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Published on: October 2, 2019
Association between weekend catch-up sleep and executive functions in Chinese school-aged children
1Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Insights
Weekend catch-up sleep does not fully restore executive functions lost from insufficient weekday sleep in children. Excessive weekend sleep may negatively impact children's executive functions.
Area of Science:
- Pediatric Sleep Science
- Child Neurodevelopment
- Cognitive Psychology
Background:
- Weekend catch-up sleep is a common practice among children.
- The relationship between weekend sleep extension and children's executive functions is not well understood.
Purpose of the Study:
- To investigate the association between weekend catch-up sleep and executive functions in school-aged children.
- To determine if weekend sleep can mitigate deficits caused by insufficient weekday sleep.
Main Methods:
- Analysis of data from 4,699 primary school children in Guangzhou, China.
- Assessment of executive functions using the Behavior Rating Inventory of Executive Function Parent Form.
- Statistical analysis using multiple linear regression to examine sleep duration and executive function scores.
Main Results:
- Weekday sleep duration was negatively associated with executive function indices.
- For children sleeping less than 9 hours on weekdays, weekend catch-up sleep showed no correlation with executive functions.
- For children sleeping 9 or more hours on weekdays, over 1 hour of weekend catch-up sleep was linked to improved executive function scores.
Conclusions:
- Weekend catch-up sleep is insufficient to fully recover executive function deficits from short weekday sleep.
- Extended weekend catch-up sleep (over 1 hour) may adversely affect executive functions in school-aged children.
Study Objectives:
Although weekend catch-up sleep is common among children, the association between weekend catch-up sleep and executive functions remains unclear. We aimed to determine whether weekend catch-up sleep was related to executive functions in school-aged children.
Methods:
We analyzed data for 4,699 children (9.00 years ± 1.73 years old, 52.9% boys) from 5 primary schools in Guangzhou, China. Executive functions performance was examined by the Behavior Rating Inventory of Executive Function Parent Form. Validated self-report questionnaires were used to assess sleep status, socioeconomic status, and health behaviors. Multiple linear regression analyses were used to assess the association of weekend catch-up sleep duration with executive functions.
Results:
Weekday sleep was negatively associated with scores on three composite indices (Behavioral Regulation Index, Metacognition Index, Global Executive Composite), while weekend catch-up sleep was positively associated with them. Children with < 9 hours weekday sleep duration had higher scores in all indices, and there was no correlation between weekend catch-up sleep and scores of all indices (P > .05). For children who slept ≥ 9 hours on weekdays, weekend catch-up sleep of more than 1 hour was associated with increased scores of Behavioral Regulation Index, Metacognition Index, and Global Executive Composite (P < .05). There was no interaction between sex, age, and weekend catch-up sleep and executive functions (P > .05).
Conclusions:
Weekend catch-up sleep could not restore the executive functions deficits related to short weekday sleep. Weekend catch-up sleep over 1 hour may have adverse effects on executive functions in school-aged children.
Clinical Trial Registration:
Registry: ClinicalTrials.gov; Title: Prospective Cohort Study on Cognition and Cardiovascular Disease of Sedentary Behaviors in Children; URL: https://clinicaltrials.gov/ct2/show/NCT03582709; Identifier: NCT03582709.
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