Sleep disorders and starting time to school impair balance in 5-year-old children

Cristiane Aparecida Moran1, Luciane B C Carvalho, Lucila B F Prado

  • 1Department of Internal Medicine, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.

Insights

Children with sleep disorders may experience impaired motor skills, particularly boys attending morning school sessions. This highlights a potential interaction between sleep health and academic timing on early childhood development.

Area of Science:

  • Pediatric Neurology
  • Developmental Psychology
  • Sleep Medicine

Background:

  • Sleep disorders are increasingly recognized as a potential factor affecting child development.
  • The timing of school start times may influence children's overall well-being and performance.
  • Motor skills are crucial for various aspects of childhood development and learning.

Purpose of the Study:

  • To investigate the impact of sleep disorders on the motor skills of 5-year-old children.
  • To examine whether different school start times exacerbate motor skill deficits in children with sleep disorders.

Main Methods:

  • A cross-sectional study involving 132 children with diagnosed sleep disorders and 136 healthy controls.
  • Sleep disorder diagnosis was based on a parental questionnaire.
  • Standardized motor tests assessed global motor coordination, fine motor skills, perceptual-motor coordination, and static/dynamic balance.

Main Results:

  • Children with sleep disorders studying in the morning showed significantly poorer performance in static balance tests.
  • Specifically, 34% of boys with sleep disorders in morning classes failed the sharpened Romberg (Tandem) test.
  • Furthermore, 62% of these boys struggled with the single leg stance test, indicating balance impairments.

Conclusions:

  • Sleep disorders appear to negatively affect motor performance in young children.
  • The interaction between sleep disorders and morning school schedules may particularly impair motor skills in boys.
  • These findings underscore the importance of addressing sleep health in early childhood education settings.
Abstract

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