Sleep matters: The association of race, bedtime, outdoor time, and physical activity with preschoolers' sleep

Parsons, Allison; Ollberding, Nicholas J.; Smith, Laurie; Copeland, Kristen A.

doi:10.1016/j.pmedr.2018.08.008

Cited by 19 publications

(28 citation statements)

References 24 publications

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“…Regarding the appropriate bedtime and sleep duration for children aged 5 years, the American Society of Sleep Medicine recommends sleep duration of 10-13 h for healthy preschool 3-5 years. 16 Parsons et al conducted a cross-sectional study involving 359 preschool children aged 3-5 years, and reported that about 65% went to bed before 21:00. and the average total sleep duration was 11.2 h. 17 In our study, average bedtime and sleep duration for 5-year-old children were 21:20 and 9.9 h, respectively. This indicated Japanese preschool children had a later bedtime and shorter sleep duration than children in Western countries.…”

Section: Discussionsupporting

confidence: 45%

Association between children's sleep patterns and problematic behaviors at age 5

Suda

Nagamitsu

Obara

et al. 2020

Pediatrics International

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Background: Night-shift lifestyles affect children as well as adults, and are associated with sleep and behavioral problems among children. This study aimed to investigate associations among sleep patterns, individual/environmental factors, and problematic behaviors in children at age 5 years. Methods: Data for sleep patterns, individual / environmental factors, and problematic behaviors for 8,689 5-yearold children were collected from health-checkup records. Problematic behaviors investigated were anxious behavior (being afraid, difficulty being separated from the mother), developmental behavior (violence, restlessness, rebellious behavior, restrictive diet, stereotypic play), personal habits (thumb-sucking, nail-biting, tic, masturbation), and excretory problems. The relationships between sleep patterns (bedtime, sleep duration) and the presence of these behaviors were analyzed. Individual / environmental factors that affected problematic behaviors were statistically identified using a tree-form model. Results: Late bedtime and short sleep duration showed significant adverse effects on children's problematic behaviorsodds ratio (OR): 1.07, 95% confidence interval (CI): 1.03-1.11 and OR: 0.92, 95% CI: 0.87-0.97, respectively. Long television watching time, abnormality at birth, and lack of father's support also showed significant adverse effects on problematic behaviors (OR: 2.34, 95% CI: 1.87-2.94), and significantly affected late bedtime and short sleep duration. Conclusions: There were significant associations among sleep patterns, individual / environmental factors, and problematic behaviors in 5-year-old children. Improving children's sleep patterns, reducing the duration of television watching, and improving support from fathers may reduce problematic behaviors.

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Section: Discussionsupporting

confidence: 45%

Association between children's sleep patterns and problematic behaviors at age 5

Suda

Nagamitsu

Obara

et al. 2020

Pediatrics International

View full text Add to dashboard Cite

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“…43 Therefore, this study contributes the objective assessment of sleep duration to detect sociodemographic differences between groups. The difference in sleep duration may be a result of poor bedtime routines and sleep schedule, as it has been reported that African American preschoolers have less consistent bedtime routines 44 and later sleep onset 15 compared to white children, and these factors are associated with lower sleep duration. 15 Lower sleep duration in low-income children and families may be a result of bed sharing, additional environmental noise, longer parent work hours, and bedroom TV access, which occur more frequently in these populations.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports have identified African American children may be more likely to nap at ECE centers, which may contribute to total sleep. 44 As screen-time and sleep may be related, the focus should remain on decreasing screen-time outside of the ECE center to increase nighttime sleep. The screentime data were self-reported and subject to social desirability bias, which may have influenced parents to report less screen-time than their child actually obtained.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic Differences in Young Children Meeting 24-Hour Movement Guidelines

Kracht

Webster

Staiano

2019

Journal of Physical Activity and Health

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Background: Little is known about variation in meeting the 24-Hour Movement Guidelines (including physical activity [PA], sleep, and screen time [ST]) in early childhood. The aim was to evaluate sociodemographic differences in meeting the 24-Hour Movement Guidelines. Methods: Parents of 3–4 year old children reported sociodemographic information and ST. Sleep and PA were measured using accelerometry, and height and weight were objectively measured. The 24-Hour Movement Guidelines include daily PA (total PA: ≥3 h; including ≥1 h of moderate to vigorous), sleep (10–13 h), and ST (≤1 h). Meeting guidelines by age, sex, race, poverty level, and weight status were assessed using chi-square and linear regression models. Results: Of 107 children, 57% were white and 26% lived in households at or below the poverty level. Most children met the PA (91.5%) and sleep (86.9%) guidelines, but few met ST (14.0%) or all 3 (11.3%) guidelines. African American children and children who lived at or below the poverty level were less likely to meet the sleep, ST, and all 3 guidelines compared with others (P < .01 for all). There were no other differences. Conclusion: These results suggest future interventions should focus on reducing differences in movement, namely in sleep and ST.

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“…Several variables shown to be associated with sleep in children with and without epilepsy were measured using an investigator‐designed questionnaire and were included as covariates (Batista & Nunes, 2007; McDonald, Wardle, Llewellyn, van Jaarsveld, & Fisher, 2014; Parsons, Ollberding, Smith, & Copeland, 2018). These included the child's age, gender, daytime physical activity levels, seizure frequency, antiepileptic medication, developmental delay comorbidities, being the only child at home, and maternal employment.…”

Section: Methodsmentioning

confidence: 99%

Screen Time Exposure and Altered Sleep in Young Children With Epilepsy

Lin

Lee

Yang

et al. 2020

J of Nursing Scholarship

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Purpose To examine the association between daily screen time exposure and both sleep patterns (sleep onset, sleep offset, and nighttime, and daily sleep durations) and sleep disturbances among a clinical sample of children with epilepsy. Design A cross‐sectional actigraphic sleep study. Methods A convenience sample of 141 children with epilepsy (1.5–6 years of age) was recruited from an outpatient pediatric neurology clinic of a university‐affiliated children's hospital in northern Taiwan. Participating families completed questionnaires and reported children's screen time use, with children wearing an actigraphy monitor for 7 days to assess sleep patterns. Multivariable linear regression analyses were conducted to examine the association of screen time exposure with the child's sleep patterns and sleep disturbance scores. Findings Mean minutes per day of screen time exposure was 89.79 ± 83.94 min, with 62 parents (44.0%) reporting their child having >1 hr of screen time daily. Mean daily sleep duration was 9.26 ± 1.01 hr, with 106 children (93.0%) sleeping <10 hr in a 24‐hr period. In multivariate regression models, daily screen time exposure of >1 hour was associated with 23.4‐min later sleep onset (b = 0.39, p = .02), 20.4‐min later sleep offset (b = 0.34, p = .04), and more severe sleep disturbances (b = 2.42, p = .04). Conclusions In toddlers and preschool‐age children with epilepsy, daily screen time exposure is greater and sleep duration is shorter than the recommended amount, with increased screen time exposure associated with disturbed sleep. Clinical Relevance Parents need to be informed about the possible adverse impact of screen time exposure on children's sleep and health as well as the importance of limiting screen time exposure to <1 hr per day for their toddlers and preschool‐age children with epilepsy.

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Sleep matters: The association of race, bedtime, outdoor time, and physical activity with preschoolers' sleep

Cited by 19 publications

References 24 publications

Association between children's sleep patterns and problematic behaviors at age 5

Association between children's sleep patterns and problematic behaviors at age 5

Sociodemographic Differences in Young Children Meeting 24-Hour Movement Guidelines

Screen Time Exposure and Altered Sleep in Young Children With Epilepsy

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