Coexistence of Sleep and Feeding Disturbances in Young Children

Author:

Tauman Riva1,Levine Arie2,Avni Hadas3,Nehama Haim4,Greenfeld Michal1,Sivan Yakov1

Affiliation:

1. Pediatric Sleep Center and

2. Pediatric Gastroenterology Unit, Wolfson Medical Center, Holon, Israel; and

3. Pediatric Clinic of Feeding Disorders, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel;

4. Public Health Department, Municipality of Tel Aviv-Yafo, Tel Aviv, Israel

Abstract

OBJECTIVE: Behavioral insomnia and feeding difficulties are 2 prevalent conditions in healthy young children. Despite similarities in nature, etiology, prevalence, and age distribution, the association between these 2 common disorders in young children has not been examined thus far. PATIENTS AND METHODS: Children aged 6 to 36 months with either behavioral insomnia or feeding disorders were recruited. Children aged 6 to 36 months who attended the well-care clinics were recruited and served as controls. Sleep and feeding were evaluated by using a parental questionnaire. RESULTS: Six hundred eighty-one children were recruited. Fifty-eight had behavioral insomnia, 76 had feeding disorders, and 547 were controls. The mean age was 17.0 ± 7.6 months. Parents of children with feeding disorders considered their child's sleep problematic significantly more frequently compared with controls (37% vs 16%, P = .0001 [effect size (ES): 0.66]). They reported shorter nocturnal sleep duration and delayed sleep time compared with controls (536 ± 87 vs 578 ± 88 minutes, P = .0001) and 9:13 ± 0.55 pm vs 8:26 ± 1.31 pm, P = .003). Parents of children with behavioral insomnia described their child's feeding as “a problem” more frequently compared with controls (26% vs 9%, P = .001 [ES: 0.69]). They reported being more concerned about their child's growth (2.85 ± 1.1 vs 2.5 ± 1.0, P = .03) and reported higher scores of food refusal compared with controls (3.38 ± 0.54 vs 3.23 ± 0.44, P = .04). CONCLUSIONS: Problematic sleep and feeding behaviors tend to coexist in early childhood. Increased awareness of clinicians to this coexistence may allow early intervention and improve outcome.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference26 articles.

1. International Classification of Sleep Disorders;American Academy of Sleep Medicine,2005

2. Sleeplessness in children;Ferber,1995

3. Clinical management of behavioral insomnia of childhood: treatment of bedtime problems and night wakings in young children;Meltzer;Behav Sleep Med,2010

4. Pediatric feeding disorders;Manikan;J Clin Gastroenterol,2000

5. Mealtime behaviors of young children: a comparison of normative and clinical data;Crist;J Dev Behav Pediatr,2001

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