Sleep Characteristics and Temperament in Preterm Children at Two Years of Age

Caravale, Barbara; Sette, Stefania; Cannoni, Eleonora; Marano, Assunta; Riolo, Erika; Devescovi, Antonella; Curtis, Mario De; Bruni, Oliviero

doi:10.5664/jcsm.6728

Cited by 38 publications

(26 citation statements)

References 59 publications

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“…However, they did not find more nocturnal awakenings or shorter sleep duration compared with their control group, nor did they find that total sleep time or nocturnal awakenings were associated with SDQ total-scores. Caravale et al studied 2-year-old preterm children (mean GA 31 weeks), and found that they had more frequent sleep difficulties during the night, and that these difficulties were related to problems with emotions and attention,26 which is in agreement with our findings. It is worth noting that Perkinson-Gloor et al excluded children with severe developmental delay25 and that Caravale et al included only children with normal cognitive, language, and motor development26 as opposed to no selections in our study.…”

Section: Discussionsupporting

confidence: 92%

Sleep problems, behavioural problems and respiratory health in children born extremely preterm: a parental questionnaire study

Stangenes

Hysing

Elgen

et al. 2019

bmjpo

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ObjectiveTo explore whether children born extremely preterm (EPT) with different types of sleep problems had more behavioural and respiratory health problems than EPT children without sleep problems.DesignProspective, nationwide, questionnaire-based study. At 11 years of age, parents reported on four current sleep problems: difficulty falling asleep or frequent awakenings, snoring, daytime sleepiness and not recommended sleep duration (<9 hours). Behavioural problems were assessed by parents and teachers with the Strengths and Difficulties Questionnaire (SDQ). Parents assessed respiratory symptoms with the International Study of Asthma and Allergies in Childhood questionnaire and described use of asthma medication.SettingNorway.PatientsEPT children.Main outcome measuresSpecified sleep problems, behavioural problems and respiratory health.ResultsData were obtained from 216 of 372 (58 %) of eligible children. All four specified sleep problems were associated with significantly higher parent-reported SDQ total-score (OR 1.1 for all), and except for not recommended sleep duration, also with higher teacher-reported SDQ total-score (OR 1.1 for all). Daytime sleepiness was strongly associated with wheezing last 12 months (OR 3.4), disturbed sleep due to wheezing (OR 3.9), wheeze during or after exercise (OR 2.9), use of inhaled corticosteroids or oral leukotriene modifiers (OR 3.4) and use of bronchodilators (OR 3.9). Snoring was associated with wheezing during or after exercise (OR 2.8) and current asthma (OR 4.2).ConclusionEPT children with different types of sleep problems had more behavioural and respiratory health problems than EPT children without sleep problems.

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Section: Discussionsupporting

confidence: 92%

Sleep problems, behavioural problems and respiratory health in children born extremely preterm: a parental questionnaire study

Stangenes

Hysing

Elgen

et al. 2019

bmjpo

View full text Add to dashboard Cite

show abstract

“…In a separate study, prematurely born children (31.1 ± 2.4 weeks GA, 1600.8 ± 501.2 g, mean±SD) studied at 2 years of age were shown to get to sleep more quickly and were earlier to rise, but had increased incidences of night waking and restlessness and breathing problems associated with poor attention, greater negative emotions, and hyperactivity (Caravale et al . ). In a similar cohort of children, a reduction in sleep duration and quality of sleep was associated with an increased risk of attention deficit hyperactivity disorder (Gossel‐Symank et al .…”

Section: Introductionmentioning

confidence: 97%

Waking up too early – the consequences of preterm birth on sleep development

Bennet

Walker

Horne

2018

The Journal of Physiology

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Good quality sleep of sufficient duration is vital for optimal physiological function and our health. Sleep deprivation is associated with impaired neurocognitive function and emotional control, and increases the risk for cardiometabolic diseases, obesity and cancer. Sleep develops during fetal life with the emergence of a recognisable pattern of sleep states in the preterm fetus associated with the development, maturation and connectivity within neural networks in the brain. Despite the physiological importance of sleep, surprisingly little is known about how sleep develops in individuals born preterm. Globally, an estimated 15 million babies are born preterm (<37 weeks gestation) each year, and these babies are at significant risk of neural injury and impaired brain development. This review discusses how sleep develops during fetal and neonatal life, how preterm birth impacts on sleep development to adulthood, and the factors which may contribute to impaired brain and sleep development, leading to altered neurocognitive, behavioural and motor capabilities in the infant and child. Going forward, the challenge is to identify specific risk factors for impaired sleep development in preterm babies to allow for the design of interventions that will improve the quality and quantity of sleep throughout life.

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“…Infant sleep quality and development can be modulated by a number of biopsychosocial factors [23]. These factors include inherited child's characteristics, such as temperament [24] or chronotype [19], perinatal characteristics such as season of birth [25] or photoperiod [26], and environmental characteristics such as parental stress [27]. Following this line of research, our recent study reported that some maternal risk factors during pregnancy are related to infants' sleep difficulties at three months of age [28].…”

Section: Introductionmentioning

confidence: 97%

The role of parental circadian preference in the onset of sleep difficulties in early childhood

et al. 2019

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Background: Chronotype is a construct contributing to individual differences in sleep-wake timing. Previous studies with children have found that evening-types exhibit greater sleep difficulties. Infant sleep quality can be modulated by several factors, such as parental characteristics. We examined the association between parental circadian preference and sleep in early childhood. Methods: This study was based on a longitudinal birth cohort, with several measurement points. We used information regarding parental questionnaires during pregnancy and children's sleep measures at three, eight, 18 and 24 months. In total, 1220 mothers, 1116 fathers, 993 infants at three months, 990 infants at eight months, 958 children at 18 months, and 777 children at 24 months were analyzed. Parental circadian preference was measured using the Horne-€ Ostberg Morningness-Eveningness Questionnaire. Concerning children's sleep, we used the Brief Infant Sleep Questionnaire (BISQ) and the Infant Sleep Questionnaire (ISQ) at each time point. Results: Maternal circadian preference was associated with infants' circadian rhythm development at three, eight, 18 and 24 months. Furthermore, increased maternal eveningness was also related to short sleep during daytime at three months, and nighttime at three and eight months, to long sleep-onset latency at three, 18 and 24 months, to late bedtime at three, eight and 18 months, and to sleep difficulties at eight and 24 months. Paternal circadian preference was not associated with any sleep variable at any time point. Conclusion: Maternal circadian preference is related to several sleep difficulties in early childhood, and it may be considered a potential risk factor for the onset of early sleeping problems.

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Sleep Characteristics and Temperament in Preterm Children at Two Years of Age

Abstract: Preterm children showed sleep pattern problems and disturbance, predominance of attention problems, and negative emotionality related to sleep disruption.

Cited by 38 publications

References 59 publications

Sleep problems, behavioural problems and respiratory health in children born extremely preterm: a parental questionnaire study

Sleep problems, behavioural problems and respiratory health in children born extremely preterm: a parental questionnaire study

Waking up too early – the consequences of preterm birth on sleep development

The role of parental circadian preference in the onset of sleep difficulties in early childhood

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