Infants' early recovery from sleep disturbance is associated with a lower risk of developmental delay in the Japan Environment and Children's Study.

Autor: Kikuchi K; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.; Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.; Office of International Academic Affairs, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Michikawa T; Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan., Morokuma S; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan. morokuma.seiichi.845@m.kyushu-u.ac.jp.; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan. morokuma.seiichi.845@m.kyushu-u.ac.jp., Hamada N; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Ikeda S; Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan., Shimada Y; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Kato K; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Ochiai M; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Tsuji M; Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.; Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan., Shimono M; Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.; Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan., Yoshino K; Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.; Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan., Suga R; Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan., Kawamoto T; Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan., Ohga S; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.; Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Aug 01; Vol. 14 (1), pp. 17773. Date of Electronic Publication: 2024 Aug 01.
DOI: 10.1038/s41598-024-68672-5
Abstrakt: To examine whether patterns, such as the timings of onset or recovery from sleep disturbance, are associated with later developmental problems, including autism spectrum disorder (ASD). Mothers participating in the Japan Environment and Children's Study with a child aged 3 years were included in the analyses. Children were assessed for short sleep and frequent awakenings at 1 month, 6 months, and 1 year of age. Developmental problems were evaluated at 3 years of age based on ASD diagnosis and developmental delay, using the Japanese translation of the Ages and Stages Questionnaire (ASQ) 3rd edition. Sleep disturbance patterns were classified by onset age, and developmental problem risks were examined based on onset/recovery ages. Among 63,418 mother-infant dyads, 0.4% of infants were later diagnosed with ASD, and 14.4% had abnormal scores on any ASQ domains. The later the onset of short sleep, the lower the risk of abnormal ASQ scores (RR of short sleep onset at 1 year: 1.41; 6 months: 1.52; 1 month: 1.57). The earlier the infants recovered from short sleep persistence, the lower the risk of developmental delay (RR of remittance of sleep problems identified at 1 month by 6 months: 1.07; 1 year: 1.31; not before 1 year: 1.57). Although not all patterns were significant, later short sleep onset and earlier recovery were associated with lower ASD risk. These findings may have significant implications for future interventions in infant development.
(© 2024. The Author(s).)
Databáze: MEDLINE
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