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Published on: October 11, 2018
Infants' early recovery from sleep disturbance is associated with a lower risk of developmental delay in the Japan
Kimiyo Kikuchi1,2,3, Takehiro Michikawa4, Seiichi Morokuma5,6
1Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.
Insights
Later onset of infant short sleep and earlier recovery from sleep disturbances are linked to a reduced risk of developmental problems, including autism spectrum disorder (ASD). These sleep patterns may offer insights for early intervention strategies.
Area of Science:
- Developmental Pediatrics
- Sleep Medicine
- Neurodevelopmental Disorders
Background:
- Infant sleep disturbances are common and may be associated with later developmental outcomes.
- Understanding the timing of sleep problem onset and recovery is crucial for identifying potential risks.
Purpose of the Study:
- To investigate the association between sleep disturbance patterns (onset and recovery timing) and developmental problems in 3-year-old children.
- Specifically examining the link between sleep patterns and autism spectrum disorder (ASD) and developmental delay.
Main Methods:
- Analysis of data from 63,418 mother-infant dyads in the Japan Environment and Children's Study.
- Assessment of infant sleep (short sleep, frequent awakenings) at 1, 6, and 12 months.
- Evaluation of developmental problems at 3 years using ASD diagnosis and the Ages and Stages Questionnaire (ASQ).
Main Results:
- Later onset of short sleep was associated with a lower risk of abnormal ASQ scores.
- Earlier recovery from persistent short sleep correlated with a lower risk of developmental delay.
- Later short sleep onset and earlier recovery showed associations with reduced autism spectrum disorder (ASD) risk.
Conclusions:
- Specific patterns of infant sleep disturbance, particularly later onset and earlier recovery, may be protective factors against developmental issues.
- These findings highlight the potential role of sleep monitoring and intervention in early childhood development.
- Further research into sleep patterns could inform strategies for preventing or mitigating developmental problems like ASD.
Abstract:
To examine whether patterns, such as the timings of onset or recovery from sleep disturbance, are associated with later developmental problems, including autism spectrum disorder (ASD). Mothers participating in the Japan Environment and Children's Study with a child aged 3 years were included in the analyses. Children were assessed for short sleep and frequent awakenings at 1 month, 6 months, and 1 year of age. Developmental problems were evaluated at 3 years of age based on ASD diagnosis and developmental delay, using the Japanese translation of the Ages and Stages Questionnaire (ASQ) 3rd edition. Sleep disturbance patterns were classified by onset age, and developmental problem risks were examined based on onset/recovery ages. Among 63,418 mother-infant dyads, 0.4% of infants were later diagnosed with ASD, and 14.4% had abnormal scores on any ASQ domains. The later the onset of short sleep, the lower the risk of abnormal ASQ scores (RR of short sleep onset at 1 year: 1.41; 6 months: 1.52; 1 month: 1.57). The earlier the infants recovered from short sleep persistence, the lower the risk of developmental delay (RR of remittance of sleep problems identified at 1 month by 6 months: 1.07; 1 year: 1.31; not before 1 year: 1.57). Although not all patterns were significant, later short sleep onset and earlier recovery were associated with lower ASD risk. These findings may have significant implications for future interventions in infant development.
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