Rea Corinna J, Smith Renata L, Taveras Elsie M
Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA.
Harvard Medical School, Boston, MA.
J Clin Sleep Med. 2016 Nov 15;12(11):1493-1498. doi: 10.5664/jcsm.6274.
To examine the extent to which parent health behaviors and parenting practices are associated with school-age children's sleep duration.
We surveyed 790 parents of children, aged 6 to 12 y, who had a body mass index (BMI) ≥ 90th percentile and were participating in a randomized controlled obesity trial. The main exposures were parent sleep duration, screen time and physical activity, parental limits placed on child TV viewing time and TV content, and parents' confidence regarding their ability to help their child get enough sleep. The primary outcome was child sleep duration. We used linear regression models to examine associations of parent behaviors and parenting practices with child sleep duration.
On average, children slept 9.2 h per night, whereas parents slept 6.9 h. Parents reported having an average of 1.9 h of screen time per day and 0.6 h of physical activity. There were 57.3% of parents who reported feeling very/extremely confident that they could help their child get enough sleep. In adjusted multivariate analyses, child sleep duration was 0.09 h/day (95% confidence interval: 0.03, 0.15) longer for each 1-h increment in parent sleep duration. Additionally, children whose parents reported being very/extremely confident they could help their child get age-appropriate sleep duration slept 0.67 h/day longer (95% confidence interval: 0.54, 0.81) than those whose parents were not/somewhat confident.
Educating parents about their own sleep health and enhancing parent confidence to help their children get enough sleep are potential areas of intervention to increase child sleep duration.
探讨父母的健康行为和育儿方式与学龄儿童睡眠时间之间的关联程度。
我们对790名6至12岁、体重指数（BMI）处于第90百分位及以上且参与一项随机对照肥胖试验的儿童的父母进行了调查。主要暴露因素包括父母的睡眠时间、屏幕使用时间和身体活动情况，父母对孩子看电视时间和电视内容的限制，以及父母对帮助孩子获得充足睡眠能力的信心。主要结局是儿童的睡眠时间。我们使用线性回归模型来研究父母行为和育儿方式与儿童睡眠时间之间的关联。
儿童平均每晚睡9.2小时，而父母平均睡6.9小时。父母报告称每天平均有1.9小时的屏幕使用时间和0.6小时的身体活动时间。57.3%的父母表示非常/极其自信能够帮助孩子获得充足睡眠。在调整后的多变量分析中，父母睡眠时间每增加1小时，儿童睡眠时间延长0.09小时/天（95%置信区间：0.03，0.15）。此外，父母报告称非常/极其自信能够帮助孩子获得与其年龄相符睡眠时间的儿童，比父母不自信/有点自信的儿童每天多睡0.67小时（95%置信区间：0.54，0.81）。
对父母进行自身睡眠健康方面的教育，并增强父母帮助孩子获得充足睡眠的信心，是增加儿童睡眠时间的潜在干预领域。
