Sleep location and parent-perceived sleep outcomes in older infants

Mindell, Jodi A.; Leichman, Erin S.; Walters, Russel M.

doi:10.1016/j.sleep.2017.08.003

Cited by 22 publications

(11 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It should be noted, however, that although the toddlers sleeping in a crib had a fewer number of night awakenings, there were no differences in night waking duration. This similarity is consistent with other studies that have found no differences in night awakening duration based on sleep location (eg, own or parental room) in younger children [18]. It may be that once a young child is awake and a caregiver responds, sleep space does not affect the duration of the awakening.…”

Section: Discussionsupporting

confidence: 91%

Caregiver-perceived sleep outcomes in toddlers sleeping in cribs versus beds

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objective: Little is known about whether sleep space impacts toddler sleep outcomes. We examined the prevalence of crib-sleeping and its association with caregiver-reported sleep patterns and problems in a large sample of toddlers from Western countries. Methods: Participants were caregivers of 1983 toddlers ages 18.0-35.9 months (51.7% male; mean age 25.3 months) from Australia, Canada, New Zealand, the United Kingdom, and the United States sleeping in a crib or bed in a separate room from caregivers. Caregiver-reported sleep patterns and problems were collected via a free, publicly available child sleep smartphone application. Results: Across countries/regions, rates of crib-sleeping decreased linearly with age, with 63.4% of toddlers ages 18.0-23.9 months, 34.3% of toddlers ages 24.0-29.9 months, and 12.6% of toddlers ages 30.0-35.9 months sleeping in a crib. Across age groups and countries, crib sleeping was significantly associated with an earlier bedtime, shorter sleep onset latency, fewer night awakenings, longer stretches of time asleep, increased nighttime sleep duration, and decreased bedtime resistance and sleep problems. The duration of night awakenings did not significantly differ by sleep space. Conclusion: Sleeping in a crib instead of a bed is associated with enhanced caregiver-reported sleep quantity and quality for toddlers in Western countries. Consistent with practice recommendations, deferring the crib-to-bed transition until age 3 years may benefit toddlers' sleep in Western contexts. Additional research is needed to identify the impact of sleep space on child sleep in other countries/regions.

show abstract

Section: Discussionsupporting

confidence: 91%

Caregiver-perceived sleep outcomes in toddlers sleeping in cribs versus beds

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…As for bed-sharing, we found children who shared a bed with their parents tended to show a higher prevalence of SDB as compared to those who shared a bedroom with their parents but slept on a separate bed or slept alone (15.1, 12.7 and 12.4%, respectively). Bed-sharing has been associated with several sleep problems in children, including frequent waking up throughout and/or an increased length of time spent awake at night, experiencing nightmares, and a shorter night-time sleep duration [45,46]. In a previous study, sleep problems were more common in children who shared a bed or bedroom with their parents in China [47].…”

Section: Discussionmentioning

confidence: 94%

Characteristics and risk factors of children with sleep-disordered breathing in Wuxi, China

et al. 2020

View full text Add to dashboard Cite

Background: Sleep-disordered breathing (SDB) is a common syndrome in children, related to their immune responses, cardiovascular function, and neurocognitive function. This study aimed to determine the prevalence of SDB among children in Wuxi, China, and to evaluate the protective and risk factors of SDB in children. Methods: A cross-sectional study was conducted on children attending different schools across Wuxi, China, aged 3-14 years old. Of a total of 5630 questionnaires distributed to the parents of the children, 3997 (71.0%) were deemed to be valid. The data on the general sociodemographic factors, children's allergy and sleep characteristics, and the parents' sleep characteristics were also collected. The Paediatric Sleep Questionnaire (PSQ) score was used to identify children at high risk of SDB. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by logistic regression. Results: The prevalence of SDB in this cohort was 13.4% (N = 534). SDB prevalence significantly differed in children with asthma (28.2% vs. 12.8%, P < 0.001), eczema (19.0% vs. 10.0%, P < 0.001), urticaria (16.4% vs. 12.9%, P < 0.01) and rhinitis (21.4% vs. 10.7%, P < 0.001). No significant differences were found in SDB prevalence with respect to pillow material or quilt material. On multivariate logistic regression analysis, asthma (OR 1.986 (95% CI 1.312-3.007), P < 0.01), eczema (OR 1.675 (95% CI 1.377-2.037), P < 0.001), rhinitis (OR 1.998 (95% CI 1.635-2.441), suffered from familial sleep sickness (OR 2.416 (95% CI 1.975-2.955), P < 0.001) and whose mothers slept for a shorter duration (6 h-8 h: OR 1.370 (95% CI 1.089-1.724), P < 0.01; <6 h: OR 3.385(95% CI 2.098-5.461), P < 0.001) increased the odds of having SDB. The incidence of SDB significantly decreased with children's age (6-11 years old: 0R 0.768 (95% CI 0.597-0.989), P < 0.05; 12-14 years old: OR 0.691 (95% CI 0.530-0.901), P < 0.01). Conclusion: The results of this study demonstrated that atopic diseases (asthma, eczema, and rhinitis) and family sleep habits were risk factors for SDB in children in Wuxi, China.

