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Published on: October 2, 2019
Potentially harmful sleep habits of 3-year-old children in Japan
Jun Kohyama1, Toshihide Shiiki, Junko Ohinata-Sugimoto
1Division of Human Ontogeny and Childhood Development, Graduate School, Tokyo Medical and Dental University, Japan. jkohyama.ped@tmd.ac.jp
Insights
Many 3-year-olds sleep late, with nearly half falling asleep after 10 p.m. Later bedtimes are linked to shorter sleep duration, potentially impacting young children's health.
Area of Science:
- Pediatrics
- Sleep Medicine
- Child Health
Background:
- Adequate sleep is crucial for child development.
- Understanding sleep patterns in early childhood is essential for identifying potential health risks.
- Late sleep onset has been associated with negative outcomes in older populations.
Purpose of the Study:
- To investigate the sleep habits of 3-year-old children.
- To determine the prevalence of late sleep onset in this age group.
- To explore the relationship between sleep onset time and sleep duration, as well as anthropometric measurements.
Main Methods:
- A cross-sectional study involving 1105 guardians of 3-year-old children.
- Data collected via questionnaires during routine health examinations at a public health center.
- Analysis of nocturnal sleep onset time, wake-up time, nocturnal sleep duration, nap duration, height, weight, and body mass index (BMI).
Main Results:
- 49.6% of 3-year-olds fell asleep at 10 p.m. or later.
- Later nocturnal sleep onset was significantly correlated with later wake-up times and shorter nocturnal sleep duration.
- Total daily sleep duration in regular nappers negatively correlated with nocturnal sleep onset time.
- No significant correlation was found between sleep onset time and height, weight, or BMI.
Conclusions:
- Late sleep onset is common among 3-year-olds.
- Children with later bedtimes tend to have shorter overall sleep durations.
- Late sleep onset in early childhood may pose health risks, similar to those observed in older individuals, warranting further investigation.
Abstract:
To examine the sleep habits of 3-year-old children, we questioned guardians during a routine health examination for 3-year-old children at a public health center. According to the 1105 questionnaires analyzed, the proportion of children who fell asleep at 10 p.m. or later was 49.6%. The nocturnal sleep onset time was significantly correlated with the wake-up time in the morning and was significantly negatively correlated with the nocturnal sleep duration. The average daily total sleep duration (nocturnal sleep duration + nap duration) of regular nap-takers showed a significant negative correlation with the nocturnal sleep onset time. The average values for height, weight, and body mass index (BMI) were not correlated with the nocturnal sleep onset time. Children who went to sleep later got less sleep than those who went to sleep earlier. Because sleep debt has a harmful impact on older children and adults, late sleep onset may have adverse health consequences in young children.
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