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Bedsharing sleep characteristics in children with mild sleep-disordered breathing

Sally Ibrahim1, Carolyn E Ievers-Landis1, H Gerry Taylor2

  • 1Rainbow Babies and Children's Hospital of University Hospitals, Case Western Reserve University, Cleveland, Ohio.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|September 20, 2024
PubMed

Insights

Bedsharing in children with mild sleep-disordered breathing (SDB) is linked to shorter sleep duration and later sleep timing in younger children. In older children, SDB severity and internalizing symptoms modify these effects.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Respiratory Medicine

Background:

  • Sleep-disordered breathing (SDB) affects numerous children, with bedsharing being a common practice.
  • Understanding how bedsharing impacts sleep in children with SDB is crucial for effective management.
  • Previous research has not fully elucidated the nuanced relationship between bedsharing and sleep patterns in this population.

Purpose of the Study:

  • To examine the associations between habitual bedsharing and sleep patterns in children diagnosed with mild sleep-disordered breathing (SDB).
  • To investigate how age, SDB symptom burden, and internalizing symptoms (anxiety, depression) influence these associations.

Main Methods:

  • Utilized baseline data from the Pediatric Adenotonsillectomy Trial for Snoring (PATS) study.
  • Evaluated parent-reported and actigraphy-based sleep patterns in a diverse sample of children (mean age 6.6 years) with mild SDB.
  • Employed multivariable linear regressions and stratified analyses by age (younger <6 years, older ≥6 years).

Main Results:

  • Bedsharing was reported by 38% of children, with higher prevalence in younger children (48%).
  • In younger children, bedsharing correlated with approximately 30 minutes shorter nocturnal sleep duration and later sleep midpoint.
  • In older children, bedsharing's association with shorter sleep duration was amplified by greater SDB symptom burden, anxiety, and depressive symptoms.

Conclusions:

  • Bedsharing is associated with reduced sleep duration and later sleep timing in younger children with mild SDB.
  • In older children with mild SDB, the impact of bedsharing on sleep is moderated by SDB severity and internalizing symptoms.
  • These findings highlight the need to consider age-specific factors, co-occurring medical conditions, and emotional well-being in children with SDB who bedshare.
Abstract

Keywords:
bedsharingcosleepingpediatric sleepsleep durationsleep healthsleep midpoint

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