美国有或没有神经发育障碍的儿童的睡眠时间和上床时间的规律性相关的多层次因素:一项全国代表性的研究
Freda Patterson1, Shannon M Robson2, Lauren B Covington2,3
1Department of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19716, USA. fredap@udel.edu.
World journal of pediatrics : WJP
|October 3, 2025
概括
患有神经和发育障碍 (NDD) 的儿童的睡眠状况较差. 增加家庭用餐,改善睡眠时间和规律是改善儿童睡眠健康的干预措施的关键目标.
科学领域:
- 儿科健康 儿科健康
- 睡眠科学 睡眠科学
- 发育儿科 发育儿科
背景情况:
- 神经和发育障碍 (NDD) 影响儿童的睡眠模式.
- 了解影响睡眠时间和规律性的因素对于这一群体至关重要.
- 为了研究这些因素,使用了全国代表性样本.
研究的目的:
- 为了比较与睡眠时间和睡眠时间规律相关的多层次因素,在有和没有NDD的儿童中.
- 确定改善儿童睡眠健康的关键可修改变量.
- 检查个人,社会和环境因素与睡眠结果之间的关系.
主要方法:
- 利用来自国家儿童健康调查 (2016-2021) 的数据,对9-17岁的86,014名儿童进行了调查.
- 评估的父母报告了足够的睡眠时间和睡觉时间的规律性.
- 采用随机生存森林决策树和回归分析来确定预测变量.
主要成果:
- 与典型发育的同龄人相比,患有NDD的儿童的睡眠时间不够长 (34.0%) 和睡眠时间不规则 (18.8%) 的比率更高.
- 实现睡前规律性,充足的睡眠和频繁的家庭用餐是两个组的重要预测因素.
- 家庭饮食和睡眠规律成为NDD儿童的关键因素.
结论:
- 增加家庭用餐频率是改善儿童睡眠的潜在干预措施.
- 解决睡眠时间和上床的规律性可以改善睡眠健康,特别是在患有NDD的儿童中.
- 这些发现凸显了儿科睡眠干预措施的可修改目标.
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