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CC BY-NC-ND 4.0 · Sleep Sci 2024; 17(03): e281-e288
DOI: 10.1055/s-0044-1782168
Original Article

Factors Related to the Sleep Duration of 3-Month-Old Infants

Paula Louro Silva 
1   Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
,
Tamiris Ramos
1   Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
,
Natalia Pinheiro Castro
1   Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
,
Nicole Richetto
1   Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
,
Rossana Verônica López
2   Oncology Translational Research Center, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, SP, Brazil
,
Liania Alves Luzia
1   Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
,
Patricia Helen Rondó
1   Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
› Author Affiliations Funding Source The present study was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP; grant number 2015/03333-6). PLS received a master's scholarship from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); TRS received technical training from FAPESP (grant number 2022/04340-0) and NPC received a postdoctoral scholarship from FAPESP (grant number 2020/15365-8).
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Abstract

Objective To identify the factors related to sleep duration in 3-month-old infants.

Materials and Methods From 2021 to 2023, we conducted a cross-sectional study in the city of Araraquara, Brazil, involving 140 mothers and their respective 3-month-old infants. Maternal socioeconomic, demographic, obstetric, and nutritional characteristics, as well as nutritional and morbidity characteristics of the respective infants, were evaluated. Sleep duration was determined by the Brief Infant Sleep Questionnaire (BISQ). Multivariate linear regression analysis was used to assess the associations of maternal, newborn, and infant factors with sleep duration at three months.

Results The nighttime sleep duration of the infants was of 9 hours. There were negative associations between nighttime sleep duration and prone sleep position (p = 0.011), falling asleep between 8:30 pm and 11:00 pm (p = 0.032), falling asleep after 11:00 pm (p < 0.001), respiratory infection (p = 0.011), dermatitis (p = 0.002), and the presence of children under 9 years of age in the household (p = 0.013).

Discussion In the present study, factors such as infant morbidity, the presence of other children in the household, and sleeping habits were associated with a decrease in sleep duration in 3-month-old infants. Therefore, we emphasize the importance of early diagnosis of morbidity in the first months of life and of promoting healthy habits such as regulating the time to go to sleep, providing an adequate sleep environment, and other practices that help improve the quality and duration of sleep.

