Children's objective and subjective sleep disruptions: links with afternoon cortisol levels
Mona El-Sheikh1, Joseph A Buckhalt, Peggy S Keller
1Department of Human Development and Family Studies, Auburn University, Alabama 36849, USA. elshemm@auburn.edu
Insights
Children with more sleep problems and poorer sleep quality have higher cortisol levels. This study highlights the connection between sleep health and stress hormones in children.
Area of Science:
- Pediatric Health
- Sleep Science
- Endocrinology
Background:
- Sleep disruptions are common in healthy children.
- Understanding the physiological impact of poor sleep is crucial.
Purpose of the Study:
- To investigate the relationship between sleep quality and quantity and cortisol levels in children.
- To explore how subjective and objective sleep measures correlate with stress hormones.
Main Methods:
- Actigraphy was used to objectively measure sleep for 7 nights.
- Saliva samples assessed cortisol levels in a laboratory setting.
- Children self-reported sleepiness and sleep/wake issues.
Main Results:
- Higher cortisol levels were associated with increased subjective sleep problems.
- Objective measures showed poorer sleep quality and shorter sleep duration correlated with higher cortisol.
- These relationships remained significant after controlling for demographic factors.
Conclusions:
- Childhood sleep quality and quantity are linked to physiological stress responses.
- Findings underscore the importance of addressing sleep issues for children's overall health and well-being.
- This research is significant given the high prevalence of sleep disturbances in developing children.
Objective:
The purpose of this study was to determine possible relations between the quality and amount of children's sleep and cortisol in healthy children.
Design:
Children's sleep was monitored with actigraphs for 7 nights. Children came to the laboratory to provide saliva samples, which were used to assess cortisol. Children reported on their sleepiness and sleep/wake problems. Sixty-four healthy children participated (M = 8.75 years; SD = .55).
Main Outcome Measures:
Self-reported sleepiness and sleep/wake problems, actigraphy-measured total sleep minutes, sleep efficiency, minutes awake after sleep onset, and sleep activity, and afternoon cortisol levels.
Results:
After controlling for demographic variables and child characteristics, higher levels of cortisol were related to increased subjective sleep problems and objective measures of shorter sleep duration and poorer sleep quality.
Conclusion:
These findings are of importance for understanding critical facets of children's health and well-being, and are noteworthy given the high prevalence of sleep disruptions in otherwise normally developing children in the United States.
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