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Published on: October 11, 2018
Associations of early life risk factors with infant sleep duration
Michael D Nevarez1, Sheryl L Rifas-Shiman, Ken P Kleinman
1Obesity Prevention Program, Department of Population Medicine, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA.
Insights
Maternal depression, early solids, and TV viewing are linked to shorter infant sleep. Minority infants also sleep less, highlighting modifiable factors for better child sleep duration.
Area of Science:
- Pediatrics
- Child Development
- Public Health
Background:
- Insufficient sleep in children is linked to negative health outcomes.
- Early life factors can significantly influence infant sleep patterns.
- Understanding these associations is crucial for promoting healthy child development.
Purpose of the Study:
- To investigate the relationship between early life risk factors and infant sleep duration.
- To identify specific maternal and infant characteristics associated with reduced sleep.
- To inform interventions aimed at improving infant sleep.
Main Methods:
- A prebirth cohort study included 1676 mother-infant pairs.
- Infant sleep duration was assessed at 6 months, 1 year, and 2 years of age.
- Multivariable regression models analyzed associations between risk factors and sleep duration.
Main Results:
- Maternal antenatal depression, early introduction of solids (<4 months), and TV viewing were associated with shorter sleep durations at 1 and 2 years.
- Child care attendance was linked to reduced sleep at 2 years.
- Racial/ethnic minority infants (Black, Hispanic, Asian) slept fewer hours than white infants.
Conclusions:
- Maternal depression, early solid food introduction, infant TV viewing, and child care attendance are associated with shorter infant sleep.
- Racial and ethnic disparities in infant sleep duration were observed.
- These findings underscore the importance of considering modifiable risk factors in clinical practice to address infant sleep duration.
Objective:
Insufficient sleep in children is associated with adverse health effects. We examined the associations of early life risk factors with infant sleep duration.
Methods:
We studied 1676 mother-infant pairs in a prebirth cohort study. Main outcomes were mothers' report of their infants' average 24-hour sleep duration at ages 6 months, 1 year, and 2 years.
Results:
Infants slept mean standard deviation [SD] durations of 12.2 (2.0) hours/day at age 6 months, 12.8 (1.6) hours/day at age 1 year, and 11.9 (1.3) hours/day at age 2 years. In multivariable regression models, maternal antenatal depression, introduction of solids at age <4 months, and infant TV/video viewing were associated with shorter sleep durations at both 1 and 2 years of age. Estimates were 0.36 fewer hours/day of sleep for maternal antenatal depression, 0.39 fewer hours/day of sleep if infant was introduced to solids at age <4 months, and 0.11 fewer hours/day of sleep for each 1 hour of TV viewed per week. Attendance at child care outside the home was associated with 0.18 fewer hours/day of sleep at age 2 years. At age 2 years, black, Hispanic, and Asian infants slept 0.40, 0.82, and 0.95, respectively, fewer hours per day than white infants.
Conclusions:
Maternal depression during pregnancy, early introduction of solid foods, infant TV viewing, and attendance of child care were associated with shorter infant sleep duration. Racial/ethnic minority children slept fewer hours in the first 2 years of life than white children. Our results suggest that various risk factors, some potentially modifiable, are worthy of clinical consideration when addressing infant sleep duration.
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