Child care setting affects salivary cortisol and antibody secretion in young children

Sarah Enos Watamura1, Christopher L Coe, Mark L Laudenslager

  • 1Department of Human Development, Cornell University, Ithaca, NY 14853, USA. swatamura@psy.du.edu

Insights

Elevated cortisol in children attending child care may lower antibody levels and increase illness. Higher cortisol on weekends also correlated with more reported illnesses in young children.

Area of Science:

  • Pediatric Health
  • Stress Physiology
  • Immunology

Background:

  • Afternoon cortisol elevations are common in children during childcare.
  • The consequences of these cortisol elevations on children's health are not well understood.
  • The interplay between stress (cortisol) and immune function (antibody secretion) in young children requires further investigation, especially across different environments.

Purpose of the Study:

  • To investigate the relationship between daily salivary cortisol concentrations and antibody secretion in children.
  • To examine how these relationships differ between home and child care settings.
  • To explore the association between cortisol levels, antibody secretion, and parent-reported illnesses.

Main Methods:

  • Salivary cortisol and antibody (sIgA) levels were measured in 65 children (3-5 years old) at three time points daily (morning, afternoon, evening).
  • Samples were collected over two days at home and two days in child care settings.
  • Parent-reported illnesses were recorded, and children attended high-quality, full-time childcare centers.

Main Results:

  • A rising cortisol profile during childcare predicted lower antibody levels on the subsequent weekend.
  • Higher cortisol levels on weekend days were associated with increased parent-reported illnesses.
  • A declining daily pattern of salivary immunoglobulin A (sIgA) was observed in older preschoolers on child care and weekend days, and in younger preschoolers on weekend days.

Conclusions:

  • Elevated cortisol levels in children during childcare may negatively impact immune function, leading to reduced antibody levels.
  • Increased cortisol is linked to a higher frequency of illnesses in young children.
  • Environmental context, such as childcare, influences the diurnal patterns of both cortisol and antibody secretion in preschoolers.

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