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Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Sleep patterns during infancy and neurodevelopmental and behavioral outcomes in early childhood: A prospective cohort
Wei Wei1,2, Jun Zhang1,2, Hui Wang1,2
1Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health Xinhua Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Insights
Infant sleep patterns, particularly poor sleep at 12 months and persistent poor sleep, are linked to less favorable neurodevelopmental and behavioral outcomes in preschoolers. Monitoring infant sleep is crucial for developmental research.
Area of Science:
- Developmental Psychology
- Pediatric Sleep Medicine
- Neuroscience
Background:
- Infant sleep is complex, with habits and problems evolving rapidly.
- Existing research links infant sleep to later outcomes, but few studies analyze overall patterns and transitions.
- This study investigates infant sleep patterns and their association with preschool development.
Purpose of the Study:
- To examine associations between infant sleep patterns at 6 and 12 months and their transitions.
- To assess the relationship between these sleep patterns and neurodevelopmental/behavioral outcomes in preschool children.
Main Methods:
- Prospective cohort study of 1707 children from the Shanghai Birth Cohort.
- Infant sleep assessed at 6 and 12 months using the Brief Infant Sleep Questionnaire.
- Latent class analysis identified sleep patterns; transitions were analyzed. Preschool outcomes measured using SDQ, SRS-SF, and BRIEF-P.
Main Results:
- Good sleep patterns were prevalent (66-69%).
- Consistent good sleep was observed in 51.57%, with transitions noted in others.
- Poor sleep at 12 months and persistent poor sleep were linked to higher difficulties in social and behavioral assessments.
Conclusions:
- Poorer infant sleep, especially persistent or later-onset, correlates with adverse preschool neurodevelopmental and behavioral outcomes.
- Infant sleep patterns represent a significant early-life factor for developmental monitoring.
- Findings underscore the importance of early sleep assessment for predicting later developmental trajectories.
Background:
Infant sleep is multidimensional, with sleep habits and sleep problems often co-occurring and changing rapidly during early life. Evidence links infant sleep with later neurodevelopmental and behavioral outcomes, yet few studies have examined overall sleep patterns, their changes over time, and outcomes across multiple preschool domains. We examined associations of sleep patterns at 6 and 12 months and their transitions with preschool neurodevelopmental and behavioral outcomes.
Methods:
This prospective cohort study included 1707 children from the Shanghai Birth Cohort. Infant sleep at 6 and 12 months was assessed using the Brief Infant Sleep Questionnaire. Sleep patterns were identified at each time point using latent class analysis based on multiple sleep indicators, and children with sleep data at both ages were classified into transition groups. At age 4, outcomes were assessed using the Strengths and Difficulties Questionnaire (SDQ), Social Responsiveness Scale-Short Form (SRS-SF), and Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P). Multivariable linear regression estimated associations.
Results:
At 6 and 12 months, 66.02% and 69.18% of infants were classified as having a good sleep pattern. Among children with sleep data at both time points, 51.57% had consistently good sleep, 16.68% improved, 14.44% deteriorated, and 17.31% had consistently poor sleep. Poor sleep at 6 months was associated with higher SDQ Total Difficulties scores. Poor sleep at 12 months was associated with higher SDQ Total Difficulties, SRS-SF Total, and BRIEF-P Global Executive Composite scores. Consistently poor sleep from 6 to 12 months was associated with less favorable outcomes than consistently good sleep.
Conclusion:
Poorer infant sleep patterns, especially at 12 months and when persistent from 6 to 12 months, were associated with less favorable preschool neurodevelopmental and behavioral outcomes. These findings support infant sleep patterns as an early-life factor relevant to developmental research and monitoring.
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