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Do sleep interventions change sleep duration in children aged 0-5 years? A systematic review and meta-analysis of

Louise J Fangupo1, Jillian J Haszard2, Andrew N Reynolds1

  • 1Department of Medicine, University of Otago, New Zealand.

Sleep Medicine Reviews
|May 24, 2021
PubMed

Insights

Sleep interventions for young children (0-5 years) increased nighttime sleep by 9 minutes per night. These improvements were most effective with sleep-only strategies, not multi-component ones.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Evidence-Based Practice

Background:

  • Sleep problems are common in children aged 0-5 years.
  • Interventions aim to improve sleep duration and quality in this age group.
  • Understanding the effectiveness of different intervention types is crucial for clinical practice.

Purpose of the Study:

  • To systematically review randomized controlled trials (RCTs) on sleep interventions for children aged 0-5 years.
  • To assess the impact of these interventions on nocturnal, daytime, and 24-hour sleep duration.
  • To identify intervention characteristics associated with improved sleep outcomes.

Main Methods:

  • Searched Medline, EMBASE, and CINAHL databases up to July 2020.
  • Included 32 RCTs using subjective and objective sleep measurements.
  • Conducted random effects meta-analysis on nocturnal, daytime, and 24-hour sleep duration.

Main Results:

  • Sleep interventions increased nocturnal sleep duration by an average of 9 minutes per night (95% CI 4.1 to 13.8).
  • Increases were primarily associated with sleep-only interventions.
  • No significant changes were observed in daytime sleep duration.

Conclusions:

  • Sleep interventions can modestly increase nocturnal sleep duration in young children.
  • Future research should focus on sleep-only interventions and utilize objective sleep measures.
  • Evidence-based sleep strategies are essential for pediatric health.

Keywords:
ChildrenDurationInterventionSleep

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