Epidemiology of co-sleeping and nighttime waking at 12 months in a birth cohort

Iná S Santos1, Denise M Mota, Alicia Matijasevich

  • 1Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel), Pelotas, RS, Brazil.

Jornal De Pediatria
|April 1, 2008
PubMed

Insights

Co-sleeping and nighttime waking are common in infants at 12 months old. These sleep patterns are associated with maternal socioeconomic factors and child characteristics, suggesting a need for further investigation into long-term effects.

Area of Science:

  • Pediatric sleep research
  • Maternal and child health
  • Epidemiology of infant behavior

Background:

  • Co-sleeping and nighttime waking are prevalent infant sleep behaviors.
  • Understanding factors influencing these behaviors is crucial for child development.
  • The Pelotas 2004 cohort provides a valuable dataset for longitudinal analysis.

Purpose of the Study:

  • To determine the prevalence of co-sleeping and nighttime waking in 12-month-old infants.
  • To identify sociodemographic and reproductive factors associated with these sleep patterns.
  • To explore the relationship between co-sleeping and nighttime waking.

Main Methods:

  • Longitudinal study of the Pelotas 2004 birth cohort in Brazil.
  • Mothers interviewed at delivery and 12 months postpartum.
  • Data collected on sociodemographics, reproductive history, and infant sleep; analyzed using Poisson regression.

Main Results:

  • Prevalence of co-sleeping was 45.8%; associated with lower socioeconomic status, less maternal education, younger maternal age, and more previous births.
  • Prevalence of nighttime waking was 46.1%; associated with male infants, more previous pregnancies, and maternal employment during pregnancy.
  • Co-sleeping was more common in children who experienced nighttime waking.

Conclusions:

  • Co-sleeping and nighttime waking are common infant sleep behaviors in the study population.
  • These sleep patterns are linked to maternal and child characteristics.
  • Further follow-up is needed to understand the persistence and developmental consequences of these sleep habits.
Abstract

Related Concept Videos

Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
Restless Leg Syndrome and Night Terrors01:27

Restless Leg Syndrome and Night Terrors

Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...