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To sleep or not to sleep: a repeated daily challenge for African American children
Karen Spruyt1, Calista U Alaribe, Odochi U Nwabara
1Rett Expertise Centre - Governor Kremers Centre, Maastricht University Medical Center, Maastricht, the Netherlands; Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussel, Belgium; Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center affiliated with Shanghai Jiaotong University School of Medicine, Shanghai, China.
Insights
African American children in Chicago slept less than recommended, with significant night-to-night variability. Daytime naps appeared to compensate for insufficient nighttime sleep, suggesting a need for improved sleep opportunities.
Area of Science:
- Pediatric Sleep Medicine
- Child Development
- Public Health
Background:
- Sleep is crucial for children's development and well-being.
- Previous surveys indicated higher rates of poor sleep in minority populations.
- Objective data on sleep patterns in minority children were lacking.
Purpose of the Study:
- To objectively characterize sleep patterns in African American children.
- To investigate sleep duration and variability in this population.
Main Methods:
- A 1-year cross-sectional study involving 24 African American children on Chicago's South Side.
- Objective sleep recording for 14 days, repeated three times.
- Analysis of nighttime sleep duration and daytime napping patterns.
Main Results:
- Children averaged 6.51 hours of nighttime sleep and 1.42 hours of daytime sleep.
- Significant variability in sleep duration and quality, particularly on weekends.
- Daytime sleep appeared to compensate for insufficient nighttime sleep ('catch-up' sleep).
Conclusions:
- African American children in the study obtained insufficient nighttime sleep.
- Diurnal sleep patterns showed significant fluctuations, likely driven by need and opportunity.
- Interventions should focus on creating better sleep opportunities for children.
Aims:
Sleep is important for children, because of the impact on their development and well-being. Previous survey research suggested that poor sleep occurs more frequently in minorities. However, objective data characterizing their sleep patterns are lacking.
Methods:
Children enrolled in a 1-year cross-sectional sequence designed study centered on a 14-day objective sleep recording, which was repeated three times. Children lived on the South Side of Chicago and were self-defined as being African Americans.
Results:
Findings reflect data of 24 children with a mean age of 5.4 ± 1.7 years of which 54.2% were girls. They slept at night 6.51 h and during the day changeably 1.42 h, likely being noon naps during the week and afternoon naps on Saturday and Sunday. Variability in quality of sleep, and also nighttime sleep duration, especially on Friday and Saturday, was characteristic. The highest variability was noted in sleep onset and offset latency, and in the quality of napping. The interrelation of daytime and nighttime sleep changes was suggestive of "catch-up" daytime sleep.
Conclusion:
At nighttime children habitually obtained few hours of sleep with diurnal sleep fluctuations likely being "a need" and "a chance." Interventions might emphasize on creating optimal opportunities to sleep.
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