Early childhood sleep patterns and cognitive development: reduced daytime sleep and increased nighttime proportion

Wipawee Wongwilai1, Pornchada Srisinghasongkram2, Pon Trairatvorakul2

  • 1Division of Growth and Development, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.

Sleep Medicine
|December 10, 2025
PubMed

Insights

Shorter naps and more nighttime sleep in early childhood are linked to better cognitive development and IQ scores later in childhood. These early sleep patterns are crucial for brain maturation.

Area of Science:

  • Child Development
  • Pediatric Sleep Science
  • Cognitive Neuroscience

Background:

  • Optimal sleep is critical for children's brain maturation.
  • The precise links between early sleep habits and later cognitive function are not fully understood.

Purpose of the Study:

  • To investigate the association between early childhood sleep parameters and cognitive outcomes at ages 4 and 6.
  • To explore direct and indirect pathways linking sleep patterns to cognitive development.

Main Methods:

  • Longitudinal cohort study of 265-280 children from ages 1-6 years.
  • Caregiver-reported nap duration and sleep ratio (nighttime/total sleep) annually (ages 1-4).
  • Cognitive assessments at age 4 (Mullen Scales) and age 6 (Wechsler Abbreviated Scale of Intelligence).

Main Results:

  • Shorter nap durations and higher sleep ratios (ages 1-3) were associated with higher cognitive scores at ages 4 and 6.
  • These sleep patterns showed direct associations with age 4 cognition and indirect associations with age 6 IQ via early cognition.
  • Paternal education and income indirectly influenced IQ through sleep, parenting, and early cognition.

Conclusions:

  • Reduced daytime sleep and increased relative nighttime sleep in early childhood correlate with enhanced cognitive abilities at ages 4 and 6.
  • Findings underscore the significance of promoting healthy sleep patterns in pediatric care.
  • Early sleep habits may represent a modifiable factor influencing long-term cognitive trajectories.
Abstract

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