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Effects of COVID-19 home confinement on sleep in children: A systematic review

Lucia Rocío Camacho-Montaño1, Alex Iranzo2, Rosa María Martínez-Piédrola3

  • 1Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Rey Juan Carlos University, Avenida de Atenas s/n. CP.28922, Alcorcón, Madrid, Spain.

Sleep Medicine Reviews
|February 20, 2022
PubMed

Insights

Coronavirus confinement impacted children's sleep, increasing sleep duration, latency, and daytime sleepiness. Long-term effects on children's sleep patterns remain unknown.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Public Health

Background:

  • The coronavirus disease (COVID-19) pandemic led to widespread home confinement measures.
  • Disruptions to daily routines during confinement may affect children's sleep patterns and daytime functioning.

Purpose of the Study:

  • To systematically review the evidence on the effects of COVID-19 confinement on the sleep of children aged 12 years and younger.
  • To identify changes in sleep routines and disturbances experienced by children during confinement.

Main Methods:

  • A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Searches were performed in multiple databases (MEDLINE, CINAHL, EMBASE, PsycINFO, Web of Science) from January 2020 to March 2021.
  • Quality assessment used established tools (Newcastle-Ottawa Scale, NIH tools, CASP), with data analyzed via narrative review.

Main Results:

  • Eight studies were included in the review.
  • Seven studies reported changes in sleep routines, and five focused on sleep disturbances.
  • Key findings included longer sleep duration, increased sleep latency, and heightened daytime sleepiness in children.

Conclusions:

  • COVID-19 confinement was associated with significant changes in children's sleep patterns, including increased sleep duration and latency, and daytime sleepiness.
  • The long-term consequences of these sleep alterations on children's overall health and functioning are yet to be determined.

Keywords:
ChildrenInfantSleepSleep disturbancesSystematic review

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