Coexistence of Sleep and Feeding Disturbances in Young Children

被引:28
作者
Tauman, Riva [1 ]
Levine, Arie [3 ]
Avni, Hadas [2 ]
Nehama, Haim [4 ]
Greenfeld, Michal [1 ]
Sivan, Yakov [1 ]
机构
[1] Tel Aviv Med Ctr & Sch Med, Dana Childrens Hosp, Pediat Sleep Ctr, IL-64239 Tel Aviv, Israel
[2] Tel Aviv Med Ctr & Sch Med, Dana Childrens Hosp, Pediat Clin Feeding Disorders, IL-64239 Tel Aviv, Israel
[3] Wolfson Med Ctr, Pediat Gastroenterol Unit, Holon, Israel
[4] Municipal Tel Aviv Yafo, Dept Publ Hlth, Tel Aviv, Israel
基金
以色列科学基金会;
关键词
sleep; infancy; insomnia; feeding; children; FAILURE-TO-THRIVE; INFANTILE ANOREXIA; DISORDERS; CHILDHOOD; BEHAVIORS; TODDLERS; INSOMNIA; NIGHT; POOR; RISK;
D O I
10.1542/peds.2010-2309
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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. Pediatrics 2011;127:e615-e621
引用
收藏
页码:E615 / E621
页数:7
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