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An actigraphic study of the sleep patterns of younger and older school-age children
Reut Gruber1, Gail Somerville2, Samantha Wells3
1Attention, Behavior and Sleep Laboratory, Douglas Hospital Research Centre, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
Insights
Sleep patterns change significantly during school age. Children aged 6-11 experience delayed sleep times, shorter sleep duration, and increased variability, with few meeting recommended sleep amounts.
Area of Science:
- Pediatric Sleep Science
- Developmental Psychology
- Chronobiology
Background:
- Sleep is often assumed to be consistent throughout the school-age years (6-13).
- Empirical evidence supporting this assumption is lacking.
- Understanding sleep changes is crucial for child development and well-being.
Purpose of the Study:
- To empirically document sleep duration, schedule, and variability in school-aged children.
- To investigate discrepancies in sleep patterns between weekdays and weekends.
- To analyze sleep changes across three distinct age groups within the school-age period.
Main Methods:
- Participants were grouped into three age cycles: 6-7 years (Cycle 1), 8-9 years (Cycle 2), and 10-11 years (Cycle 3).
- Sleep was monitored for seven consecutive nights using actigraphy in the children's home environment.
Main Results:
- Significant delays in sleep start times were observed in older age groups (Cycles 2 and 3) compared to Cycle 1.
- Actual sleep duration decreased, and night-to-night sleep variability increased with age.
- While most children spent adequate time in bed, actigraphy revealed very low percentages meeting recommended 'true sleep' durations (17% in Cycle 1, 7% in Cycle 2, 2.5% in Cycle 3).
Conclusions:
- Sleep duration, schedule, and variability undergo significant changes throughout the school-age period.
- Current recommendations for sleep duration may not be met by a majority of school-aged children.
- Age-related shifts in sleep patterns necessitate a re-evaluation of sleep guidelines for children.
Objective:
Sleep is viewed as being relatively consistent across the school-age period (6-13 years of age), however this claim has not been empirically supported. The objective of this study was to document the duration, schedule, variability, and week versus weekend discrepancies of sleep in three distinct age groups within the school-age period.
Methods:
Participants were divided by age: Cycle 1, 6 and 7 years; Cycle 2, 8 and 9 years; and Cycle 3, 10 and 11 years. For seven consecutive nights, sleep was assessed in the home environment using an actigraph.
Results:
Compared to children of Cycle 1, those of Cycles 2 and 3 showed increasing and significant delays in sleep start time, increasingly shorter assumed and actual sleep durations, and larger night-to-night variability of sleep. Of the children in Cycles 1, 2, and 3, 96%, 87.7%, and 51.3%, respectively, were found to spend the recommended 9-11 h in bed. However, the actigraphic 'true sleep' measure revealed that only 17%, 7%, and 2.5% of these children, respectively, obtained the recommended amount of sleep.
Conclusion:
Sleep duration, schedule, and variability change significantly across the school-age period.
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