Child sleep habits and maternal perception throughout the child's first year of life

Authors

  • Nayara Cristina Pereira Henrique Escola de Enfermagem de Ribeirão Preto - USP
  • Jeniffer Stephanie Marques Hilário Universidade de São Paulo - Escola de Enfermagem de Ribeirão Preto
  • Fernando Mazzilli Louzada Universidade Federal do Paraná
  • Luiz Guilherme Dacar Silva Scorzafave Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto. Universidade de São Paulo
  • Daniel Domingues dos Santos Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto. Universidade de São Paulo.
  • Débora Falleiros de Mello Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo

DOI:

https://doi.org/10.36311/jhgd.v32.13095

Keywords:

Child, Sleep, Mothers

Abstract

Introduction: in children’s health, sleep plays a significant role, especially in physical and cognitive maturation and in the abilities to deal with stress, regulate emotions and socialize.

Objective: to analyze children’s sleep habits during the first year of life and factors associated with nighttime awakenings according to maternal perceptions.

Methods: a longitudinal, prospective study, with follow-up of 144 mothers and their children in the first month, third/fourth month and 12th/13th month of age, in a medium-sized city in the interior of São Paulo, Brazil. Sleep habits were analyzed using measures of central tendency and dispersion and valid association tests Chi-square and Fisher’s exact, significance level α=0.05.

Results: the predominant place where children sleep is the same room and bed as the parental caregivers. Most children sleep in the lateral and dorsal decubitus position. Mean sleep time was 12:30h in the first month, 11:30h in the third/fourth month and 11:24h in the 12th month. Mean nighttime sleep time increased and daytime sleep decreased. From the first month to the 12th month of life, there were no changes in nocturnal awakenings. Perception of sleep as a problem increased from 4% to 9% among participants.

Conclusion: three moments in the first year of life show characteristics of children’s sleep habits, about where children sleep, sleeping position, average sleep time and nocturnal awakenings, suggesting the importance of information obtained longitudinally. Nocturnal awakenings were associated with the occurrence of weaning and the maternal perception about child sleep as a problem.

Downloads

Download data is not yet available.

Author Biographies

Nayara Cristina Pereira Henrique, Escola de Enfermagem de Ribeirão Preto - USP

Programa de Pós-Graduação Enfermagem em Saúde Pública. Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo. 

Fernando Mazzilli Louzada, Universidade Federal do Paraná

Departamento de Fisiologia. Universidade Federal do Paraná. Avenida Coronel Francisco H. dos Santos, 100 - Centro Politécnico - Jardim das Américas. Curitiba, PR 81531-980, Brazil;

Luiz Guilherme Dacar Silva Scorzafave, Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto. Universidade de São Paulo

Departamento de Economia. Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto. Universidade de São Paulo. Avenida Bandeirantes, 3900 - Monte Alegre. Ribeirão Preto, SP 14040-905, Brazil

Daniel Domingues dos Santos, Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto. Universidade de São Paulo.

Departamento de Economia. Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto. Universidade de São Paulo. Avenida Bandeirantes, 3900 - Monte Alegre. Ribeirão Preto, SP 14040-905, Brazil.

Débora Falleiros de Mello, Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo

Programa de Pós-Graduação Enfermagem em Saúde Pública. Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo. Avenida dos Bandeirantes, 3900 - Campus Universitário - Bairro Monte Alegre. Ribeirão Preto, SP 14040-902, Brazil.

