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Factors Related to the Sleep Duration of 3-Month-Old Infants
Paula Louro Silva1, Tamiris Ramos1, Natalia Pinheiro Castro1
1Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil.
Insights
Infant sleep duration at three months is impacted by health and household factors. Promoting healthy sleep habits and early diagnosis of illness are crucial for improving infant sleep.
Area of Science:
- Pediatrics
- Sleep Medicine
- Public Health
Background:
- Adequate sleep duration is vital for infant development and well-being.
- Factors influencing infant sleep patterns require further investigation.
Purpose of the Study:
- To identify maternal, newborn, and infant factors associated with sleep duration in 3-month-old infants.
Main Methods:
- Cross-sectional study in Araraquara, Brazil (2021-2023) with 140 mother-infant dyads.
- Data collected on maternal and infant characteristics, including morbidity.
- Sleep duration assessed using the Brief Infant Sleep Questionnaire (BISQ).
- Multivariate linear regression analyzed associations with sleep duration.
Main Results:
- Average nighttime sleep duration was 9 hours.
- Negative associations found with prone sleep position, late sleep onset (after 8:30 PM), respiratory infection, dermatitis, and presence of younger siblings.
- Late sleep onset after 11:00 PM showed a significant negative association (p < 0.001).
Conclusions:
- Infant morbidity, household composition (younger siblings), and sleep habits significantly affect sleep duration in 3-month-olds.
- Early diagnosis of infant illness and promotion of healthy sleep practices are essential for optimizing infant sleep quality and duration.
Abstract:
Objective To identify the factors related to sleep duration in 3-month-old infants. Materials and Methods From 2021 to 2023, we conducted a cross-sectional study in the city of Araraquara, Brazil, involving 140 mothers and their respective 3-month-old infants. Maternal socioeconomic, demographic, obstetric, and nutritional characteristics, as well as nutritional and morbidity characteristics of the respective infants, were evaluated. Sleep duration was determined by the Brief Infant Sleep Questionnaire (BISQ). Multivariate linear regression analysis was used to assess the associations of maternal, newborn, and infant factors with sleep duration at three months. Results The nighttime sleep duration of the infants was of 9 hours. There were negative associations between nighttime sleep duration and prone sleep position ( p = 0.011), falling asleep between 8:30 pm and 11:00 pm ( p = 0.032), falling asleep after 11:00 pm ( p < 0.001), respiratory infection ( p = 0.011), dermatitis ( p = 0.002), and the presence of children under 9 years of age in the household ( p = 0.013). Discussion In the present study, factors such as infant morbidity, the presence of other children in the household, and sleeping habits were associated with a decrease in sleep duration in 3-month-old infants. Therefore, we emphasize the importance of early diagnosis of morbidity in the first months of life and of promoting healthy habits such as regulating the time to go to sleep, providing an adequate sleep environment, and other practices that help improve the quality and duration of sleep.
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