Bemanalizadeh Maryam, Parsapoor Mahan, Emami Leila, Imani Vida, Parsapour Zahra, Kelisahdi Roya
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Health Promot Perspect. 2024 Dec 30;14(4):312-318. doi: 10.34172/hpp.43037. eCollection 2024.
Achieving sleep consolidation, during the first years of life can be a key factor affecting child growth and development. To our knowledge, for the first time, we aimed to systematically assess the relationships between sleep consolidation and growth and development in early childhood.
Following the latest version of PRISMA, PubMed, Web of Science, and Scopus were searched up to February 2023. We included observational studies in which 0-3-year-old children were enrolled and the association between sleep consolidation and either children's growth or development were assessed. The quality assessment was done using the NIH quality assessment tool.
Out of the 342 studies initially screened, 18 studies met the eligibility criteria, encompassing a total of 10068 infants and toddlers under 3 years of age. Overall, not in all but in some studies sleep consolidation showed a significant association with better cognitive, social-emotional and language outcomes. However, the relationship between sleep consolidation and motor development was less clear, with no significant associations observed across the studies. Additionally, no significant connections were found between sleep consolidation and physical growth indices, such as body mass index (BMI) or weight gain.
According to the existing evidence, at least, the potential associations between sleep consolidation and child development particularly cognitive, social-emotional, and language cannot be ruled out. However, due to the heterogenicity of results and inconsistent findings in some studies, we cannot still strongly declare that sleep consolidation is a remarkable predictor for child growth and development.
在生命的最初几年实现睡眠巩固可能是影响儿童生长发育的关键因素。据我们所知，我们首次旨在系统评估睡眠巩固与幼儿生长发育之间的关系。
按照最新版的PRISMA，检索截至2023年2月的PubMed、科学网和Scopus。我们纳入了纳入0至3岁儿童的观察性研究，并评估了睡眠巩固与儿童生长或发育之间的关联。使用美国国立卫生研究院质量评估工具进行质量评估。
在最初筛选的342项研究中，18项研究符合纳入标准，共纳入10068名3岁以下婴幼儿。总体而言，并非所有研究，但部分研究显示睡眠巩固与更好的认知、社会情感和语言发育结果显著相关。然而，睡眠巩固与运动发育之间的关系不太明确，各项研究中均未观察到显著关联。此外，在睡眠巩固与身体生长指标（如体重指数（BMI）或体重增加）之间未发现显著关联。
至少根据现有证据，不能排除睡眠巩固与儿童发育（尤其是认知、社会情感和语言发育）之间的潜在关联。然而，由于结果的异质性以及一些研究中结果不一致，我们仍不能有力地宣称睡眠巩固是儿童生长发育的显著预测指标。
