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Published on: December 7, 2018
Exploring the Relationship Between Age of Nap Cessation, Screen-Positive Autism Spectrum Disorder Traits and
Meghan Ellis1, Andrew T Jones2, Peter Rankin3
1Metro South Addiction and Mental Health Services, Brisbane, Australia.
Insights
Early nap cessation in children may be linked to later Attention-Deficit Hyperactivity Disorder (ADHD) diagnosis and Autism Spectrum Disorder (ASD) traits. This finding suggests potential differences in sleep regulation, but nap timing is not a diagnostic marker.
Area of Science:
- Developmental Pediatrics
- Neurodevelopmental Disorders
- Sleep Medicine
Background:
- Understanding the developmental trajectory of sleep patterns is crucial for identifying potential neurodevelopmental indicators.
- Daytime napping is a common behavior in early childhood, with cessation occurring at varying ages.
Purpose of the Study:
- To investigate the association between the age of nap cessation and the presence of Autism Spectrum Disorder (ASD) traits or Attention-Deficit Hyperactivity Disorder (ADHD) diagnosis in children.
- To explore whether early nap cessation serves as a potential indicator for later neurodevelopmental conditions.
Main Methods:
- Retrospective cohort study utilizing data from the Avon Longitudinal Study of Parents and Children (ALSPAC).
- Included 6,424 children with recorded nap patterns from 6 to 81 months.
- Logistic regression analysis adjusted for multiple covariates to examine the relationship between nap cessation age and later ASD traits or ADHD diagnosis.
Main Results:
- Children ceasing naps by 18 months showed significantly higher odds of an ADHD diagnosis at age seven compared to those ceasing at 30 months (OR = 5.54).
- Nap cessation at 18 months was also associated with increased odds of ASD traits (OR = 1.81), though this finding was less statistically precise.
- The study highlights a potential link between early nap cessation and later neurodevelopmental outcomes.
Conclusions:
- Early nap cessation may be associated with a later ADHD diagnosis, potentially reflecting underlying differences in sleep regulation.
- A possible association with elevated ASD traits was observed but requires further investigation and replication.
- The age of nap cessation should not be used as an early screening or diagnostic tool for ASD or ADHD.
Purpose:
This study examined whether the age of nap cessation (the transition from daytime napping to sleeping exclusively at night) is associated with screen-positive Autism Spectrum Disorder (ASD) traits or an Attention-Deficit Hyperactivity Disorder (ADHD) diagnosis in children.
Methods:
This retrospective cohort study used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based birth cohort recruited between 1991 and 1992. The analytic sample included 6,424 children with available nap cessation and covariate data. Parents reported children's nap patterns at 6, 18, 30, 42, 57, 69, and 81 months. Binary logistic regression examined associations between age of nap cessation and later ASD traits or ADHD diagnosis. Models adjusted for gestational age, birth weight, maternal age, child sex, maternal ethnicity, older siblings, social class, and maternal alcohol use during pregnancy.
Results:
Children who ceased napping by 18 months had higher odds of an ADHD diagnosis at age seven than those who ceased at 30 months (OR = 5.54, 95% CI [2.52, 11.20], p < .001). Nap cessation at 18 months was also associated with increased odds of ASD traits, although the estimate was less precise (OR = 1.81, 95% CI [0.96, 3.16], p = .051).
Conclusions:
Early nap cessation may be associated with later ADHD diagnosis and could reflect differences in sleep regulation. A possible association with elevated ASD traits was also observed but remains uncertain and should be considered exploratory pending replication. Nap cessation timing should not be interpreted as an early screening or diagnostic marker.
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