Optimizing infant and toddler sleep: a review on evidence-based approaches to promote sleep consolidation.

IF 3.4 3区医学 Q1 PEDIATRICS

Paediatric Respiratory Reviews Pub Date : 2025-11-25 DOI:10.1016/j.prrv.2025.11.009

Juliana Acosta, Katherine M Schmarder, Ignacio E Tapia

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引用次数: 0

Abstract

Consolidated nighttime sleep is a critical milestone in infant development, underpinning physical, cognitive, and socioemotional growth. Despite being a normative maturational process, fragmented sleep and difficulties initiating/maintaining sleep are common parental concerns. This review synthesizes developmental and behavioral science to elucidate mechanisms and evidence-based strategies that foster healthy sleep consolidation in infants and toddlers. First, we describe the evolution of sleep architecture and the interaction between circadian and homeostatic processes that regulate sleep-wake cycles. Then, we highlight how environmental and caregiving factors support these biological systems. Lastly, we describe behavioral strategies and the influence of environmental elements on circadian entrainment and independent sleep initiation. Across approaches, we emphasize the importance of family-centered implementation, where caregivers can both promote and benefit from optimal infant sleep. This review provides clinicians, researchers, and caregivers with a comprehensive framework to promote sleep consolidation and well-being during early childhood.

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优化婴幼儿睡眠：促进睡眠巩固的循证方法综述。

巩固的夜间睡眠是婴儿发育的一个关键里程碑，是身体、认知和社会情感成长的基础。尽管这是一个正常的成熟过程，但睡眠碎片化和难以启动/维持睡眠是父母普遍关注的问题。本综述综合了发育和行为科学来阐明促进婴幼儿健康睡眠巩固的机制和循证策略。首先，我们描述了睡眠结构的演变以及调节睡眠-觉醒周期的昼夜节律和稳态过程之间的相互作用。然后，我们强调环境和护理因素如何支持这些生物系统。最后，我们描述了行为策略和环境因素对昼夜节律夹带和独立睡眠启动的影响。在各种方法中，我们强调以家庭为中心的实施的重要性，在这种情况下，照顾者既可以促进婴儿的最佳睡眠，也可以从中受益。本综述为临床医生、研究人员和护理人员提供了一个全面的框架来促进儿童早期的睡眠巩固和健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatric Respiratory Reviews 医学-呼吸系统

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

23 days

期刊介绍： Paediatric Respiratory Reviews offers authors the opportunity to submit their own editorials, educational reviews and short communications on topics relevant to paediatric respiratory medicine. These peer reviewed contributions will complement the commissioned reviews which will continue to form an integral part of the journal. Subjects covered include: • Epidemiology • Immunology and cell biology • Physiology • Occupational disorders • The role of allergens and pollutants A particular emphasis is given to the recommendation of "best practice" for primary care physicians and paediatricians. Paediatric Respiratory Reviews is aimed at general paediatricians but it should also be read by specialist paediatric physicians and nurses, respiratory physicians and general practitioners. It is a journal for those who are busy and do not have time to read systematically through literature, but who need to stay up to date in the field of paediatric respiratory and sleep medicine.