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Published on: April 7, 2020
Sleep problems and daytime tiredness in Finnish preschool-aged children-a community survey
P Simola1, M Niskakangas, K Liukkonen
1Clinic for Children and Adolescents, Institute of Clinical Medicine, Department of Psychology, University of Helsinki, Helsinki, Finland. petteri.simola@hus.fi
Insights
Many preschool children experience sleep problems, with nearly half having issues like difficulty sleeping or night sweats. Poor sleep quality is linked to daytime tiredness, highlighting the need to assess sleep quality in children.
Area of Science:
- Pediatric Sleep Medicine
- Child Development and Well-being
Background:
- Sleep is crucial for children's health and development, particularly for preschoolers.
- Inadequate sleep significantly impacts young children, yet comprehensive data on sleep problems and daytime fatigue is limited.
Purpose of the Study:
- To determine the prevalence of various sleep disturbances and daytime tiredness in 3- to 6-year-old Finnish children.
- To investigate the associations between different sleep problems and daytime tiredness in this age group.
Main Methods:
- A population-based survey involving 904 parents of children aged 3–6 years in Helsinki.
- Utilized the Sleep Disturbance Scale for Children (SDSC) to gather data on sleep issues.
Main Results:
- 45% of children reported at least one sleep problem occurring thrice weekly.
- Common issues included unwillingness to go to bed (14.1%), sleep onset difficulties (10.2%), bruxism (10.2%), and sleep-related breathing issues (8.2%).
- Difficulties initiating and maintaining sleep were strongly correlated with morning and daytime tiredness.
Conclusions:
- Sleep problems are common among preschool-aged children.
- Poor sleep quality is significantly associated with morning and daytime fatigue.
- Screening for sleep issues in children should encompass both sleep duration and quality.
Background:
Sleep is important to the well-being and development of children. Specially, small children are vulnerable to the effects of inadequate sleep. However, not much is known about the frequency of all types of sleep problems and daytime tiredness in preschool-aged children.
Objective:
To evaluate the prevalence of a wide spectrum of sleep problems, daytime tiredness and associations between these in 3- to 6-year-old Finnish children.
Methods:
A population-based study where parents of 3- to 6-year-old children (n= 904) living in Helsinki filled in the Sleep Disturbance Scale for Children (SDSC).
Results:
Of the children, 45% had at least one sleep-related problem occurring at least three times a week: 14.1% were unwilling to go to bed, 10.2% had difficulties in falling asleep, 10.2% had bruxism, 6.4% sleep talking, 2.1% sleep terrors, 8.2% had sleep-related breathing problem, 11.2% had excessive sweating while falling asleep and 12.9% excessive sweating during sleep. Age and gender were related to phenotype of the sleeping problems. In multiple regression analysis, the difficulties in initiating and maintaining sleep were most strongly associated with tiredness in the morning and during the day.
Conclusions:
Different types of sleep problems are frequent in preschool-aged children. Poor sleep quality is associated with morning and daytime tiredness. In screening for sleep problems in children, attention should be paid not only to sleep amount but also to sleep quality.
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