Keywords

sleep duration - infants - sleep - morbidity


Publication History

Received: 22 May 2023

Accepted: 05 October 2023

Article published online:
27 June 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Valle L, Valle E, Reimão R. Sono e aprendizagem. Rev.Psicopedagogia. 2009; 80 (26) 286-290
    Search in Google Scholar
  • 2 Aldabal L, Bahammam AS. Metabolic, endocrine, and immune consequences of sleep deprivation. Open Respir Med J 2011; 5: 31-43
    CrossrefPubMedSearch in Google Scholar
  • 3 Hirshkowitz M, Whiton K, Albert SM. et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health 2015; 1 (04) 233-243
    CrossrefPubMedSearch in Google Scholar
  • 4 Sadeh A, Tikotzky L, Scher A. Parenting and infant sleep. Sleep Med Rev 2010; 14 (02) 89-96
    CrossrefPubMedSearch in Google Scholar
  • 5 Barbeau DY, Weiss MD. Sleep disturbances in newborns. Children (Basel) 2017; 4 (10) 1-16
    PubMedSearch in Google Scholar
  • 6 Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Curr Probl Pediatr Adolesc Health Care 2017; 47 (02) 29-42
    CrossrefPubMedSearch in Google Scholar
  • 7 Ash T, Taveras EM, Redline S, Haneuse S, Quante M, Davison K. Contextual and parenting factors contribute to shorter sleep among hispanic/latinx compared to non-hispanic white infants. Ann Behav Med 2021; 55 (05) 424-435
    CrossrefPubMedSearch in Google Scholar
  • 8 McDonald L, Wardle J, Llewellyn CH, van Jaarsveld CH, Fisher A. Predictors of shorter sleep in early childhood. Sleep Med 2014; 15 (05) 536-540
    CrossrefPubMedSearch in Google Scholar
  • 9 Touchette E, Petit D, Paquet J. et al. Factors associated with fragmented sleep at night across early childhood. Arch Pediatr Adolesc Med 2005; 159 (03) 242-249
    CrossrefPubMedSearch in Google Scholar
  • 10 Bruni O, Baumgartner E, Sette S. et al. Longitudinal study of sleep behavior in normal infants during the first year of life. J Clin Sleep Med 2014; 10 (10) 1119-1127
    CrossrefPubMedSearch in Google Scholar
  • 11 Sette S, Baumgartner E, Ferri R, Bruni O. Predictors of sleep disturbances in the first year of life: a longitudinal study. Sleep Med 2017; 36: 78-85
    CrossrefPubMedSearch in Google Scholar
  • 12 Tsai SY, Lee CC, Tsai HY, Tung YC. Bedtime routines and objectively assessed sleep in infants. J Adv Nurs 2022; 78 (01) 154-164
    CrossrefPubMedSearch in Google Scholar
  • 13 Mari JJ, Williams P. A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychol Med 1985; 15 (03) 651-659
    CrossrefPubMedSearch in Google Scholar
  • 14 Villar J, Cheikh Ismail L, Victora CG. et al; International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH-21st). International standards for newborn weight, length, and head circumference by gestational age and sex: the Newborn Cross-Sectional Study of the INTERGROWTH-21st Project. Lancet 2014; 384 (9946) 857-868
    CrossrefPubMedSearch in Google Scholar
  • 15 Sadeh A. A brief screening questionnaire for infant sleep problems: validation and findings for an Internet sample. Pediatrics 2004; 113 (06) e570-e577
    CrossrefPubMedSearch in Google Scholar
  • 16 Nunes ML, Kampff JLPR, Sadeh A. BISQ questionnaire for infant sleep assessment: translation into brazilian portuguese. Sleep Sci 2012; 5 (03) 89-91
    Search in Google Scholar
  • 17 Sadeh A, Mindell JA, Luedtke K, Wiegand B. Sleep and sleep ecology in the first 3 years: a web-based study. J Sleep Res 2009; 18 (01) 60-73
    CrossrefPubMedSearch in Google Scholar
  • 18 Gilbert R, Salanti G, Harden M, See S. Infant sleeping position and the sudden infant death syndrome: systematic review of observational studies and historical review of recommendations from 1940 to 2002. Int J Epidemiol 2005; 34 (04) 874-887
    CrossrefPubMedSearch in Google Scholar
  • 19 Mindell JA, Sadeh A, Wiegand B, How TH, Goh DYT. Cross-cultural differences in infant and toddler sleep. Sleep Med 2010; 11 (03) 274-280
    CrossrefPubMedSearch in Google Scholar
  • 20 Priyadarshi M, Balachander B, Sankar MJ. Effect of sleep position in term healthy newborns on sudden infant death syndrome and other infant outcomes: A systematic review. J Glob Health 2022; 12 (12001): 12001
    CrossrefPubMedSearch in Google Scholar
  • 21 Prado LBFP. et al. Síndrome da Morte Súbita do Lactente. Departamento Científico de Medicina do Sono- Sociedade Brasileira de Pediatria; 2018. . 10 p. v. 4
    Search in Google Scholar
  • 22 Owens JA, Jones C, Nash R. Caregivers' knowledge, behavior, and attitudes regarding healthy sleep in young children. J Clin Sleep Med 2011; 7 (04) 345-350
    CrossrefPubMedSearch in Google Scholar
  • 23 Mindell JA, Meltzer LJ, Carskadon MA, Chervin RD. Developmental aspects of sleep hygiene: findings from the 2004 National Sleep Foundation Sleep in America Poll. Sleep Med 2009; 10 (07) 771-779
    CrossrefPubMedSearch in Google Scholar
  • 24 Halal CS, Nunes ML. Distúrbios do sono na infância. Residência Pediátrica. 2018; 1: 86-92
    Search in Google Scholar
  • 25 Dogan DG, Canaloglu SK, Kivilcim M, Kum YE, Topal E, Catal F. Sleep patterns of young children with newly diagnosed atopic dermatitis. Postepy Dermatol Alergol 2017; 34 (02) 143-147
    CrossrefPubMedSearch in Google Scholar
  • 26 Shani-Adir A, Rozenman D, Kessel A, Engel-Yeger B. The relationship between sensory hypersensitivity and sleep quality of children with atopic dermatitis. Pediatr Dermatol 2009; 26 (02) 143-149
    CrossrefPubMedSearch in Google Scholar
  • 27 Touchette E, Petit D, Tremblay RE, Montplaisir JY. Risk factors and consequences of early childhood dyssomnias: New perspectives. Sleep Med Rev 2009; 13 (05) 355-361
    CrossrefPubMedSearch in Google Scholar