Furthermore, elevated blood pressure (BP) and hypertension in pediatric populations are more commonly recognized than in the past. 6 BP tracks over time from childhood to adulthood, 7 and longitudinal data show that elevated BP levels in childhood are associated with hypertension, 8 manifestations of carotid atherosclerosis, 9 and coronary heart disease 10 in adulthood.Few existing studies have addressed associations between poor sleep and cardiovascular function in children. Those that have differ in their target populations and their measures of sleep and have produced contradictory results. For example, actigraphic and polysomnographic measures of low sleep efficiency (percentage of time in bed spent asleep) were associated with elevated systolic and diastolic BPs, as well as hypertension in a multiethnic sample of 13-to 16-year olds from the United States. 11 Others have relied on parent or teacher reports to assess sleep duration indirectly. In these studies, longer sleep has been associated variously with increased BP, 12 decreased BP, 13 and no change in BP 14 in groups that differed by age and ethnicity, with sample sizes ranging from 117 12 to 12 680. 13 In many of these studies, measures of resting cardiovascular function have been limited to occasional BP measurements, and we are not aware of any such studies addressing cardiovascular function in response to a challenge. This may be important, given the ab...

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Prevalence and Course of Sleep Problems in Childhood

Abstract: Difficulties initiating and maintaining sleep may be transient or persistent. In practice, children and adolescents should be included in the diagnostic and therapeutic process.

Cited by 228 publications

References 26 publications

A new diagnostic tool for children with sleep disorders

A new diagnostic tool for children with sleep disorders

Associations of Parent Health Behaviors and Parenting Practices with Sleep Duration in Overweight and Obese Children

Poor Sleep and Cardiovascular Function in Children

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