Napping, development and health from 0 to 5 years: a systematic review

Author:

Thorpe Karen,Staton Sally,Sawyer Emily,Pattinson Cassandra,Haden Catherine,Smith Simon

Abstract

BackgroundDuration and quality of sleep affect child development and health. Encouragement of napping in preschool children has been suggested as a health-promoting strategy.ObjectivesThe aim of this study is to assess evidence regarding the effects of napping on measures of child development and health.DesignThis study is a systematic review of published, original research articles of any design.SubjectsChildren aged 0–5 years.MethodElectronic database search was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and assessment of research quality was carried out following a Grading of Recommendations, Assessment, Development and Evaluations (GRADE) protocol.ResultsTwenty-six articles met inclusion criteria. These were of heterogeneous quality; all had observational designs (GRADE-low). Development and health outcomes included salivary cortisol, night sleep, cognition, behaviour, obesity and accidents. The findings regarding cognition, behaviour and health impacts were inconsistent, probably because of variation in age and habitual napping status of the samples. The most consistent finding was an association between napping and later onset, shorter duration and poorer quality of night sleep, with evidence strongest beyond the age of 2 years.LimitationsStudies were not randomised. Most did not obtain data on the children's habitual napping status or the context of napping. Many were reliant on parent report rather than direct observation or physiological measurement of sleep behaviour.ConclusionsThe evidence indicates that beyond the age of 2 years napping is associated with later night sleep onset and both reduced sleep quality and duration. The evidence regarding behaviour, health and cognition is less certain. There is a need for more systematic studies that use stronger designs. In preschool children presenting with sleep problems clinicians should investigate napping patterns.

Publisher

BMJ

Subject

Pediatrics, Perinatology, and Child Health

Reference40 articles.

1. Sleep, cognition, and behavioral problems in school-age children: a century of research meta-analyzed;Astill;Psychol Bull,2012

2. Meta-analysis of short sleep duration and obesity in children and adults;Cappuccio;Sleep,2008

3. Adverse associations of infant and child sleep problems and parent health: an Australian population study;Martin,2007

4. Infant sleep: a review of normative and problematic sleep and interventions;Middlemiss;Early Child Dev Care,2004

5. Napping in English preschool children and the association with parents’ attitudes;Jones;Sleep Med,2013

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3