Sleep problems, fatigue, and cognitive performance in Chinese kindergarten children
Open accessAbstract
Objective To examine sleep problems and fatigue and their associations with cognitive performance in Chinese kindergarten children.Study design A cross-sectional analysis of baseline data from Jintan Child Cohort Study was conducted, which includes a cohort of 1656 kindergarten children in Jintan City, Jiangsu Province, China. The sample used in the current study consisted of 1385 children (44.8% girls, mean age 5.72 [SD = 0.42] years) for whom data on sleep problems or cognitive performance were available. Child Behavior Checklist was used to measure child sleep problems and fatigue, and Wechsler Preschool and Primary Scale of Intelligence-Revised was used to assess child IQ.Results Sleep problems were prevalent, ranging from 8.9% for difficulty maintaining sleep to 70.5% for unwilling to sleep alone. Other reported sleep problems were difficulty initiating sleep (39.4%), nightmares (31.6%), sleep talking (28%), sleeping less (24.7%), and sleep resistance (23.4%). Fatigue was also prevalent, with 29.6% of children reported to be overtired and 12.6% lack of energy. Children with difficulty maintaining sleep, sleep talking, sleep resistance, or nightmares scored 2-3 points lower in full IQ than children without sleep problems. Children reported to have fatigue scored 3-6 points lower in full IQ than those children without fatigue.Conclusions Sleep problems and fatigue are prevalent in Chinese kindergarten children. Furthermore, sleep problems and fatigue are associated with poor cognitive performance.
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In children, fatigue is associated with poorer school performance.
“Similar deleterious effects are observed in in children, in whom fatigue is associated with poorer school performance [22,23,24].”
From Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence (2020) · cites this paper as [24]
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- Authors
- Liu, J., Zhou, G., Wang, Y., Ai, Y., Pinto-Martin, J., & Liu, X.
- Affiliations
- University of Pennsylvania (US)
- Jintan People's Hospital (CN)
- Shandong University (CN)
- Corresponding author
- Liu, Jianghong
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 161
- Issue
- 3
- Pages
- 520-525.e2
- ISSN
- 0022-3476 (ISSN-L)
- PMC
- PMC3404213
- OpenAlex
- W2058202256
- Cited by
- 61
- References
- 36
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 6 · 2014: 1 · 2013: 4
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of Environmental Health Sciences (K01ES015877, K02ES019878, R01ES018858, P30ES013508)
- 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
- sleep disorders, child fatigue, cognitive performance, kindergarten children, children's sleep, nightmares, sleep talking, difficulty maintaining sleep, intelligence, Chinese children
- MeSH terms
- Child, Child Behavior, Child, Preschool, China, Cognition, Cognition Disorders, Fatigue, Female, Health Status, Humans, Male, Sleep Wake Disorders, Prevalence, Multivariate Analysis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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