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Published on: January 12, 2018
Prenatal and early life origins of adolescence sleep problems: evidence from a birth cohort
Yaqoot Fatima1, Alice Cairns1, Isabelle Skinner1
1Centre for Rural and Remote Health, Mount Isa, James Cook University, Queensland, Australia.
Insights
Prenatal and early life factors like maternal smoking and childhood ADHD symptoms predict adolescent sleep problems. Addressing these early risks may prevent future sleep disturbances.
Area of Science:
- Developmental Psychology
- Sleep Medicine
- Public Health
Background:
- Adolescence is a critical period for sleep development.
- Sleep problems in adolescence are prevalent and can have long-term consequences.
- Identifying early predictors is crucial for preventative strategies.
Purpose of the Study:
- To identify prenatal and early life predictors of sleep problems in adolescence.
- To investigate factors contributing to trouble sleeping, nightmares, snoring, and sleepwalking/talking.
- To understand the link between early life exposures and adolescent sleep disturbances.
Main Methods:
- Analysis of sleep data from 5081 participants in a birth cohort at 14 years of age.
- Exploration of data from the antenatal period through adolescence to identify predictors.
- Utilized modified Poisson regression with robust error variance to determine significant predictors.
Main Results:
- Prevalence of sleep maintenance problems: nightmares (27.88%), snoring (23.20%), sleepwalking/talking (27.72%).
- High prevalence of sleep initiation problems (trouble sleeping: 40.61%).
- Significant predictors identified: maternal smoking, maternal anxiety, childhood sleep problems, attention deficit hyperactivity disorder (ADHD) symptoms, and poor health.
Conclusions:
- Prenatal and early life risk factors significantly predict adolescent sleep problems.
- Early life exposures increase vulnerability to later sleep disturbances, compounded by adolescent health and lifestyle.
- Mitigating early life risk factors offers a potential strategy for preventing adolescent sleep problems.
Purpose:
This study aims to identify the prenatal and early life predictors of adolescence sleep problems.
Methods:
Sleep data (n = 5081) from the 14-year (13.92 ± 0.34 years) follow-up of a birth cohort were analyzed to explore the predictors of adolescence trouble sleeping, nightmares, snoring and sleep talking/walking. Data from the antenatal period till adolescence were explored for identifying predictors of adolescence sleep problems. Modified Poisson regression with a robust error variance was used to identify significant predictors.
Results:
Our results suggest that about a quarter of adolescents in our study sample had sleep maintenance problems (nightmares: 27.88%, snoring: 23.20%, sleepwalking/talking 27.72%). The prevalence rate of sleep initiation problems was even higher (trouble sleeping: 40.61%). Our results suggest that antenatal and early-life factors, e.g. maternal smoking, anxiety, sleep problems in childhood, attention deficit hyperactivity disorder (ADHD) symptoms, and poor health are significant predictors of adolescence sleep problems.
Conclusions:
This study demonstrates the predictive role of prenatal and early life risk factors in adolescence sleep problems. It seems that exposure to prenatal and early life risk factors increase the vulnerability for sleep problems later in life, which is further supported by poor health and lifestyle choices in adolescence. Therefore, close observation and mitigation of factors associated with early life risk factors could be a potential strategy for preventing sleep problems later in life.
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