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Sleep characteristics of young children in Japan: internet study and comparison with other Asian countries
Jun Kohyama1, Jodi A Mindell1, Avi Sadeh1
1Tokyo Bay Urayasu/Ichikawa Medical Center, Urayasu, JapanSaint Joseph's University and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USAAdler Center for Research in Child Development and Psychopathology, Department of Psychology, Tel Aviv University, Israel.
Insights
Young children in Japan sleep less due to shorter daytime sleep, with differences emerging after 3 months. Fewer sleep problems were reported, despite more bedtime difficulties.
Area of Science:
- Pediatrics
- Sleep Medicine
- Cross-cultural Studies
Background:
- International study identified shortest total sleep duration in Japanese young children (0-36 months).
- This study compares Japanese children's sleep patterns with those in other Asian regions.
Purpose of the Study:
- To compare sleep characteristics of young children in Japan with those in other Asian countries.
- To identify specific sleep features contributing to shorter sleep duration in Japan.
Main Methods:
- Internet-based survey using an expanded Brief Infant Sleep Questionnaire.
- Data collected from 872 infants and toddlers in Japan and 20,455 in 11 other Asian countries/regions.
Main Results:
- Japanese children had fewer nocturnal wakings and shorter daytime sleep compared to other Asian regions.
- Reduced daytime sleep duration in Japan was observed after 3 months of age.
- Fewer sleep problems were reported in Japan, but parents reported more bedtime difficulties.
Conclusions:
- Short total sleep duration in Japanese children is primarily linked to reduced daytime sleep.
- Key sleep differences between Japan and other Asian regions emerge after 3 months of age.
- Further research is needed to understand the causes and impacts of these sleep variations.
Background:
A recent international Internet-based study of young children (birth to 36 months) found that total sleep duration in Japan was the shortest among 17 countries/regions. The present study compared features of children's sleep in Japan relative to those in other Asian countries/regions.
Methods:
Parents of 872 infants and toddlers in Japan (48.6% boys), and parents of 20 455 infants and toddlers in 11 other Asian countries/regions (48.1% boys; China, Hong Kong, India, Indonesia, Korea, Malaysia, Philippines, Singapore, Taiwan, Thailand, and Vietnam) completed an Internet-based expanded version of the Brief Infant Sleep Questionnaire.
Results:
Young children in Japan exhibited significantly fewer nocturnal wakings and shorter daytime sleep in comparison with other Asian countries/regions. Although the former finding was apparent in all age groups, the reduced duration of daytime sleep in Japan was not present until after 3 months of age. Interestingly, sleep problems were reported by significantly fewer parents in Japan compared with those in other Asian countries/regions, although parents in Japan reported significantly more difficulty at bedtime.
Conclusions:
The short sleep duration of young children in Japan is largely due to a relatively short duration of daytime sleep. Significant differences in sleep characteristics in Japan relative to other Asian regions were found primarily after 3 months of age. Future studies should further explore the underlying causes and the potential impacts of these sleep differences.
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