巴西东北部福塔莱萨市睡眠时长对儿童发育的影响。
Effect of sleep duration on child development in Fortaleza, Northeastern Brazil.
作者信息
Castro Shamyr Sulyvan, Machado Marcia Maria Tavares, Correia Luciano Lima, Farias-Antúnez Simone, Lima Pedro Lucas Grangeiro de Sá Barreto, Vasconcelos Sophia Costa, Altafim Elisa Rachel Pisani, Castro Marcia C
机构信息
Universidade Federal do Ceará (UFC), Departamento de Fisioterapia, Fortaleza, CE, Brazil.
Universidade Federal do Ceará (UFC), Departamento de Saúde Pública, Fortaleza, CE, Brazil.
出版信息
J Pediatr (Rio J). 2025 Mar-Apr;101(2):238-246. doi: 10.1016/j.jped.2024.09.002. Epub 2024 Oct 22.
OBJECTIVE
The present study's objective is to assess whether sleep duration affects Early Childhood Development (ECD). A prospective cohort study was carried out with 278 mother-child dyads in the city of Fortaleza, northeastern Brazil, with data collection every 6 months.
METHOD
The data used in this study are from the third (18 months) and fourth (24 months) survey waves. Information on sleep duration was collected using the Brief Infant Sleep Questionnaire (BISQ) and information on ECD using the Caregiver Reported Early Development Instrument (CREDI). Crude and adjusted regression models were run for each CREDI domain as an outcome with 5 % significance.
RESULTS
The authors found that after adjusting for maternal age and schooling, family income, and the presence of other children in the house, night sleep duration was associated with better ECD scores (cognitive: coef. 0.14; 95 % CI 0.04,0.24; language: coef. 0.10; 95 % CI 0.01,0.19; motor: coef. 0.10; 95 % CI 0.03,0.18; socio-emotional: coef. 0.16; 95 % CI 0.06,0.25; overall: coef. 0.14; 95 % CI 0.04,0.24), and the time awake at night associated with worse scores (cognitive: coef. -0.12; 95 % CI -0.23,0.02; motor: coef. -0.09; 95 % CI -0.17,-0.01; socio-emotional: coef. -0.11; 95 % CI -0.21,-0.01; overall: coef. -0.11; 95 % CI -0.21,-0.01).
CONCLUSIONS
Nocturnal sleep duration affects ECD as expressed in all CREDI scores (cognitive, language, motor, social-emotional, and overall).
目的
本研究的目的是评估睡眠时间是否会影响幼儿发展（ECD）。在巴西东北部福塔雷萨市对278对母婴进行了一项前瞻性队列研究，每6个月收集一次数据。
方法
本研究使用的数据来自第三次（18个月）和第四次（24个月）调查波次。使用简短婴儿睡眠问卷（BISQ）收集睡眠时间信息，使用照顾者报告的早期发育工具（CREDI）收集幼儿发展信息。以每个CREDI领域为结果运行粗回归模型和调整回归模型，显著性水平为5%。
结果
作者发现，在调整了母亲年龄和受教育程度、家庭收入以及家中其他孩子的存在情况后，夜间睡眠时间与更好的幼儿发展得分相关（认知：系数0.14；95%置信区间0.04，0.24；语言：系数0.10；95%置信区间0.01，0.19；运动：系数0.10；95%置信区间0.03，0.18；社会情感：系数0.16；95%置信区间0.06，0.25；总体：系数0.14；95%置信区间0.04，0.24），而夜间清醒时间与较差得分相关（认知：系数-0.12；95%置信区间-0.23，0.02；运动：系数-0.09；95%置信区间-0.17，-0.01；社会情感：系数-0.11；95%置信区间-0.21，-0.01；总体：系数-0.11；95%置信区间-0.21，-0.01）。
结论
夜间睡眠时间会影响所有CREDI得分（认知、语言、运动、社会情感和总体）所体现的幼儿发展。
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