早期午睡停止的预测因素:来自一项大型幼儿研究的纵向研究结果

Adam T. Newton , Paul F. Tremblay , Laura J. Batterink , Graham J. Reid
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引用次数: 0

摘要

大多数儿童在2至5岁之间停止打盹,儿童间差异很大。我们使用来自三个队列中5504名加拿大儿童(51.1%为男性;89.8%为白人)的纵向数据,测试了提前停止小睡的预测因素(即三岁前停止小睡的儿童),每个队列有两个时间点。儿童在基线时为0-1岁(M=10.19个月,SD=3.95个月),在随访时为2-3岁(M=30.83个月,SD=4.60个月)。父母报告了人口统计学、围产期、生长、发育、儿童和父母功能以及儿童睡眠变量。随访时,10.9%±0.8%的患者已停止打盹。采用建立模型的方法进行多组多变量逻辑回归,以确定早睡停止的预测因素。儿童年龄较大(OR范围为1.15至1.24,受队列影响)、女性(OR=1.29;95%CI:1.07-1.55)、有兄弟姐妹(OR=1.33;95%CI:1.10-1.62)、实现更多发展里程碑(OR=1.08;95%CI:1.03-1.13)、,夜间睡眠时间更长(OR=1.06;95%CI:1.01–1.11)。非白人(OR=0.41;95%CI:0.28–0.60),出生体重<;2500克(OR=0.60;95%置信区间:0.37–0.96)、父母在工作/上学(OR在0.50至0.58之间,由队列调节)以及生母在怀孕期间饮酒(OR=0.56;95%置信度:0.40–0.79)与停止小睡的可能性较低有关。研究结果表明,停止小睡受发育和社会环境因素的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictors of Early Nap Cessation: Longitudinal Findings from a Large Study of Young Children

Most children cease napping between 2 and 5-years-old, with considerable inter-child variability. We tested the predictors of early nap cessation (i.e., children who cease napping before three years old) using longitudinal data from 5504 Canadian children (51.1% male; 89.8% White) in three cohorts with two timepoints each. Children were 0–1-years-old at baseline (M = 10.19 months SD = 3.95 months) and 2–3-years-old at follow-up (M = 30.83 months, SD = 4.60 months). Parents reported on demographic, perinatal, growth, developmental, child and parent functioning, and child sleep variables. At follow-up, 10.9% ± 0.8% had ceased napping. Multigroup multivariate logistic regression was conducted using a model building approach to identify predictors of early nap cessation. Early nap cessation was predicted by older child age (ORs range from 1.15 to 1.24, moderated by cohort), female sex (OR = 1.29; 95% CI: 1.07–1.55), having an older sibling (OR = 1.33; 95% CI: 1.10–1.62), achieving more developmental milestones (OR = 1.08; 95% CI: 1.03–1.13), and longer nighttime sleep duration (OR = 1.06; 95% CI: 1.01–1.11). Non-White ethnicity (OR = 0.41; 95% CI: 0.28–0.60), birthweight < 2500 gs (OR = 0.60; 95% CI: 0.37–0.96), parent working/in school (ORs range from 0.50 to 0.58, moderated by cohort), and the birth mother consuming alcohol during pregnancy (OR = 0.56; 95% CI: 0.40–0.79) were related to a lower likelihood of nap cessation. Findings suggest nap cessation is influenced by developmental and socio-environmental factors.

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来源期刊
Sleep epidemiology
Sleep epidemiology Dentistry, Oral Surgery and Medicine, Clinical Neurology, Pulmonary and Respiratory Medicine
CiteScore
1.80
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