Many naps, one nap, none: A systematic review and meta-analysis of napping patterns in children 0-12 years

Sally Staton1, Peter S Rankin1, Mollie Harding1

  • 1Institute for Social Science Research, The University of Queensland, Australia.

Sleep Medicine Reviews
|December 22, 2019
PubMed

Insights

Most children stop napping by age five, marking a key developmental milestone. This study analyzes global data to understand childhood napping cessation patterns and duration.

Area of Science:

  • Developmental Pediatrics
  • Sleep Science
  • Child Psychology

Background:

  • Monophasic sleep onset is a critical developmental milestone in childhood.
  • There is a lack of consensus on the age at which children typically stop napping.
  • Understanding napping patterns is crucial for assessing child development.

Purpose of the Study:

  • To systematically review global evidence on childhood napping patterns.
  • To meta-analyze data to describe napping cessation and duration in children aged 0-12 years.
  • To identify the typical age range for napping cessation.

Main Methods:

  • Systematic literature search for original research articles on children's napping patterns by age.
  • Quality assessment of included studies.
  • Meta-analysis of eligible studies to determine patterns of napping cessation and duration.

Main Results:

  • Less than 2.5% of children cease napping before age 2.
  • Approximately 94% of children stop napping by age 5.
  • The preschool period (3-5 years) shows significant variation in napping cessation, suggesting ecological influences.

Conclusions:

  • Napping cessation typically occurs between ages 3 and 5, with most children transitioning to monophasic sleep by age 5.
  • High heterogeneity in study methodologies and high risk of bias were noted.
  • Further research is needed to explore mechanisms behind individual napping variations and their role as developmental markers.