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Published on: October 2, 2019
Association Between Night Waking and Child Health During the First 3 Years of Life
1Department of Human Development and Family Science, University of Georgia, Athens, GA.
Insights
Frequent night awakening in early childhood is linked to poorer health and more illnesses. However, a decrease in night awakenings over time is associated with improved child health trajectories.
Area of Science:
- Pediatric Health
- Child Development
- Sleep Science
Background:
- Night awakening is a prevalent issue for parents and caregivers in early childhood.
- It is recognized as a potential risk factor impacting child growth and development.
- Understanding its associations with health is crucial for early intervention.
Purpose of the Study:
- To investigate the concurrent and longitudinal relationships between night awakening and child health.
- To examine the associations with illness occurrences during the first three years of life.
- To analyze age-related patterns in night awakenings and overall child health.
Main Methods:
- Utilized longitudinal data from 1364 infants from the NICHD Study of Early Child Care and Youth Development.
- Collected maternal reports on night awakening frequency, overall health, and illness at 6, 15, 24, and 36 months.
- Employed structural equation modeling, including latent growth curve modeling, to analyze the data.
Main Results:
- Observed curvilinear patterns in night awakening frequency and overall child health between 6 and 36 months.
- More frequent night awakenings correlated with poorer health at 6 months.
- A decline in night awakenings was linked to a slower decline in health over time and was associated with fewer illnesses up to 24 months, with this association diminishing by 36 months.
Conclusions:
- Night awakening demonstrates both concurrent and longitudinal associations with adverse health outcomes and increased illness in early childhood.
- The frequency and changes in night awakenings provide insights into a child's health trajectory.
- These findings underscore the importance of addressing night awakening for promoting child well-being.
Objective:
Night awakening is a common concern for parents and professionals in early childhood and a risk factor for child growth and development. This study examined the concurrent and longitudinal associations of night awakening with child health and illness during the first 3 years of life.
Methods:
Longitudinal data from 1364 infants in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development were used in this study. At ages 6, 15, 24, and 36 months, mothers reported on the frequency of their child's night awakening in the past week, overall health, and occurrences of illness. Information on demographic factors, including child sex and ethnicity/race, maternal education, and family income as well as child breastfeeding status was obtained at 1 month. Structural equation modeling, including latent growth curve modeling, was performed.
Results:
Age-related changes in weekly frequency of night awakening and overall child health were characterized by curvilinear patterns between 6 and 36 months. Although more frequent night awakenings were associated with poorer health at 6 months, a faster decline in night awakenings was associated with a slowed health decline over time. Furthermore, more frequent night awakenings were concurrently associated with more occurrences of illness at ages 6, 15, and 24 months. The association between night awakening and illness dissipated by 36 months.
Conclusion:
Night awakening is concurrently and longitudinally associated with poorer health and more illnesses in early childhood.
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