BackgroundHere, we (a) examined the trajectories of night‐time sleep duration, bedtime and midpoint of night‐time sleep (MPS) from infancy to adolescence, and (b) explored perinatal risk factors for persistent poor sleep health.MethodsThis study used data from 12,962 participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). Parent or self‐reported night‐time sleep duration, bedtime and wake‐up time were collected from questionnaires at 6, 18 and 30 months, and at 3.5, 4–5, 5–6, 6–7, 9, 11 and 15–16 years. Child's sex, birth weight, gestational age, health and temperament, together with mother's family adversity index (FAI), age at birth, prenatal socioeconomic status and postnatal anxiety and depression, were included as risk factors for persistent poor sleep health. Latent class growth analyses were applied first to detect trajectories of night‐time sleep duration, bedtime and MPS, and we then applied logistic regressions for the longitudinal associations between risk factors and persistent poor sleep health domains.ResultsWe obtained four trajectories for each of the three sleep domains. In particular, we identified a trajectory characterized by persistent shorter sleep, a trajectory of persistent later bedtime and a trajectory of persistent later MPS. Two risk factors were associated with the three poor sleep health domains: higher FAI with increased risk of persistent shorter sleep (OR = 1.20, 95% CI = 1.11–1.30, p < .001), persistent later bedtime (OR = 1.28, 95% CI = 1.19–1.39, p < .001) and persistent later MPS (OR = 1.30, 95% CI = 1.22–1.38, p < .001); and higher maternal socioeconomic status with reduced risk of persistent shorter sleep (OR = 0.99, 95% CI = 0.98–1.00, p = .048), persistent later bedtime (OR = 0.98, 95% CI = 0.97–0.99, p < .001) and persistent later MPS (OR = 0.99, 95% CI = 0.98–0.99, p < .001).ConclusionsWe detected trajectories of persistent poor sleep health (i.e. shorter sleep duration, later bedtime and later MPS) from infancy to adolescence, and specific perinatal risk factors linked to persistent poor sleep health domains.

中文翻译：

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夜间睡眠时间较短，从婴儿期到青春期的睡眠时间较晚


背景在这里，我们（a）检查了从婴儿期到青春期的夜间睡眠持续时间、就寝时间和夜间睡眠中点（MPS）的轨迹，以及（b）探讨了持续不良睡眠健康的围产期危险因素。方法本研究使用的数据来自雅芳父母和儿童纵向研究 (ALSPAC) 的 12,962 名参与者。通过 6、18 和 30 个月以及 3.5、4-5、5-6、6-7、9、11 和 15 个月的问卷收集家长或自我报告的夜间睡眠时间、就寝时间和起床时间。 –16 年。孩子的性别、出生体重、胎龄、健康和气质，以及母亲的家庭逆境指数（FAI）、出生年龄、产前社会经济状况以及产后焦虑和抑郁，都被列为睡眠健康状况持续不佳的危险因素。首先应用潜在类别增长分析来检测夜间睡眠持续时间、就寝时间和 MPS 的轨迹，然后我们应用逻辑回归来分析风险因素与持续不良睡眠健康领域之间的纵向关联。结果我们为这三个领域中的每一个获得了四个轨迹睡眠域。特别是，我们确定了一条以持续较短睡眠时间的轨迹、持续较晚就寝时间的轨迹和持续较晚 MPS 为特征的轨迹。两个风险因素与三个不良睡眠健康领域相关：较高的 FAI 与持续较短睡眠的风险增加（OR = 1.20，95% CI = 1.11–1.30， p < .001），持续晚睡（OR = 1.28，95% CI = 1.19–1.39， p < .001）和持续的后期 MPS（OR = 1.30，95% CI = 1.22–1.38， p < .001);母亲的社会经济地位较高，睡眠时间持续较短的风险降低（OR = 0.99，95% CI = 0.98–1。00, p = .048），持续晚睡（OR = 0.98，95% CI = 0.97–0.99， p < .001）和持续的后期 MPS（OR = 0.99，95% CI = 0.98–0.99， p < .001)。结论我们检测了从婴儿期到青春期持续不良睡眠健康状况的轨迹（即较短的睡眠时间、较晚的就寝时间和较晚的 MPS），以及与持续不良睡眠健康领域相关的特定围产期危险因素。