Related Experiment Video
Updated: May 27, 2026

Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
Sleep deprivation and accidental fall risk in children
Leonor Reis Boto1, João Núncio Crispim, Isabel Saraiva de Melo
1Department of Pediatrics, Hospital de Santa Maria, 1649-035 Lisboa, Portugal. boto.leonor@gmail.com
Insights
Sleep deprivation in children increases the risk of accidental falls (AF). Naps appear protective, and insufficient sleep duration, especially in preschoolers, heightens this risk.
Area of Science:
- Pediatrics
- Sleep Medicine
- Injury Prevention
Background:
- Accidental falls (AF) are a significant cause of childhood injury.
- The role of sleep deprivation in the risk of AF in children requires further investigation.
Purpose of the Study:
- To investigate the association between sleep deprivation and the risk of accidental falls in children aged 1-14 years.
Main Methods:
- A questionnaire-based study involving children in an emergency room for AF (G1) and children attending health care visits (HV) (G2).
- Data collected included sleep patterns, duration, demographics, and fall characteristics.
- Statistical analyses included logistic regression to identify risk factors.
Main Results:
- An increased risk of AF was observed in boys.
- Lack of naps and altered previous week's sleep patterns (PWSP) were associated with a higher risk of AF.
- Shorter sleep duration in the preceding 24 hours was linked to increased AF risk in 3-5 year olds.
Conclusions:
- This study is the largest to date examining sleep deprivation and childhood injury.
- Napping demonstrates a protective effect against accidental falls in children.
- Sleep durations under 8 hours elevate AF risk, with preschoolers being particularly vulnerable.
Objectives:
To look for an association between sleep deprivation and risk of accidental falls (AF) in children.
Methods:
A questionnaire was applied to two groups of children aged 1-14 years, encompassing children observed in an emergency room for AF (G1) and children attending health care visits (HV) (G2). Collected data included demographic characteristics, medical history, previous week's sleep pattern (PWSP), sleep duration and sleep pattern in the preceding 24 h, mechanism of fall, and injury severity.
Exclusion Criteria:
acute or chronic disease or exposure to drugs interfering with sleep. Statistical analyses included Fisher's exact test, Pearson Chi-square, Fisher-Freeman-Halton test, T and Mann-Whitney tests for independent samples, and multivariate logistic regression (α=5%).
Results:
We obtained 1756 questionnaires in G1 and 277 in G2. Of those, 834 in G1 and 267 in G2 were analyzed. We found an increased risk of AF in boys (OR 1.6; 95% CI 1.2-2.4). After controlling for age, gender, summer holidays, parental education and profession, lack of naps and PWSP were associated with increased risk (OR 2.1; 95% CI 1.3-3.3 and OR 2.7; 95% CI 1.2-6.1). In 3-5 year-old children there was an association between AF and a shorter than usual sleep duration in the previous 24 h (p=0.02).
Conclusions:
To our knowledge, our study is the largest so far to assess the association between sleep deprivation and childhood injury. It evidences a protective effect of naps in children. Sleep duration of less than 8 h increases risk of AF. Pre-schoolers may be particularly susceptible to sleep deprivation.
Related Concept Videos
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Sleepwalking and Sleep Talking
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
REM Sleep Behavior Disorder
RBD is significantly associated with...
Nightmares and Night Terrors
Nightmares often...
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Narcolepsy