References

Mindell JA, Williamson AA. Benefits of a bedtime routine in young children: Sleep, development, and beyond. Sleep Med Rev. 2018; 40:93-108. DOI: https://doi.org/10.1016/j.smrv.2017.10.007

Turnbull K, Reid GJ, Morton JB. Behavioral sleep problems and their potential impact on developing executive function in children. Sleep. 2013;36(7):1077-84. DOI: https://dx.doi.org/10.5665%2Fsleep.2814

Mindell JA, Leichman ES, Dumond C, Sadeh A. Sleep and social-emotional development in infants and toddlers. J Clin Child Adolesc Psychol. 2017;46(2):236-46. DOI: https://doi.org/10.1080/15374416.2016.1188701

Williams KB, Berthelsen D, Walker S, Nicholson JM. A developmental cascade model of behavioral sleep problems and emotional and attentional self-regulation across early childhood. Behav Sleep Med. 2017;15(1):1–21. DOI: https://doi.org/10.1080/15402002.2015.1065410

Meltzer LJ, Plaufcan MR, Thomas JH, Mindell JA. Sleep problems and sleep disorders in pediatric primary care: treatment recommendations, persistence, and health care utilization. JCSM Off Publ Am Acad Sleep Med. 2014;10(4):421-6. DOI: https://doi.org/10.5664/jcsm.3620

Meltzer LJ, Mindell JA. Relationship between child sleep disturbances and maternal sleep, mood, and parenting stress: a pilot study. J Fam Psychol. 2007;21(1):67-73. DOI: https://doi.org/10.1037/0893-3200.21.1.67

Sadeh A, Tikotzky L, Scher A. Parenting and infant sleep. Sleep Med Rev. 2010;14(2):89-96. DOI: https://doi.org/10.1016/j.smrv.2009.05.003

Gruber R, Carrey N, Weiss SK, Frappier JY, Rourke L, Brouillette RT, et al. Position statement on pediatric sleep for psychiatrists. J Can Acad Child Adolesc Psychiatry [Internet]. 2014 [cited 2021 out 23];23(3):174-195. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4197518/.

Tham EKH, Schneider N, Broekman BFP. Infant sleep and its relation with cognition and growth: a narrative review. Nat Sci Sleep. 2017; 9:135-49. DOI: https://dx.doi.org/10.2147%2FNSS.S125992

Dutil C, Walsh JJ, Featherstone RB, Gunnell KE, Tremblay MS, Gruber R. et al. Influence of sleep on developing brain functions and structures in children and adolescents: a systematic review. Sleep Med. Rev. 2018;42:184-201. DOI: https://doi.org/10.1016/j.smrv.2018.08.003

Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, et. al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):40-43. DOI: https://doi.org/10.1016/j.sleh.2014.12.010

McDowall PS, Galland BC, Campbell AJ, Elder DE. Parent knowledge of children’s sleep: a systematic review. Sleep Med. Rev. 2017;31:39-47. DOI: https://doi.org/10.1016/j.smrv.2016.01.002

Fadzil A. Factors affecting the quality of sleep in children. Children (Basel). 2021;8(2):122. DOI: 10.3390/children8020122

Trindade CSS, Ramos ALC. Influência dos programas de educação sobre o sono de crianças e adolescentes: revisão integrativa. Acta paul. enferm. 2020;33:eAPE20190193. DOI: https://doi.org/10.37689/acta-ape/2020ar01936

McDowall PS, Elder DE, Campbell AJ. Relationship between parent knowledge of child sleep, and child sleep practices and problems: a pilot study in a children’s hospital cohort. J. Paediatr. Child Health. 2017;53(8):788-93. DOI: https://doi.org/10.1111/jpc.13542

Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Curr. Probl. Pediatr. Adolesc. Health Care. 2017; 47(2): 29-42. DOI: https://doi.org/10.1016/j.cppeds.2016.12.001

Sette S, Baumgartner E, Ferri R, Bruni O. Predictors of sleep disturbances in the first year of life: a longitudinal study. Sleep Med. Rev. 2017;36:78-85. DOI: https://doi.org/10.1016/j.sleep.2017.04.015

Dai Y, Liu J. Parental perceived child sleep problems: a concept analysis. J Spec Pediatr Nurs. 2021;26(2):e12327. DOI: https://doi.org/10.1111/jspn.12327

