Prospective study of insufficient sleep and neurobehavioral functioning among school-age children
Open accessAbstract
Objective To examine associations between insufficient sleep and neurobehavioral functioning in childhood as reported by mothers and teachers.Methods Participants were 1046 children in a prebirth cohort study. Main exposures were insufficient sleep durations at 3 time points: 6 months to 2 years, defined as sleep <11 h/d, 11 to <12 h/d (vs ≥12); 3 to 4 years, defined as sleep <10 h/d, 10 to <11 h/d (vs ≥11); and 5 to 7 years, sleep <9 h/d, 9 to <10 h/d (vs ≥10). Outcomes at age 7 years were executive function, behavior, and social-emotional functioning, assessed using the Behavioral Rating Inventory of Executive Function (BRIEF) and the Strengths and Difficulties Questionnaire (SDQ). Higher scores indicate poorer functioning. Mothers and teachers completed both instruments independently.Results At age 7 years, mean (SD) mother and teacher report of the BRIEF global executive composite scale were 48.3 (7.9) and 50.7 (9.4) points, respectively, and of the SDQ total difficulties score was 6.5 (4.7) and 6.2 (5.7). In multivariable models, children who slept <10 h/d at 3 to 4 years had worse maternal-reported scores for the BRIEF (2.11 points; 95% confidence interval, 0.17-4.05) and SDQ (1.91 points; 95% confidence interval, 0.78-3.05) than those with age-appropriate sleep. Children who slept <9 h/d at 5 to 7 years also had worse scores. At both ages, associations with teacher-reported results were consistent with those of mothers. Infants who slept 11 to <12 h/d had higher teacher- but not mother-reported scores.Conclusions Insufficient sleep in the preschool and early school years is associated with poorer mother- and teacher-reported neurobehavioral processes in midchildhood.
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Insufficient sleep is associated with alterations in mood, attention, impulse control, motivation, and judgment, all of which could potentially influence eating behaviours, energy intake, and ultimately BMI in children.
“Finally, insufficient sleep is associated with alterations in mood, attention, impulse control, motivation, and judgment, all of these factors could potentially influence eating behaviours, energy intake, and ultimately BMI in children.77”
From Sleep duration and incidence of obesity in infants, children, and adolescents: a systematic review and meta-analysis of prospective studies (2018) · cites this paper as [77]
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- Authors
- Taveras, E. M., Rifas-Shiman, S. L., Bub, K. L., Gillman, M. W., & Oken, E.
- Affiliations
- Harvard University (US)
- University of Illinois Urbana-Champaign (US)
- Corresponding author
- Taveras, Elsie M.
- Venue
- Academic Pediatrics
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 17
- Issue
- 6
- Pages
- 625-632
- ISSN
- 1876-2859 (ISSN-L)
- PMC
- PMC5545152
- OpenAlex
- W2586527229
- Cited by
- 73
- References
- 31
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 9 · 2020: 11 · 2019: 8 · 2018: 6 · 2017: 3
- FWCI
- 9.91
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Academic Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute's Centers for Transdisciplinary Research on Energetics and Cancer (U54CA116847)
- National Institute of Diabetes and Digestive and Kidney Diseases (K24DK105989)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R37HD034568)
- National Institute of Environmental Health Sciences (R01 ES016314)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- insufficient sleep, sleep duration, neurobehavioral function, executive function, social-emotional functioning, child behavior problems, preschool children, younger schoolchildren, maternal report, teacher reports
- MeSH terms
- Affective Symptoms, Child, Child Behavior, Child, Preschool, Emotions, Faculty, Female, Humans, Infant, Male, Massachusetts, Mothers, Prospective Studies, Psychomotor Disorders, Surveys and Questionnaires, Risk Factors, Sleep Deprivation, Linear Models, Executive Function
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