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Updated: Aug 15, 2025

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
The Architecture of Early Childhood Sleep Over the First Two Years
Sonia Marie Lenehan1, Leanna Fogarty2, Cathal O'Connor2
1INFANT Research Centre, University College Cork, Cork, Ireland. sonia.lenehan@ucc.ie.
Insights
Sleep architecture in infants and young children is crucial for neurodevelopment. This review highlights sleep
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Pediatrics
- Child Psychology
Background:
- Limited scientific literature describes infant and early childhood sleep architecture and function.
- The impact of early sleep disruption on cognitive and physical development is under-studied.
- Understanding sleep's role in early neurodevelopment is critical.
Purpose of the Study:
- To review sleep development in the first two years of life.
- To investigate the association between early sleep patterns and neurodevelopment.
Main Methods:
- Systematic review conducted following PRISMA guidelines.
- Searched four major databases: OVID Medline, Pubmed, CINAHL, and Web of Science.
- Utilized predefined search terms for comprehensive data retrieval.
Main Results:
- Included 93 studies with approximately 90,000 diverse subjects.
- Sleep is the predominant state at birth, with evolving architecture (increased NREM, decreased REM) in the first two years.
- Sleep changes correlate with developmental milestones; more research exists for early infancy than later stages.
Conclusions:
- Sleep is vital for memory, learning, and socio-emotional development in young children.
- Future longitudinal studies should detail monthly sleep architecture from 7-24 months.
- Focusing on these periods can elucidate key characteristics during rapid neurodevelopment.
Introduction:
The architecture and function of sleep during infancy and early childhood has not been fully described in the scientific literature. The impact of early sleep disruption on cognitive and physical development is also under-studied. The aim of this review was to investigate early childhood sleep development over the first two years and its association with neurodevelopment.
Methods:
This review was conducted according to the 2009 PRISMA guidelines. Four databases (OVID Medline, Pubmed, CINAHL, and Web of Science) were searched according to predefined search terms.
Results:
Ninety-three studies with approximately 90,000 subjects from demographically diverse backgrounds were included in this review. Sleep is the predominant state at birth. There is an increase in NREM and a decrease in REM sleep during the first two years. Changes in sleep architecture occur in tandem with development. There are more studies exploring sleep and early infancy compared to mid and late infancy and early childhood.
Discussion:
Sleep is critical for memory, learning, and socio-emotional development. Future longitudinal studies in infants and young children should focus on sleep architecture at each month of life to establish the emergence of key characteristics, especially from 7-24 months of age, during periods of rapid neurodevelopmental progress.
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