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Predictors of Changes in Sleep Duration in Dutch Primary Schoolchildren: the ChecKid Study
Nina L Komrij1, Maartje M van Stralen2, Vincent Busch3
1Department of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, The Netherlands.
Insights
Childhood sleep duration is declining. Older boys, increased screen time, and lower parental education predict decreased sleep in Dutch schoolchildren, informing interventions.
Area of Science:
- Pediatric Sleep Medicine
- Child Health and Well-being
- Longitudinal Cohort Studies
Background:
- Healthy sleep duration is crucial for child development and long-term health.
- A documented decline in children's sleep duration necessitates understanding its predictors.
- Limited data exists on factors influencing changes in child sleep duration over time.
Purpose of the Study:
- To identify individual (lifestyle), social, cultural, and living condition factors associated with changes in sleep duration among Dutch primary schoolchildren.
- To analyze how changes in these factors correlate with observed changes in children's sleep duration.
Main Methods:
- Utilized data from the ChecKid study, a dynamic cohort of 4-13-year-old children in Zwolle, Netherlands.
- Employed multivariable linear regression to analyze associations between changes in sleep duration and various factors.
- Included factors such as age, sex, physical activity, screen behavior, parental rules, ethnicity, parental education, and bedroom environment.
Main Results:
- Mean sleep duration decreased from 11.4 to 11.0 hours/night between 2009 and 2012.
- Older children, boys, and those with increased screen use (after dinner, computer/game consoles) showed greater sleep duration decline.
- Lower parental education was also associated with a greater decrease in child sleep duration.
Conclusions:
- This study provides novel insights into predictors of declining sleep duration in primary schoolchildren.
- Findings highlight specific demographic and lifestyle factors linked to reduced sleep.
- Results can guide the development of targeted interventions to promote healthy sleep habits in children.
Background:
Healthy sleep duration is essential to health and well-being in childhood and later life. Unfortunately, recent evidence shows a decline in sleep duration among children. Although effective interventions promoting healthy sleep duration require insight into its predictors, data on these factors are scarce. This study therefore investigated (i) which individual (lifestyle), social and cultural factors, and living conditions and (ii) which changes in these factors might be associated with the changes in sleep duration of Dutch primary schoolchildren observed over time.
Method:
Data from the ChecKid study was used, a dynamic cohort study among 4-13-year-old children living in the city of Zwolle, the Netherlands. Associations between changes in sleep duration and individual (lifestyle) factors (i.e., age, sex, physical activity behavior, sugar-sweetened beverage consumption, screen behavior), social and cultural factors (i.e., parental rules, ethnicity), and living conditions (i.e., parental education, presence of screens in the bedroom, household size) were analyzed using multivariable linear regression.
Results:
A total of 1180 children participated, aged 6.6 ± 1.4 years in 2009. Mean sleep duration decreased from 11.4 ± 0.5 h/night in 2009 to 11.0 ± 0.5 h/night in 2012. Older children, boys, children who used screens after dinner, children with greater computer/game console use, and children whose parents had low levels of education had a greater decrease in sleep duration.
Conclusions:
This article reports on one of the first large, longitudinal cohort studies on predictors of child sleep duration. The results of the study can inform future interventions aimed at promoting healthy sleep in primary schoolchildren.
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