show abstract

“…The prevalence of sleep onset difficulties at age 1 year was 53%, with 16% of infants Several sleep habits were associated with sleep onset difficulties, such as parental presence, and feeding to fall asleep. These elements are known to be associated with sleep problems in young children [2,13] and infants [22,40]. Sucking both a pacifier and thumb/finger was associated with more troubles falling asleep as compared with not sucking, whereas sucking a thumb/finger only tended to be associated with fewer sleep onset difficulties, which suggests that finger/thumb sucking may facilitate more sleep than a pacifier.…”

Section: Sleep Onset Difficultiesmentioning

confidence: 96%

“…Low parental education and incomes, unfavorable neighborhood [15], high maternal age, maternal depression [16,17], prematurity [5,18,19], low birth weight [5,19], breastfeeding [2,9], and care outside the home [7,20] have been found associated with infant and childhood sleep disturbances. Moreover, longitudinal studies within the first year of life suggest that parental sleep-related behaviors (e.g., needing the parent's presence to fall asleep, feeding before sleep and infant's sleep arrangement and location) play a critical role in the consolidation of the infant's sleep [2,9,21,22].…”

Section: Introductionmentioning

confidence: 99%

Sleep habits and sleep characteristics at age one year in the ELFE birth cohort study

et al. 2020

View full text Add to dashboard Cite

Objective Infant sleep plays a critical role in normal development. Sleep problems, including sleep onset difficulties (SODs) and night waking (NW), range from 20% to 30% in infants and young children and can be persistent over time up to adulthood. Young French children seem to have longer sleep durations and less sleep troubles than their counterparts worldwide. Here, we aimed at describing infant sleep characteristics (total sleep time (TST)/24 h, NW, and SODs) and associated sleep habits in infants at age 1 year from the French nationwide birth cohort ELFE. Methods This study included 11,783 infants with information on both sleep characteristics and sleep habits (parental presence when falling asleep, eating to fall asleep, sucking a pacifier or finger to sleep and sleep arrangement and location). Associations were studied by multinomial logistic regression analyses adjusted for familial and infant characteristics. Results Mean TST was 13h36min including 2h54min of naps; 20% of the infants had TST ≤12h/24h. About 46% did not present SOD or NW, 16% had frequent SODs and 22% had NW >1 night in 2. Parental presence, feeding to fall asleep and infant sleep arrangements were frequent in infants with short sleep duration (≤12h/24h), NW and SODs. Non-nutritive sucking was associated with risk of NW, SOD and TST >14h/24h. Parental room sharing was associated with NW. Conclusion This work provides new information on infant sleep arrangements and nonnutritive sucking that should be accounted for when considering sleep behaviors. In addition, most identified sleep habits associated with poor sleep characteristics may be amenable to change.

show abstract

Sleep location and parent-perceived sleep outcomes in older infants

Cited by 22 publications

References 32 publications

Caregiver-perceived sleep outcomes in toddlers sleeping in cribs versus beds

Caregiver-perceived sleep outcomes in toddlers sleeping in cribs versus beds

Characteristics and risk factors of children with sleep-disordered breathing in Wuxi, China

Sleep habits and sleep characteristics at age one year in the ELFE birth cohort study

Contact Info

Product

Resources

About