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Published on: October 2, 2019
What daily factors affect the sleep habits of Japanese toddlers?
Emi Murata1, Arika Yoshizaki1, Takashi X Fujisawa2
1Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, Osaka, Japan.
Insights
Establishing good sleep habits in toddlers is crucial for development. Key factors for better toddler sleep include restricting media, morning outdoor play, and consistent daily routines.
Area of Science:
- Pediatric Sleep Science
- Developmental Psychology
Background:
- Adequate sleep is vital for early childhood development.
- Japanese toddlers often exhibit insufficient sleep duration and suboptimal sleep patterns.
Purpose of the Study:
- To define minimal sleep conditions for Japanese toddlers (Nenne-criteria).
- To identify daily factors influencing good sleep in toddlers.
Main Methods:
- Cross-sectional analysis of online survey data from 2,124 toddlers and caregivers.
- Comparison of daily schedules between toddlers meeting and not meeting Nenne-criteria.
Main Results:
- Toddlers meeting Nenne-criteria demonstrated superior daytime behaviors.
- Optimizing sleep involves restricting media, morning outdoor activity, early nap cessation, pre-bedtime calmness, regular schedules, and reduced social jetlag.
Conclusions:
- Nenne-criteria can screen Japanese toddlers needing sleep hygiene intervention.
- Improving toddler sleep requires guidance on daily schedules and avoiding poor sleep behaviors.
Study Objectives:
Good sleep, especially during early childhood, is important for development. In Japan, the mean nocturnal sleep duration of toddlers is < 10 hours, and even if toddlers slept for > 11 hours/day, as recommended by the National Sleep Foundation, some of them showed late bedtime and late wake-up time or took long naps. Therefore, we provisionally assumed the minimal sleep conditions for Japanese toddlers, named Nenne-criteria, such as bedtime before 10:00 pm, nocturnal sleep duration of ≥ 9 hours, and < 1 average time of awakening after sleep onset, and investigated the important factors for good sleep.
Methods:
We analyzed cross-sectional data from online surveys describing the sleep-related behaviors of 2,124 toddlers and their caregivers. We compared the daily schedules that affect sleep between the Nenne-criteria-meet group and the not-meet group.
Results:
The Nenne-criteria-meet group showed better daytime behaviors than the not-meet group. Structural equation modeling on daily schedules revealed that, to increase sleep pressure at the appropriate time, it is important to restrict media viewing, play outdoors in the morning, have an early nap ending time, avoid hyperarousal-inducing behaviors before bedtime, maintain daily schedules regularly, and decrease social jetlag.
Conclusions:
The Nenne-criteria are useful for screening Japanese toddlers who require intervention for sleep hygiene. To improve toddlers' sleep, it is important not only to guide the ideal bedtime but also to provide tips for improving daily schedules and to avoid suboptimal sleep-related behaviors.
Citation:
Murata E, Yoshizaki A, Fujisawa TX, Tachibana M, Taniike M, Mohri I. What daily factors affect the sleep habits of Japanese toddlers? J Clin Sleep Med. 2023;19(6):1089-1101.
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