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Sleep and physical growth in infants during the first 6 months
Liat Tikotzky1, Gali DE Marcas, Joseph Har-Toov
1Department of Psychology, The Adler Center for Research in Child Development and Psychopathology, Tel Aviv University.
Insights
Infant sleep patterns significantly impact physical growth, with less sleep linked to higher weight-for-length ratios. This highlights sleep
Area of Science:
- Pediatric sleep science
- Infant growth and development
Background:
- Infant sleep patterns are crucial for development.
- Understanding the link between sleep and physical growth is vital for early childhood health.
- Previous research suggests a connection between sleep duration and weight gain.
Purpose of the Study:
- To investigate the relationship between infant sleep patterns and physical growth (weight-for-length ratio).
- To utilize both objective (actigraphy) and subjective (questionnaire) measures of infant sleep.
- To explore potential confounding factors and sex-related differences in this association.
Main Methods:
- Ninety-six healthy 6-month-old infants and their parents participated.
- Infant sleep was monitored using actigraphy for four nights and the Brief Infant Sleep Questionnaire (BISQ).
- Infant weight and length were measured, and feeding methods were recorded.
Main Results:
- Negative correlations were found between actigraphic sleep percentage and reported sleep duration with the weight-to-length ratio.
- Sex-related differences were observed in the sleep-growth associations.
- Nighttime breastfeeding correlated with fragmented sleep but not directly with physical growth.
Conclusions:
- Infant sleep duration and quality are significantly associated with physical growth in early life.
- These findings support the growing evidence linking short sleep duration to increased risk of weight gain and obesity in young children.
- Early attention to infant sleep may be important for healthy physical development.
Abstract:
The aim of this study was to explore the relationships between infant sleep patterns and infant physical growth (weight for length ratio) using both objective and subjective sleep measures. Ninety-six first-born, healthy 6-month-old infants and their parents participated in the study. Infant sleep was assessed by actigraphy for four consecutive nights and by the Brief Infant Sleep Questionnaire (BISQ). In addition, parents were asked to complete background and developmental questionnaires. Questions about feeding methods were included in the developmental questionnaire. Infants' weight and length were assessed during a standard checkup at the infant-care clinic when the infants were 6 months old. Significant correlations were found between infant sleep and growth after controlling for potential infant and family confounding factors. Actigraphic sleep percentage and reported sleep duration were correlated negatively with the weight-to-length ratio measures. Sex-related differences in the associations between sleep and physical growth were found. Breast feeding at night was correlated with a more fragmented sleep, but not with physical growth. These findings suggest that sleep is related significantly to physical growth as early as in the first months of life. The study supports increasing evidence from recent studies demonstrating a link between short sleep duration and weight gain and obesity in young children.
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