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Published on: October 2, 2019
[Sleep patterns of infants and young children and their association with breastfeeding: a study based on K-means
Ya-Li Liang1, Jie Ma1, Yu-Xiao Zhang1
1School of Public Health, Wannan Medical College, Wuhu, Anhui 241002, China.
Insights
Breastfeeding, particularly exclusive breastfeeding for over 6 months, is associated with a significantly lower risk of sleep disorders in infants and young children. Extended breastfeeding duration further reduces the likelihood of developing sleep pattern disturbances.
Area of Science:
- Pediatric Sleep Medicine
- Infant Nutrition
- Developmental Pediatrics
Context:
- Infant and young child sleep patterns are diverse.
- Understanding these patterns is crucial for child development.
- The role of feeding in sleep quality requires investigation.
Purpose:
- To identify distinct sleep patterns in children aged 7-35 months.
- To examine the association between breastfeeding and infant sleep characteristics.
- To determine if breastfeeding influences the risk of sleep disorders.
Summary:
- Three sleep patterns were identified: early bedtime/long sleep, short sleep latency/moderate sleep, and late bedtime/prolonged latency/insufficient sleep (indicating sleep disorders).
- Exclusive breastfeeding within 6 months post-birth reduced sleep disorder risk by 69% compared to formula feeding.
- Breastfeeding for 4-6 months decreased sleep disorder risk by 40% compared to 1-3 months of breastfeeding.
Impact:
- Findings highlight breastfeeding as a protective factor against infant sleep disorders.
- Supports recommendations for extended breastfeeding durations for improved sleep outcomes.
- Informs parents and healthcare providers on the benefits of breastfeeding for infant sleep.
Objectives:
To investigate the sleep patterns and characteristics of infants and young children and the association between sleep patterns and breastfeeding.
Methods:
A general information questionnaire, Brief Infant Sleep Questionnaire (BISQ), and a questionnaire on feeding were used to investigate the sleep quality and feeding patterns of 1 148 infants and young children aged 7-35 months. The K-means clustering method was used to identify sleep patterns and characteristics. A multivariate logistic regression analysis was used to investigate the association between sleep patterns and breastfeeding.
Results:
Three typical sleep patterns were identified for the 1 148 infants and young children aged 7-35 months: early bedtime and long sleep time; short sleep latency and moderate sleep time; late bedtime, prolonged sleep latency, and insufficient sleep time. The third pattern showed sleep disorders. The multivariate logistic regression analysis showed that compared with formula feeding, exclusive breastfeeding within 6 months after birth reduced the risk of sleep disorder patterns by 69% (OR=0.31, 95%CI: 0.11-0.81). The risk of sleep disorder patterns was reduced by 40% (OR=0.60, 95%CI: 0.38-0.96) in the infants receiving breastfeeding for 4-6 months compared with those receiving breastfeeding for 1-3 months.
Conclusions:
There are different sleep patterns in infants and young children, and breastfeeding can reduce the development of sleep disorder patterns.
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