Bedtime Routines Child Wellbeing & Development

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2018 Mar 23

PMID 29562892

Citations 23

Authors

George Kitsaras

Michaela Goodwin

Julia Allan

Michael P Kelly

Iain A Pretty

Affiliations

Soon will be listed here.

Abstract

Background: Bedtime routines has shown important associations with areas associated with child wellbeing and development. Research into bedtime routines is limited with studies mainly focusing on quality of sleep. The objectives of the present study were to examine the relationship between bedtime routines and a variety of factors associated with child wellbeing and to examine possible determinants of bedtime routines.

Methods: A total of 50 families with children between 3 and 5 years old took part in the study. Data on bedtime routines, parenting styles, school readiness, children's dental health, and executive function were collected.

Results: Children in families with optimal bedtime routines showed better performance in terms of executive function, specifically working memory (t (44)= - 8.51, p ≤ .001), inhibition and attention (t (48)= - 9.70, p ≤ .001) and cognitive flexibility (t (48)= - 13.1, p ≤ .001). Also, children in households with optimal bedtime routines scored higher in their readiness for school (t (48)= 6.92, p ≤ .001) and had better dental health (U = 85.5, p = .011). Parents in households with suboptimal bedtime routines showed worse performance on all measures of executive function including working memory (t (48)= - 10.47, p ≤ .001), inhibition-attention (t (48)= - 10.50, p ≤ .001) and cognitive flexibility (t (48)= - 13.6, p ≤ .001). Finally, parents with optimal bedtime routines for their children deployed a more positive parenting style in general (i.e. authoritative parenting) compared to those with suboptimal bedtime routines (t (48)= - 6.45, p ≤ .001).

Conclusion: The results of the present study highlight the potentially important role of bedtime routines in a variety of areas associated with child wellbeing and the need for further research.

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References

Deater-Deckard K . Family matters: Intergenerational and interpersonal processes of executive function and attentive behavior. Curr Dir Psychol Sci. 2014; 23(3):230-236. PMC: 4153697. DOI: 10.1177/0963721414531597. View

Levine R . Caries experience and bedtime consumption of sugar-sweetened food and drinks--a survey of 600 children. Community Dent Health. 2002; 18(4):228-31. View

Zelazo P, Anderson J, Richler J, Wallner-Allen K, Beaumont J, Weintraub S . II. NIH Toolbox Cognition Battery (CB): measuring executive function and attention. Monogr Soc Res Child Dev. 2013; 78(4):16-33. DOI: 10.1111/mono.12032. View

Stuss D, Alexander M, Shallice T, Picton T, Binns M, MacDonald R . Multiple frontal systems controlling response speed. Neuropsychologia. 2005; 43(3):396-417. DOI: 10.1016/j.neuropsychologia.2004.06.010. View

Hughes C, Ensor R . Individual differences in growth in executive function across the transition to school predict externalizing and internalizing behaviors and self-perceived academic success at 6 years of age. J Exp Child Psychol. 2010; 108(3):663-76. DOI: 10.1016/j.jecp.2010.06.005. View

Raver C, Blair C, Willoughby M . Poverty as a predictor of 4-year-olds' executive function: new perspectives on models of differential susceptibility. Dev Psychol. 2012; 49(2):292-304. PMC: 5460626. DOI: 10.1037/a0028343. View

Kelly Y, Kelly J, Sacker A . Time for bed: associations with cognitive performance in 7-year-old children: a longitudinal population-based study. J Epidemiol Community Health. 2013; 67(11):926-31. PMC: 3812865. DOI: 10.1136/jech-2012-202024. View

Bonecker M, Abanto J, Tello G, Oliveira L . Impact of dental caries on preschool children's quality of life: an update. Braz Oral Res. 2013; 26 Suppl 1:103-7. DOI: 10.1590/s1806-83242012000700015. View

Sheiham A . Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006; 201(10):625-6. DOI: 10.1038/sj.bdj.4814259. View

10.

Mindell J, Li A, Sadeh A, Kwon R, Goh D . Bedtime routines for young children: a dose-dependent association with sleep outcomes. Sleep. 2014; 38(5):717-22. PMC: 4402657. DOI: 10.5665/sleep.4662. View

11.

Paunio P, Rautava P, Helenius H, Alanen P, Sillanpaa M . The Finnish Family Competence Study: the relationship between caries, dental health habits and general health in 3-year-old Finnish children. Caries Res. 1993; 27(2):154-60. DOI: 10.1159/000261534. View

12.

High P, Hopmann M, Lagasse L, LINN H . Evaluation of a clinic-based program to promote book sharing and bedtime routines among low-income urban families with young children. Arch Pediatr Adolesc Med. 1998; 152(5):459-65. DOI: 10.1001/archpedi.152.5.459. View

13.

Goodwin M, Sanders C, Pretty I . A study of the provision of hospital based dental general anaesthetic services for children in the northwest of England: part 1--a comparison of service delivery between six hospitals. BMC Oral Health. 2015; 15:50. PMC: 4411710. DOI: 10.1186/s12903-015-0028-4. View

14.

Gibson S, Williams S . Dental caries in pre-school children: associations with social class, toothbrushing habit and consumption of sugars and sugar-containing foods. Further analysis of data from the National Diet and Nutrition Survey of children aged 1.5-4.5 years. Caries Res. 1999; 33(2):101-13. DOI: 10.1159/000016503. View

15.

Mindell J, Leichman E, DuMond C, Sadeh A . Sleep and Social-Emotional Development in Infants and Toddlers. J Clin Child Adolesc Psychol. 2016; 46(2):236-246. DOI: 10.1080/15374416.2016.1188701. View

16.

Touchette E, Petit D, Seguin J, Boivin M, Tremblay R, Montplaisir J . Associations between sleep duration patterns and behavioral/cognitive functioning at school entry. Sleep. 2007; 30(9):1213-9. PMC: 1978413. DOI: 10.1093/sleep/30.9.1213. View

17.

Davies G, Bridgman C . Improving oral health among schoolchildren - which approach is best?. Br Dent J. 2011; 210(2):59-61. DOI: 10.1038/sj.bdj.2011.1. View

18.

Listl S, Galloway J, Mossey P, Marcenes W . Global Economic Impact of Dental Diseases. J Dent Res. 2015; 94(10):1355-61. DOI: 10.1177/0022034515602879. View

19.

Bradley R, Corwyn R . Socioeconomic status and child development. Annu Rev Psychol. 2001; 53:371-99. DOI: 10.1146/annurev.psych.53.100901.135233. View

20.

Crandall A, Deater-Deckard K, Riley A . Maternal emotion and cognitive control capacities and parenting: A conceptual framework. Dev Rev. 2015; 36:105-126. PMC: 4445866. DOI: 10.1016/j.dr.2015.01.004. View