Profile of sleep problems and its relation to sleeping habits in toddlers

Authors

  • Madhushree U. Galgali Department of Paediatrics, MVJMC & RH, Hoskote, Bengaluru, Karnataka, India
  • Premalatha R. Department of Paediatrics, MVJMC & RH, Hoskote, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20250091

Keywords:

CSHQ, Sleep problems, Sleep patterns, Sleep habits, Sleep disturbance

Abstract

Background: Sleep is essential for the neurological development, cognition and behavior of children. Sleep problems affect 15-40% of children globally, with a prevalence of 47.5% in India. This study aimed to determine the prevalence and profile of sleep problems in toddlers aged 1-3 years.

Methods: A 24-month cross-sectional study was conducted in rural Bangalore with 1,255 children aged 1-3 years visiting the outpatient department. Sleep problems were assessed using the Children's Sleep Habits Questionnaire (CSHQ). A Total Sleep Disturbance score of 41 or higher, based on responses to all 33 items across the eight subscales, suggests the presence of a sleep disturbance.

Results: Of the children, 48.3% experienced sleep problems, with a higher prevalence in children aged 1-2 years (32.7%) compared to 2-3 years (67.3%). Most children (54.7%) were male. The most common bedtime was 9:00 pm. Average sleep durations were: 9.41±1.55 hours at night, 2.30±0.79 hours during the day and 11.80±1.43 hours total sleep. Most children woke up twice during the night (28%). The mean CSHQ score was 40.55±4.24. Factors such as age, bedtime and number of awakenings were linked to sleep problems. The lowest prevalence was found in those sleeping at 8:30 pm (18.2%). Sleep problems were more common in children with 4 nighttime awakenings (75%).

Conclusions: Sleep disorders are common in toddlers, highlighting the need for pediatricians to identify and address sleep problems early.

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References

Reddy K. Profile of paediatric sleep patients and polysomnography findings: Experience from an exclusive paediatric sleep clinic in India. Karnataka Pediatric J. 2021;36:119-22. DOI: https://doi.org/10.25259/KPJ_27_2021

Sima M, Saeed Y, Maryam J. Prevalence of sleep problems and its relation to sleeping habits in toddlers. APJEC. 2019;2:29. DOI: https://doi.org/10.31557/apjec.2019.2.1.29-34

Byars KC, Yolton K, Rausch J, Lanphear B, Beebe DW. Prevalence, patterns and persistence of sleep problems in the first 3 years of life. Pediatrics. 2012;129(2):276-84. DOI: https://doi.org/10.1542/peds.2011-0372

Lewien, C., Genuneit, J., Meigen, C. Sleep-related difficulties in healthy children & adolescents. BMC Pediatr. 2021;21:82. DOI: https://doi.org/10.1186/s12887-021-02529-y

Mindell JA, Sadeh A, Kwon R, Goh DY. Cross-cultural differences in the sleep of preschool children. Sleep Med. 2013;14(12):1283-9. DOI: https://doi.org/10.1016/j.sleep.2013.09.002

Liu X, Liu L, Owens JA, Kaplan DL. Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics. 2005;115(1):241-9. DOI: https://doi.org/10.1542/peds.2004-0815F

Barathy C, Prabha S, Devikittu AKS. Study of sleep pattern in children aged 1-12 years attending OPD at tertiary care hospital, Puducherry, India. Int J Contemporary Pedia. 2017;24;4(6):1980. DOI: https://doi.org/10.18203/2349-3291.ijcp20174181

Bharti B, Malhi P, Kashyap S. Patterns and Problems of Sleep in School Going Children: A Community-based Study. Indian J Ped. 2019;86(9):813-8.

Rozario CI, Jose O, Thayyil B. A clinical study on sleep patterns and sleep problems in school going children. GJRA. 2017;6(5):73-5.

Montgomery-Downs HE, Gozal D. Sleep habits and risk factors for sleep-disordered breathing in infants and young toddlers in Louisville, Kentucky. Sleep Med. 2006 ;7(3):211-9. DOI: https://doi.org/10.1016/j.sleep.2005.11.003

Luijk MP, Mileva-Seitz VR, Jansen PW, van IJzendoorn MH, Jaddoe VW, Raat H et al. Ethnic differences in prevalence and determinants of mother-child bed-sharing in early childhood. Sleep Med. 2013;14(11):1092-9. DOI: https://doi.org/10.1016/j.sleep.2013.04.019

Mohammadi M, Ghalebaghi B, Bandi MG, Amintehrani E, Khodaie S, Shoaee S, et al. Sleep patterns and sleep problems among preschool and school-aged group children in a primary care setting. Iranian J of Pediat. 2007;17(3):213-21.

Sun W, Li SX, Jiang Y, Xu X, Spruyt K, Zhu Q, et al. A community-based study of sleep and cognitive development in infants and toddlers. J Clin Sleep Med. 2018;14(06):977-84. DOI: https://doi.org/10.5664/jcsm.7164

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Published

2025-01-27

How to Cite

Galgali, M. U., & R., P. (2025). Profile of sleep problems and its relation to sleeping habits in toddlers. International Journal of Contemporary Pediatrics, 12(2), 240–245. https://doi.org/10.18203/2349-3291.ijcp20250091

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Section

Original Research Articles