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Published on: October 11, 2018
Coexistence of sleep and feeding disturbances in young children
Riva Tauman1, Arie Levine, Hadas Avni
1Pediatric Sleep Center, Dana Children's Hospital, Tel Aviv Souraski Medical Center, Tel Aviv, Israel.
Insights
Behavioral insomnia and feeding difficulties are common in young children and often coexist. Early clinical awareness of this association can lead to better interventions and improved outcomes for affected children.
Area of Science:
- Pediatrics
- Child Psychology
- Sleep Medicine
Background:
- Behavioral insomnia and feeding difficulties are prevalent in young children.
- These conditions share similarities in nature, etiology, prevalence, and age distribution.
- The association between these two disorders in early childhood has not been previously examined.
Purpose of the Study:
- To investigate the association between behavioral insomnia and feeding disorders in children aged 6 to 36 months.
- To determine if these common childhood issues tend to occur together.
Main Methods:
- A cross-sectional study involving 681 children aged 6 to 36 months.
- Participants included children with behavioral insomnia, feeding disorders, and healthy controls.
- Sleep and feeding behaviors were assessed using parental questionnaires.
Main Results:
- Children with feeding disorders were significantly more likely to have problematic sleep (37% vs. 16%) with shorter nocturnal sleep duration.
- Children with behavioral insomnia were more likely to have feeding problems (26% vs. 9%) and concerns about growth.
- Both conditions showed statistically significant associations with their counterparts.
Conclusions:
- Problematic sleep and feeding behaviors frequently coexist in early childhood.
- Clinicians should be aware of this comorbidity for timely intervention.
- Recognizing the coexistence can improve treatment outcomes for children with these issues.
Objective:
Behavioral insomnia and feeding difficulties are 2 prevalent conditions in healthy young children. Despite similarities in nature, etiology, prevalence, and age distribution, the association between these 2 common disorders in young children has not been examined thus far.
Patients And Methods:
Children aged 6 to 36 months with either behavioral insomnia or feeding disorders were recruited. Children aged 6 to 36 months who attended the well-care clinics were recruited and served as controls. Sleep and feeding were evaluated by using a parental questionnaire.
Results:
Six hundred eighty-one children were recruited. Fifty-eight had behavioral insomnia, 76 had feeding disorders, and 547 were controls. The mean age was 17.0 ± 7.6 months. Parents of children with feeding disorders considered their child's sleep problematic significantly more frequently compared with controls (37% vs 16%, P = .0001 [effect size (ES): 0.66]). They reported shorter nocturnal sleep duration and delayed sleep time compared with controls (536 ± 87 vs 578 ± 88 minutes, P = .0001) and 9:13 ± 0.55 PM vs 8:26 ± 1.31 PM, P = .003). Parents of children with behavioral insomnia described their child's feeding as "a problem" more frequently compared with controls (26% vs 9%, P = .001 [ES: 0.69]). They reported being more concerned about their child's growth (2.85 ± 1.1 vs 2.5 ± 1.0, P = .03) and reported higher scores of food refusal compared with controls (3.38 ± 0.54 vs 3.23 ± 0.44, P = .04).
Conclusions:
Problematic sleep and feeding behaviors tend to coexist in early childhood. Increased awareness of clinicians to this coexistence may allow early intervention and improve outcome.
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