Abstract Objective To investigate the sleep patterns and characteristics of infants and young children and the association between sleep patterns and breastfeeding. Methods A general information questionnaire, Brief Infant Sleep Questionnaire (BISQ), and a questionnaire on feeding were used to investigate the sleep quality and feeding patterns of 1 148 infants and young children aged 7-35 months. The K-means clustering method was used to identify sleep patterns and characteristics. A multivariate logistic regression analysis was used to investigate the association between sleep patterns and breastfeeding. Results Three typical sleep patterns were identified for the 1 148 infants and young children aged 7-35 months: early bedtime and long sleep time; short sleep latency and moderate sleep time; late bedtime, prolonged sleep latency, and insufficient sleep time. The third pattern showed sleep disorders. The multivariate logistic regression analysis showed that compared with formula feeding, exclusive breastfeeding within 6 months after birth reduced the risk of sleep disorder patterns by 69% (OR=0.31, 95%CI: 0.11-0.81). The risk of sleep disorder patterns was reduced by 40% (OR=0.60, 95%CI: 0.38-0.96) in the infants receiving breastfeeding for 4-6 months compared with those receiving breastfeeding for 1-3 months. Conclusions There are different sleep patterns in infants and young children, and breastfeeding can reduce the development of sleep disorder patterns.
LIANG Ya-Li,MA Jie,ZHANG Yu-Xiao et al. Sleep patterns of infants and young children and their association with breastfeeding: a study based on K-means clustering[J]. CJCP, 2022, 24(10): 1154-1160.
LIANG Ya-Li,MA Jie,ZHANG Yu-Xiao et al. Sleep patterns of infants and young children and their association with breastfeeding: a study based on K-means clustering[J]. CJCP, 2022, 24(10): 1154-1160.
Liang X, Zhang X, Wang Y, et al. Sleep problems and infant motor and cognitive development across the first two years of life: the Beijing longitudinal study[J]. Infant Behav Dev, 2022, 66: 101686. PMID: 35007866. DOI: 10.1016/j.infbeh.2021.101686.
Huang XN, Wang HS, Chang JJ, et al. Feeding methods, sleep arrangement, and infant sleep patterns: a Chinese population-based study[J]. World J Pediatr, 2016, 12(1): 66-75. PMID: 25754749. DOI: 10.1007/s12519-015-0012-8.
Zandoná B, Matos S, Bernardi JR, et al. Influence of intra- and extrauterine factors on infant sleep in the first 6 months of life[J]. J Pediatr (Rio J), 2021, 97(2): 160-166. PMID: 32304651. DOI: 10.1016/j.jped.2020.01.007.
Brown A, Harries V. Infant sleep and night feeding patterns during later infancy: association with breastfeeding frequency, daytime complementary food intake, and infant weight[J]. Breastfeed Med, 2015, 10(5): 246-252. PMID: 25973527. DOI: 10.1089/bfm.2014.0153.
Chaput JP, Gray CE, Poitras VJ, et al. Systematic review of the relationships between sleep duration and health indicators in the early years (0-4 years)[J]. BMC Public Health, 2017, 17(Suppl 5): 855. PMID: 29219078. PMCID: PMC5773910. DOI: 10.1186/s12889-017-4850-2.
Abdul Jafar NK, Tham EKH, Pang WW, et al. Association between breastfeeding and sleep patterns in infants and preschool children[J]. Am J Clin Nutr, 2021, 114(6): 1986-1996. PMID: 34582549. DOI: 10.1093/ajcn/nqab297.
Kikuchi S, Nishihara K, Horiuchi S, et al. The influence of feeding method on a mother's circadian rhythm and on the development of her infant's circadian rest-activity rhythm[J]. Early Hum Dev, 2020, 145: 105046. PMID: 32353647. DOI: 10.1016/j.earlhumdev.2020.105046.
Hahn-Holbrook J, Saxbe D, Bixby C, et al. Human milk as "chrononutrition": implications for child health and development[J]. Pediatr Res, 2019, 85(7): 936-942. PMID: 30858473. DOI: 10.1038/s41390-019-0368-x.
Shattnawi KK, Al-Ali N. The effect of short duration skin to skin contact on premature infants' physiological and behavioral outcomes: a quasi-experimental study[J]. J Pediatr Nurs, 2019, 46: e24-e28. PMID: 30782417. DOI: 10.1016/j.pedn.2019.02.005.