Abstract Objective To explore the sleep status and risk factors for sleep problems in infants and young children in Jilin Province. Methods A total of 1 080 healthy infants and young children aged 0-3 years from eight prefecture-level cities and one autonomous prefecture in Jilin Province were selected as subjects. A self-designed questionnaire was used to collect the general information of the subjects, and the Brief Infant Sleep Questionnaire was used to understand the sleep status of the subjects. Multivariate logistic regression analysis was used to analyze the risk factors for sleep problems. Results The total detection rate of sleep problems in the infants and young children was 38.24% (413/1 080). The total sleep time in the 4-11 month, 12-24 month, and 25-36 month age groups was higher than the recommended total sleep time (P<0.05). Multivariate logistic regression analysis showed that full-term birth, higher educational level of the main caregiver, and higher daytime activity intensity were protective factors for sleep problems in the infants and young children (P<0.05), while lower frequency of vitamin D supplementation, frequent night feeding, and maternal snoring were risk factors for sleep problems (P<0.05). Conclusions The total sleep time of infants and young children over 4 months old in Jilin Province is higher than the recommended total sleep time, but the prevalence rate of sleep problems is higher. The occurrence of sleep problems is related to various factors. Strengthening follow-up on preterm infants, providing education on infant sleep knowledge to primary caregivers, and regularly supplementing with vitamin D can be beneficial in reducing sleep problems in infants and young children.
Corresponding Authors:
Li P, Email:l_ping@jlu.edu.cn
E-mail: l_ping@jlu.edu.cn
Cite this article:
ZENG Fan-Jie,ZHAO Zhi-Ruo,LI Xiu-Xin et al. Cross-sectional study on the sleep status and risk factors for sleep problems in infants and young children in Jilin Province[J]. CJCP, 2023, 25(5): 463-469.
ZENG Fan-Jie,ZHAO Zhi-Ruo,LI Xiu-Xin et al. Cross-sectional study on the sleep status and risk factors for sleep problems in infants and young children in Jilin Province[J]. CJCP, 2023, 25(5): 463-469.
Trosman I, Ivanenko A. Classification and epidemiology of sleep disorders in children and adolescents[J]. Child Adolesc Psychiatr Clin N Am, 2021, 30(1): 47-64. PMID: 33223068. DOI: 10.1016/j.chc.2020.08.002.
Meltzer LJ, Plaufcan MR, Thomas JH, et al. Sleep problems and sleep disorders in pediatric primary care: treatment recommendations, persistence, and health care utilization[J]. J Clin Sleep Med, 2014, 10(4): 421-426. PMID: 24733988. PMCID: PMC3960385. DOI: 10.5664/jcsm.3620.
Lionetti F, Dellagiulia A, Verderame C, et al. The Children's Sleep Habits Questionnaire: identification of sleep dimensions, normative values, and associations with behavioral problems in Italian preschoolers[J]. Sleep Health, 2021, 7(3): 390-396. PMID: 33867310. DOI: 10.1016/j.sleh.2021.03.002.
8 方积乾. 卫生统计学[M]. 7版. 北京: 人民卫生出版社, 2012: 335-336.
Sadeh A. A brief screening questionnaire for infant sleep problems: validation and findings for an internet sample[J]. Pediatrics, 2004, 113(6): e570-e577. PMID: 15173539. DOI: 10.1542/peds.113.6.e570.
Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications[J]. Chest, 2014, 146(5): 1387-1394. PMID: 25367475. DOI: 10.1378/chest.14-0970.
Matricciani L, Olds T, Petkov J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents[J]. Sleep Med Rev, 2012, 16(3): 203-211. PMID: 21612957. DOI: 10.1016/j.smrv.2011.03.005.
Dias CC, Figueiredo B, Rocha M, et al. Reference values and changes in infant sleep-wake behaviour during the first 12 months of life: a systematic review[J]. J Sleep Res, 2018, 27(5): e12654. PMID: 29356197. DOI: 10.1111/jsr.12654.
Krajewska Wojciechowska J, Krajewski W, Zatoński T. The association between ENT diseases and obesity in pediatric population: a systemic review of current knowledge[J]. Ear Nose Throat J, 2019, 98(5): E32-E43. PMID: 30966807. DOI: 10.1177/0145561319840819.
Deng Y, Wang G, Ye X, et al. The association between 25-hydroxyvitamin D levels and children's sleep-wake patterns: a prospective cohort study[J]. Sleep Med, 2020, 67: 207-214. PMID: 31952028. DOI: 10.1016/j.sleep.2019.11.1252.
Werchan DM, Kim JS, Gómez RL. A daytime nap combined with nighttime sleep promotes learning in toddlers[J]. J Exp Child Psychol, 2021, 202: 105006. PMID: 33096367. DOI: 10.1016/j.jecp.2020.105006.
SHEN Wei, ZHENG Zhi, LIN Xin-Zhu, WU Fan, TIAN Qian-Xin, CUI Qi-Liang, YUAN Yuan, REN Ling, MAO Jian, SHI Bi-Zhen, WANG Yu-Mei, LIU Ling, ZHANG Jing-Hui, CHANG Yan-Mei, TONG Xiao-Mei, ZHU Yan, ZHANG Rong, YE Xiu-Zhen, ZOU Jing-Jing, LI Huai-Yu, ZHAO Bao-Yin, QIU Yin-Ping, LIU Shu-Hua, MA Li, XU Ying, CHENG Rui, ZHOU Wen-Li, WU Hui, LIU Zhi-Yong, CHEN Dong-Mei, GAO Jin-Zhi, LIU Jing, CHEN Ling, LI Cong, YANG Chun-Yan, XU Ping, ZHANG Ya-Yu, HU Si-Le, MEI Hua, YANG Zu-Ming, FENG Zong-Tai, WANG San-Nan, MENG Er-Yan, SHANG Li-Hong, XU Fa-Lin, OU Shao-Ping, JU Rong. Incidence of extrauterine growth retardation and its risk factors in very preterm infants during hospitalization: a multicenter prospective study[J]. CJCP, 2022, 24(2): 132-140.