Nunes ML, Kampff JLPR, Sadeh A. BISQ Questionnaire for Infant Sleep Assessment: translation into brazilian portuguese. Sleep Sci [Internet].2012 [cited 2021 abr 2];5(3):89-91. Available from: http://www.sleepscience.org.br/details/50/en-US/bisq-questionnaire-for-infant-sleep-assessment--translation-into-brazilian-portuguese

Brasil. Lei nº 14.013, de 10 de junho de 2020 Dispõe sobre o valor do salário-mínimo a vigorar a partir de 1º de janeiro de 2020; e dá outras providências. [acesso em 10 set 2021]. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato2019-2022/2020/Lei/L14013.htm

Teti DM, Shimizu M, Crosby B, Kim BR. Sleep arrangements, parent-infant sleep during the first year, and family functioning. Dev Psychol. 2016;52(8):1169-81. DOI: https://dx.doi.org/10.1037%2Fdev0000148

Ordway MR, Sadler LS, Jeon S, O’Connell M, Banasiak N, Fenick AM, et al. Sleep health in young children living with socioeconomic adversity. Res Nurs Health. 2020;43(4):329-40. DOI: https://doi.org/10.1002/nur.22023

Hysing M, Harvey AG, Torgersen L, Ystrom E, Reichborn-Kjennerud T, Sivertsen B. Trajectories and predictors of nocturnal awakenings and sleep duration in infants. J Dev Behav Pediatr. 2014;35(5):309-16. DOI: https://doi.org/10.1097/dbp.0000000000000064

Al-Shehri H, Almozaai R, Kariri M, Alhazmi Y, AlDakhel S, Alhunaishel R, et al. Factors Associated with Safe Infant Sleep Practices in Saudi Arabia. Pediatric Health Med Ther. 2021;12:533-41. DOI: https://doi.org/10.2147/phmt.s343535

Cesar JA, Acevedo JD, Kaczan CR, Venzo JCP, Costa LR, Silva LCM, et al. Intenção das mães em colocar o bebê para dormir em decúbito dorsal: um estudo de base populacional. Ciênc. saúde colet. 2018;23(2):501-8. DOI: https://doi.org/10.1590/1413-81232018232.20732015

Cesar JA, Marmitt LP, Carpena MX, Pereira FG, Neto JDM, Neumann NA, et al. Maternal knowledge and unsafe baby sleep position: a cross-sectional survey in Southern Brazil. Matern. Child Health J. 2019;23(2):183-90. DOI: https://doi.org/10.1007/s10995-018-2613-z

Pandey S, Bhattarai S, Bhatta A. Sleep pattern and problems in young children visiting outpatient department of a tertiary level hospital in Kathmandu, Nepal. Sleep Disord.2020; 2020:1-5. DOI: https://doi.org/10.1155/2020/8846288

Schoch SF, Huber R, Kohler M, Kurth S. Which are the central aspects of infant sleep? The dynamics of sleep composites across infancy. Sensors (Basel). 2020;20(24):7188. DOI: https://dx.doi.org/10.3390%2Fs20247188

Messayke S, Davisse-Paturet C, Nicklaus S, Dufourg MN, Charles MA, de Lauzon-Guillain B, et al. Infant feeding practices and sleep at 1 year of age in the nationwide ELFE cohort. Matern Child Nutr. 2021;17(1):e13072. DOI: https://doi.org/10.1111/mcn.13072

Knappe S, Pfarr AL, Petzoldt J, Härtling S, Martini J. Parental cognitions about sleep problems in infants: a systematic review. Front Psychiatry. 2020;11:554221. DOI: https://doi.org/10.3389/fpsyt.2020.554221

Kang EK, Kim SS. Behavioral insomnia in infants and young children. Clin Exp Pediatr. 2021;64(3):111-116. DOI: https://doi.org/10.3345/cep.2020.00052

Published

2022-10-31

Issue

Section

ORIGINAL ARTICLES