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[大学生论坛]:Does Sleeping All Night Affect an Infant's Later Development?

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GBH 发表于 2019-1-3 22:28:45 | 显示全部楼层 |阅读模式
Does Sleeping All Night Affect an Infant's Later Development?
整夜睡眠是否影响婴儿日后发育?
OBJECTIVES: Contrary to the importance of total sleep duration, the association between sleeping through the night and development in early infancy remains unclear. Our aims were to investigate the proportion of infants who sleep through the night (6- or 8-hour sleep blocks) at ages 6 and 12 months in a longitudinal cohort and to explore associations between sleeping through the night, mental and psychomotor development, maternal mood, and breastfeeding.
目的:与总睡眠时间的重要性相反,夜间睡眠与婴儿早期发育之间的关系尚不清楚。我们的目的是在纵向出生队列中调查6至12个月大的婴儿在夜间(6或8小时睡眠障碍)睡眠的比例,并探讨夜间睡眠、精神和心理发育、母亲情绪和母乳喂养之间的关系。

METHODS: At 6 and 12 months of age, maternal reports were used to assess the longest period of uninterrupted infant sleep and feeding method (n = 388). Two different criteria were used to determine if infants slept through the night: 6 and 8 hours of uninterrupted sleep. Mental and psychomotor developmental indices (Bayley Scales of Infant Development II) and maternal mood (Center for Epidemiologic Studies Depression Scale) were measured at 6, 12, and 36 months of age.
方法:在婴儿6个月和12个月大时,使用产妇报告来评估婴儿睡眠和喂养方式的最长时间(n=388)。采用两种不同的标准来确定婴儿是否整夜睡眠:6小时和8小时的不间断睡眠。对6、12和36个月大的婴儿发育指数(Bayley婴儿发育量表)和母亲情绪量表(流行病学研究中心抑郁量表)进行了测量。

RESULTS: Using a definition of either 6 or 8 hours of uninterrupted sleep, we found that 27.9% to 57.0% of 6- and 12-month-old infants did not sleep through the night. Linear regressions revealed no significant associations between sleeping through the night and concurrent or later mental development, psychomotor development, or maternal mood (P > .05). However, sleeping through the night was associated with a much lower rate of breastfeeding (P < .0001).
结果:使用6或8小时不间断睡眠的定义,我们发现27.9%到57.0%的6个月和12个月的婴儿整夜都睡不着。线性回归分析显示,睡眠与同时或后来的心理发展、精神运动发展或母亲情绪之间没有显著的相关性(P>.05)。然而,通宵睡眠与母乳喂养率低得多(P<.0001)。

CONCLUSIONS: Considering that high proportions of infants did not sleep through the night and that no associations were found between uninterrupted sleep, mental or psychomotor development, and maternal mood, expectations for early sleep consolidation could be moderated.
结论:考虑到高比例的婴儿在夜间不睡觉,并且没有发现不间断睡眠、精神或心理发育与母亲情绪之间的关系,对早期睡眠巩固的期望可能会有所缓和。

作者:John D. Cowden, MD, MPH
期刊名称:The New England Journal of Medicine
发表时间:2018-11-26
本文来自:
https://www.jwatch.org/na47959/2018/11/26/does-sleeping-all-night-affect-infants-later-development?query=nejmyxqy&from=singlemessage

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