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Prenatal origins of poor sleep in children
Anu-Katriina Pesonen1, Katri Räikkönen, Karen Matthews
1Department of Psychology, University of Helsinki, Helsinki, Finland.
Insights
Small body size at birth and prenatal alcohol exposure are linked to poor sleep in children. These early life factors may predict sleep disturbances, highlighting potential prenatal origins of childhood sleep problems.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Pediatrics
- Prenatal Health
Background:
- Childhood sleep disturbances are common and can impact development.
- Prenatal exposures and birth characteristics are potential, yet understudied, predictors of sleep health.
Purpose of the Study:
- To investigate the association between small body size at birth and prenatal exposure to tobacco or alcohol with poor sleep and sleep disturbances in 8-year-old children.
Main Methods:
- Epidemiologic cohort study of 289 children.
- Sleep duration and efficiency measured via actigraphy for 7 nights.
- Parent-reported sleep disturbances assessed using the Sleep Disturbance Scale for Children.
Main Results:
- Lower birth weight and length were associated with significantly lower sleep efficiency.
- Children exposed prenatally to alcohol showed increased odds of short sleep and low sleep efficiency.
- Small body size at birth (decreased ponderal index) was linked to a higher risk of parent-reported sleep disorders.
Conclusions:
- Poor sleep in children may originate during the prenatal period.
- Prenatal alcohol consumption and conditions related to small birth size are potential mechanisms affecting childhood sleep.
- Findings underscore the importance of prenatal factors in pediatric sleep health.
Study Objectives:
We examined whether small body size at birth and prenatal tobacco or alcohol exposure predict poor sleep and more sleep disturbances in children.
Design:
An epidemiologic cohort study of 289 eight-year-old children born at term.
Measurements And Results:
Sleep duration and efficiency were measured by actigraphy for 7 consecutive nights (mean = 7.1, SD = 1.2). We used both continuous measures of poor sleep and binary variables of short sleep and low sleep efficiency ( < or = 10th percentiles). Parents completed the Sleep Disturbance Scale for Children. Lower birth weight and shorter length at birth were associated with lower sleep efficiency. For every 1-SD decrease in weight and length at birth, the odds for low sleep efficiency increased by 1.7 fold (95% confidence interval [CI]: 1.1 to 2.7) and 2.2 fold (95% CI: 1.3 to 3.7), respectively. For every 1-SD decrease in ponderal index at birth, the risk of parent-reported sleep disorders increased by 1.4 fold (95% CI: 1.0 to 2.0). Moreover, children exposed prenatally to alcohol had a 2.9-fold (95% CI: 1.1 to 7.6) and 3.6-fold (95% CI: 1.3 to 10.0) increased risk for having short sleep and low sleep efficiency, respectively. The associations were not confounded by sex, gestational length, prenatal and perinatal complications, body mass index at 8 years, asthma, allergies, or parental socioeconomic status.
Conclusions:
Poor sleep in children may have prenatal origins. Possible mechanisms include alcohol consumption during pregnancy and other conditions associated with small body size at birth.
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