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Associations between health-related family environment and objective child sleep quality
Bethany D Williams1, Jonathon Whipps2,3, Susan B Sisson1
1Department of Nutritional Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.
Insights
A healthier family environment, including nutrition and physical activity, is linked to better child sleep quality. Promoting healthy family behaviors can improve sleep routines and overall health in preschoolers.
Area of Science:
- Pediatric Sleep Science
- Family Health Research
- Child Behavior Studies
Background:
- Childhood sleep quality is crucial for development and overall health.
- Family environment and behaviors significantly influence children's health outcomes.
- Understanding the interplay between family dynamics and sleep is essential for targeted interventions.
Purpose of the Study:
- To investigate the association between family environment and behaviors and objective child sleep quality.
- To determine how specific family factors relate to sleep parameters in young children.
- To identify family-related constructs that may impact sleep duration and timing.
Main Methods:
- Utilized accelerometers to objectively measure child sleep patterns in 24 children aged 2-5 years.
- Employed the Family Nutrition and Physical Activity Screening Tool (FNPA) to quantify family environment health.
- Applied statistical analyses, including Wilcoxon rank sum tests and linear regression, to assess associations.
Main Results:
- Higher scores on the FNPA, particularly in Physical Activity and Sleep Routine domains, correlated with earlier bedtimes.
- Improved Sleep Routine scores were associated with increased total sleep minutes per night.
- Healthier screen time-related FNPA scores were linked to earlier bedtimes.
Conclusions:
- A comprehensive family environment score, encompassing physical activity and nutrition, demonstrated a relationship with child sleep quality.
- Interventions should consider the obesogenic family environment and emphasize healthy sleep routines for preschoolers.
- Addressing family behaviors is a promising strategy for enhancing sleep quality and promoting health in early childhood.
Aim:
This study aimed to assess the relationship between the family environment and behaviours with objective child sleep quality.
Methods:
Twenty-four children (aged 2-5 years) and their parents participated. Child sleep was assessed by accelerometer. Health of the family environment was quantified using the Family Nutrition and Physical Activity Screening Tool (FNPA). Exact Wilcoxon rank sum tests and linear regression were used to determine associations between FNPA scores and child sleep.
Results:
Healthier Total FNPA, Physical Activity FNPA, and Sleep Routine scores were associated with earlier bedtime. Healthier Sleep Routine score was associated with more total minutes of sleep per night. Healthier screen time-related FNPA construct scores were associated with earlier bedtime.
Conclusions:
A composite score of family environment and behaviours, including physical activity- and nutrition-related constructs, was related to child sleep quality. Focus should be placed on the obesogenic family environment and healthy sleep routines to promote overall health among pre-school-aged populations.
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