Risk factors associated with short sleep duration among Chinese school-aged children

Li, Shenghui; Zhu, Shankuan; Jin, Xinming; Yan, Chen‐Hua; Wu, Shih-Chung; Jiang, Fan; Shen, Xiaoming

doi:10.1016/j.sleep.2010.03.018

Cited by 109 publications

(118 citation statements)

References 37 publications

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“…There was also significant between-group differences in TST, but not SOL. Less TST as caffeine consumption increased is consistent with other literature in children [9][10][11] ; similarly, no relationship with SOL was found in a sample of adolescents. 34 With regard to broader sleep problems, sleep routine and restless sleep, specifically in relation to caffeine intake, have not been investigated previously in any age group.…”

Section: Discussionsupporting

confidence: 91%

“…This is similar to results from previous studies that have needed to control for SES and age on caffeine consumption and adjusted for each in statistical tests. 11,15,[31][32][33] Furthermore, caffeine consumption was significantly associated with morning tiredness, sleep routine, and restless sleep, as well as problematic internalizing daytime behavior. Modelling of the associations between these factors indicated that sleep variables completely mediated the relationship between caffeine and behavior.…”

Section: Discussionmentioning

confidence: 97%

“…13 Some of these approaches may have underreported caffeine consumption as they have limited the range of products asked about, 9,13,15 have focused on caffeine consumption only after 6:00 pm, 11 or not included a clear description of methods used to measure caffeine intake. 14 Sleep has a well-documented relationship with behavior in children with reduced or disrupted sleep predictive of cognitive and behavioral problems such as decreased attention, decreased memory, decreased school performance, decreased executive function, increased hyperactivity, increased aggression, increased sick days, increased symptoms of depression, and increased mood problems.…”

Section: Scientific Investigationsmentioning

confidence: 99%

“…8 Unlike adults and adolescents, school-aged children (5 to 12 years) may not drink caffeinated beverages to purposefully stay awake, but rather the consumption of caffeine may disturb their sleep, leading children to become sleepy during the day. 9 In school-aged children, studies have found that higher caffeine consumption is associated with shorter total sleep time (TST) [9][10][11] and a greater frequency of sleep problems. 12 However,…”

mentioning

confidence: 99%

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The Relationship Between Caffeine, Sleep, and Behavior in Children

Watson

Banks

Coates

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: To examine caffeine consumption from various dietary sources in a cohort of Australian children and the relationship between caffeine consumption, sleep, and daytime behavior. Methods: Children aged 8 to 12 years and their parents/guardians completed a battery of questionnaires. Children completed a caffeine questionnaire while parents completed questionnaires regarding demographics, sleep, and behavior. Results: The final sample consisted of 309 children (mean ± standard deviation [SD] age 10.6 ± 1.3 years, male = 48%) and corresponding parent reports. On average a mean ± SD 10.2 ± 17.4 mg/day of caffeine was consumed with a range of zero to 151 mg/day. Of the children who consumed caffeine (87% of the sample), the largest contributor was coffee and tea; making up 41% of total caffeine intake, and sodas (soft drinks) contributed to 40% of caffeine intake. Total caffeine consumption was significantly associated with sleep routine (r = 0.152); morning tiredness (r = 0.129); restless sleep (r = 0.113); and internalizing behavioral problems (r = 0.128). Using path analysis, caffeine consumption was positively associated with morning tiredness (β = 0.111, P = .050) which was positively associated with internalizing behaviors (β = 0.432, P < .001). The addition of sleep routine and restless sleep to the model led to a complete mediation of caffeine consumption on morning tiredness, as well as a partial mediation of the association between morning tiredness and internal behaviors. Conclusions: In 8-to 12-year-olds the primary sources of caffeine are coffee/tea and sodas. Overall mean caffeine consumption is small by adult standards but has an effect on behavior and sleep in children. The effect on behavior is mediated by disrupted sleep, indicating that caffeine is a contributor to sleep problems and related behavior in children.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Section: Scientific Investigationsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

The Relationship Between Caffeine, Sleep, and Behavior in Children

Watson

Banks

Coates

et al. 2017

Journal of Clinical Sleep Medicine

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“…In a study of school-aged children in China, Li et al found that both maternal and paternal sleep duration of fewer than 6 h were significantly associated with child sleep duration of less than 9 hours. 27 Zhang et al also found an association between child and parent sleep/wake times and time in bed in a school-aged population. 28 Another study in Chinese adolescents found correlations between sleep/ wake patterns, sleep quality, and insomnia in children and parents.…”

Section: Discussionmentioning

confidence: 92%

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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Sleep disturbance associations between parents and children with overweight and obesity

Tsai,

Tung,

Huang

et al. 2024

Research in Nursing & Health

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This cross‐sectional study examined sleep disturbance associations between parents and their school‐age children with overweight and obesity. A 7‐day wrist‐worn actigraph recording was performed on 246 children aged 6–9 years with overweight and obesity recruited from 10 public elementary schools in Taipei, Taiwan. Children's sleep disturbance was assessed using the Children's Sleep Habits Questionnaire. Parental subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index, with parental depressive symptoms measured using the Epidemiologic Studies‐Depression Scale. General linear models were used to examine sleep disturbance associations within parent‐child dyads. The results showed that 208 (84.6%) children had a clinically significant sleep disturbance score, and 123 (50%) parents had poor sleep quality. Higher children's sleep disturbance scores significantly predicted poorer parental sleep quality (b = 0.11, p < 0.001). Poorer parental sleep quality was associated with more severe sleep disturbances in children (b = 0.46, p < 0.001). This association was independent of children's actigraphic sleep (all p > 0.05) and was not attenuated by adjustment for parental depressive symptoms (b = 0.14, p < 0.001). Findings from our study suggest that sleep disturbances occur in both parents and their school‐age children with overweight and obesity, with a significant bidirectional association between the two. Nurses and healthcare professionals should proactively assess and screen for sleep disturbances in parent‐child dyads of children with overweight and obesity. Future studies should develop family‐based sleep interventions and evaluate their effects on the sleep, health, and well‐being of children with overweight and obesity and their parents.

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Risk factors associated with short sleep duration among Chinese school-aged children

Cited by 109 publications

References 37 publications

The Relationship Between Caffeine, Sleep, and Behavior in Children

The Relationship Between Caffeine, Sleep, and Behavior in Children

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

Sleep disturbance associations between parents and children with overweight and obesity

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