Sleep quality, duration and behavioral symptoms among 5–6-year-old children

Paavonen, E. Juulia; Porkka‐Heiskanen, Tarja; Lahikainen, Anja Riitta

doi:10.1007/s00787-009-0033-8

Cited by 96 publications

(69 citation statements)

References 30 publications

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“…Children who reported sleep duration of 9 hours are 30% less affected from anxiety and depression. Similar data were published in the USA and Finland concerning correlation between sleep duration and inattention/delinquent and aggressive behavioral disorder [13,14,30]. Higher odds ratios are reported for children suffering from sleep disturbance and anxiety/depression and aggressive behavioral disturbance [31,32].…”

Section: Association Of Disturbed Sleep and Behavioral Problemssupporting

confidence: 81%

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Sleep problems, strengths and difficulties in elementary school children

Driouch¹,

Alfer²,

Fricke-Oerkermann³

et al. 2013

Health

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Aim: To assess behavioral and sleep disturbances in childhood, it is necessary to implement standardized brief questionnaires for children and their parents. Especially complaints of insomnia often are underdiagnosed in pediatric medicine. Methods: We developed a sleep questionnaire (KöSI-KJ) and used it together with German versions of the SDQ (parent and child reports) for epidemiologic studies in Cologne. The sleep questionnaire obtains 33 items for parents and 28 items for children. Ratings were dichotomized for this analysis in "sometimes/ often present" versus "not present". The German versions of SDQ contain 5 subscales each with 5 items. Data from a sample of 1490 children of fourth grade in elementary schools in Cologne (age ranged from 8 to 11 years) are shown. Results: Children indicate signs of sleep disturbances in higher frequency than their parents do. Concerning gender and ethnical group, there no significant differences can be shown. Children with signs of insomnia, dyssomnia, daytime sleepiness or restless sleep showed significantly higher scores for all relevant SDQ subscales in parental and childrens' reports. Children with signs of parasomnia showed higher scores concerning emotional problems and the SDQ total score. Children with enuresis showed higher scores for all SDQ subscales and the total score.

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Section: Association Of Disturbed Sleep and Behavioral Problemssupporting

confidence: 81%

“…The aetiological causes, risk factors and course of sleep and behavioral disturbances in childhood are complex [4][5][6][7][8][9][10][11][12][13][14]. Moreover, prevalence of psychiatric behavioral disturbance increases up to 17% and 26% in school age [15].…”

Section: Introductionmentioning

confidence: 99%

Sleep problems, strengths and difficulties in elementary school children

Driouch¹,

Alfer²,

Fricke-Oerkermann³

et al. 2013

Health

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“…[13][14][15][16] A number of studies have examined sleep in early childhood, a time when sleep patterns change often and poor sleep habits may develop. 3,[17][18][19][20][21][22][23] Taveras and colleges reported a twofold higher prevalence of obesity among infants and toddlers who slept less than 12 hours per day, compared with those who slept more, and observed a distinct dose-response relationship between sleep duration and obesity. 19 Bell et al found that inadequate nighttime sleep, defined by age-specific sleep duration below the 25th percentile, was associated with subsequent obesity in children younger than 4 years of age.…”

mentioning

confidence: 99%

“…[1][2][3] Short sleep duration has also been associated with obesity in childhood in both cross-sectional and longitudinal studies. [4][5][6] The mechanisms linking insufficient sleep to obesity are, in part, related to the hormonal regulation of hunger and satiety.…”

mentioning

confidence: 99%

Regulations to Promote Healthy Sleep Practices in Child Care

2014

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WHAT'S KNOWN ON THIS SUBJECT: Previous studies have examined state regulations for child care facilities and found substantial variation among states. None of these studies examined regulations related to healthy sleep practices, which is an important and often overlooked intervention target for obesity prevention. WHAT THIS STUDY ADDS:We reviewed state regulations related to healthy sleep in child care and compared them to recent national recommendations put forth by the Institute of Medicine. We found that many states lacked regulations, highlighting an important and timely opportunity for improvement.abstract OBJECTIVES: The purpose of this study was to assess state licensing and administrative regulations promoting healthy sleep practices in child care and to compare these regulations to national recommendations. METHODS:We reviewed regulations related to healthy sleep practices for all states and territories for both child care centers (centers) and family child care homes (homes). We compared regulations with Institute of Medicine recommendations to promote sleep in child care, including (1) create environments that ensure restful sleep; (2) encourage sleeppromoting behaviors and practices; (3) encourage practices that promote child self-regulation of sleep; and (4) seek consultation yearly from a sleep expert. We used Cochran-Mantel-Haenszel trend tests to assess associations between geographic region and number of regulations consistent with the recommendations. RESULTS:The mean number of regulations for states was 0.9 for centers and 0.8 for homes out of a possible 4.0. For centers, no state had regulations for all 4 recommendations; 11 states had regulations for 2 of the 4 recommendations. For homes, 9 states had regulations for 2 of the recommendations. States in the Northeast had the greatest mean number of regulations for centers (1.2) and homes (1.1), and states in the South had the fewest (0.7 and 0.7, respectively); these geographic differences were significant for centers (P = .03) but not homes (P = .14).CONCLUSIONS: More states in the Northeast had regulations consistent with the Institute of Medicine sleep recommendations, but overall few states had regulations consistent with the recommendations.

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“…Diese ersten Daten aus dem deutschsprachigen Raum entsprechen den Angaben internationaler Publikationen. So beschrieb Paavonen beispielsweise ebenfalls Einschlafprobleme bei 7,3% der 5-bis 6-jährigen Kinder [28].…”

Section: Häufigkeitunclassified