Association between breastfeeding and sleep patterns in infants and preschool children

Autor:	Wei W Pang, Fabian Yap, Birit F.P. Broekman, Shirong Cai, Oon-Hoe Teoh, Mei C Chua, Kok Hian Tan, Doris Fok, Peter D. Gluckman, Nur K Abdul Jafar, L.P.C. Shek, Elaine K.H. Tham, Yap Seng Chong, Michael J. Meaney, Daniel Y.T. Goh
Přispěvatelé:	Psychiatry, APH - Mental Health
Rok vydání:	2021
Předmět:	Nutrition and Dietetics Short Variable business.industry Breastfeeding Infant Medicine (miscellaneous) Infant sleep Long Variable Sleep patterns Breast Feeding Child Preschool Humans Medicine Female Child Sleep business Association (psychology) Demography Sleep duration
Zdroj:	The American journal of clinical nutrition, 114(6), 1986-1996. American Society for Nutrition Abdul Jafar, N K, Tham, E K H, Pang, W W, Fok, D, Chua, M C, Teoh, O-H, Goh, D Y T, Shek, L P-C, Yap, F, Tan, K H, Gluckman, P D, Chong, Y-S, Meaney, M J, Broekman, B F P & Cai, S 2021, ' Association between breastfeeding and sleep patterns in infants and preschool children ', The American journal of clinical nutrition, vol. 114, no. 6, pp. 1986-1996 . https://doi.org/10.1093/ajcn/nqab297
ISSN:	0002-9165
Popis:	BACKGROUND: Although most studies have reported unfavorable short-term effects of breastfeeding on early-childhood sleep-wake behaviors that potentially attenuate over time, findings have remained inconsistent.OBJECTIVES: We assessed associations of breastfeeding with longitudinal day-, night-, and total-sleep trajectories and with sleep-wake behaviors in healthy infants and preschoolers.METHODS: Caregivers of naturally conceived, term, singleton infants (n = 654) completed the Brief Infant Sleep Questionnaire (3, 6, 9, 12, 18, and 24 mo) and/or Children's Sleep Habits Questionnaire (54 mo), and provided information on their infants' breastfeeding status at 3 mo. Trajectory analyses derived 4 day- (n = 243), 3 night- (n = 248), and/or 4 total- (n = 241) sleep trajectories, each differing in length of sleep duration (short/moderate/long) and variability (variable/consistent). Sleep-wake behaviors from 3 to 24 mo (day/night/total-sleep durations and duration/number of night awakenings) were also assessed for associations with breastfeeding.RESULTS: After adjusting for potential covariates, formula-fed infants, relative to fully breastfed (predominant or exclusive) infants, were significantly less likely to exhibit moderate (OR: 0.28; 95% CI: 0.11, 0.70) and long consistent (OR: 0.18; 95% CI: 0.07, 0.50) night-sleep trajectories and less likely to exhibit moderate (OR: 0.21; 95% CI: 0.07, 0.61) and long consistent (OR: 0.12; 95% CI: 0.04, 0.38) and long variable (OR: 0.16; 95% CI: 0.05, 0.56) total-sleep trajectories, instead of short variable night- and total-sleep trajectories. Partially breastfed infants did not differ from fully breastfed infants for both night- and total-sleep trajectories. No significant differences were found between all groups for day-sleep trajectories. Fully breastfed infants had longer night- (6, 9, 12, and 24 mo) and total- (3 and 12 mo) sleep durations than formula-fed infants, albeit a greater number of night awakenings (from 6 to 12 mo).CONCLUSIONS: Despite more night awakenings, fully breastfed infants have overall longer night- and total-sleep durations (sleep trajectories) than formula-fed infants.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4f3c6d6731ba7556ac403b2f2af84834 https://doi.org/10.1093/ajcn/nqab297 Zobrazit plný text záznamu