Characterizing Sleep-wake Patterns in Mothers and Children in an Agrarian Community: Results from the Ghana Randomized Air Pollution and Health Study

Overview

Journal Sleep

Publisher Oxford University Press

Specialty Psychiatry

Date 2022 Feb 10

PMID 35143676

Authors

Vaishnavi Kundel

Prince Darko Agyapong

Ankit Parekh

Seyram Kaali

Rebecca Kyerewaa Dwommoh Prah

Pahnwat Taweesedt

Theresa Tawiah

Indu Ayappa

Mohammed Nuhu Mujtaba

Oscar Agyei

Darby Jack

Musah Osei

Adolphine Adofowa Kwarteng

Alison Lee

Kwaku Poku Asante

Affiliations

Soon will be listed here.

Abstract

Study Objectives: Several studies have examined sleep patterns in rural/indigenous communities, however little is known about sleep characteristics in women of reproductive age, and children within these populations. We investigate sleep-wake patterns in mothers and children (ages 3-5 years) leveraging data from the Ghana Randomized Air Pollution and Health Study (GRAPHS).

Methods: The GRAPHS cohort comprises of rural/agrarian communities in Ghana and collected multiday actigraphy in a subset of women and children to assess objective sleep-wake patterns. Data were scored using the Cole-Kripke and Sadeh algorithms for mothers/children. We report descriptive, baseline characteristics and objective sleep measures, compared by access to electricity/poverty status.

Results: We analyzed data for 58 mothers (mean age 33 ± 6.6) and 64 children (mean age 4 ± 0.4). For mothers, mean bedtime was 9:40 pm ± 56 min, risetime 5:46 am ± 40 min, and total sleep time (TST) was 6.3 h ± 46 min. For children, median bedtime was 8:07 pm (interquartile range [IQR]: 7:50,8:43), risetime 6:09 am (IQR: 5:50,6:37), and mean 24-h TST 10.44 h ± 78 min. Children with access to electricity had a reduced TST compared to those without electricity (p = 0.02). Mean bedtime was later for both mothers (p = 0.05) and children (p = 0.08) classified as poor.

Conclusions: Mothers in our cohort demonstrated a shorter TST, and earlier bed/risetimes compared to adults in postindustrialized nations. In contrast, children had a higher TST compared to children in postindustrialized nations, also with earlier sleep-onset and offset times. Investigating objective sleep-wake patterns in rural/indigenous communities can highlight important differences in sleep health related to sex, race/ethnicity, and socioeconomic status, and help estimate the impact of industrialization on sleep in developed countries.

References

Watson N, Badr M, Belenky G, Bliwise D, Buxton O, Buysse D . Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med. 2015; 11(6):591-2. PMC: 4442216. DOI: 10.5664/jcsm.4758. View

St-Onge M, Grandner M, Brown D, Conroy M, Jean-Louis G, Coons M . Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health: A Scientific Statement From the American Heart Association. Circulation. 2016; 134(18):e367-e386. PMC: 5567876. DOI: 10.1161/CIR.0000000000000444. View

Gunnsteinsson S, Labrique A, West Jr K, Christian P, Mehra S, Shamim A . Constructing indices of rural living standards in Northwestern Bangladesh. J Health Popul Nutr. 2010; 28(5):509-19. PMC: 2963774. DOI: 10.3329/jhpn.v28i5.6160. View

Crittenden A, Samson D, Herlosky K, Mabulla I, Mabulla A, McKenna J . Infant co-sleeping patterns and maternal sleep quality among Hadza hunter-gatherers. Sleep Health. 2018; 4(6):527-534. DOI: 10.1016/j.sleh.2018.10.005. View

Evans M, Buysse D, Marsland A, Wright A, Foust J, Carroll L . Meta-analysis of age and actigraphy-assessed sleep characteristics across the lifespan. Sleep. 2021; 44(9). PMC: 8436145. DOI: 10.1093/sleep/zsab088. View

McQuillan M, Bates J, Staples A, Deater-Deckard K . A 1-year longitudinal study of the stress, sleep, and parenting of mothers of toddlers. Sleep Health. 2021; 8(1):47-53. PMC: 8821202. DOI: 10.1016/j.sleh.2021.08.006. View

Staples A, Bates J, Petersen I, McQuillan M, Hoyniak C . Measuring sleep in young children and their mothers: Identifying actigraphic sleep composites. Int J Behav Dev. 2019; 43(3):278-285. PMC: 6822101. DOI: 10.1177/0165025419830236. View

Yetish G, Kaplan H, Gurven M, Wood B, Pontzer H, Manger P . Natural sleep and its seasonal variations in three pre-industrial societies. Curr Biol. 2015; 25(21):2862-2868. PMC: 4720388. DOI: 10.1016/j.cub.2015.09.046. View

Dominguez F, Fuster V, Fernandez-Alvira J, Fernandez-Friera L, Lopez-Melgar B, Blanco-Rojo R . Association of Sleep Duration and Quality With Subclinical Atherosclerosis. J Am Coll Cardiol. 2019; 73(2):134-144. DOI: 10.1016/j.jacc.2018.10.060. View

10.

Beale A, Pedrazzoli M, Goncalves B, Beijamini F, Duarte N, Egan K . Comparison between an African town and a neighbouring village shows delayed, but not decreased, sleep during the early stages of urbanisation. Sci Rep. 2017; 7(1):5697. PMC: 5515911. DOI: 10.1038/s41598-017-05712-3. View

11.

Ndiaye G, Benefice E . Patterns of daily activity and time spent in bed of adult women and adolescent and preadolescent girls from a rural community in Senegal, West Africa. Ann Hum Biol. 2007; 34(4):454-69. DOI: 10.1080/03014460701383774. View

12.

Carnethon M, De Chavez P, Zee P, Kim K, Liu K, Goldberger J . Disparities in sleep characteristics by race/ethnicity in a population-based sample: Chicago Area Sleep Study. Sleep Med. 2015; 18:50-5. PMC: 4728038. DOI: 10.1016/j.sleep.2015.07.005. View

13.

Liu Y, Wheaton A, Chapman D, Cunningham T, Lu H, Croft J . Prevalence of Healthy Sleep Duration among Adults--United States, 2014. MMWR Morb Mortal Wkly Rep. 2016; 65(6):137-41. DOI: 10.15585/mmwr.mm6506a1. View

14.

Kundel V, Reid M, Fayad Z, Ayappa I, Mani V, Rueschman M . Sleep duration and vascular inflammation using hybrid positron emission tomography/magnetic resonance imaging: results from the Multi-Ethnic Study of Atherosclerosis. J Clin Sleep Med. 2021; 17(10):2009-2018. PMC: 8494091. DOI: 10.5664/jcsm.9382. View

15.

Cappuccio F, DElia L, Strazzullo P, Miller M . Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2009; 33(2):414-20. PMC: 2809295. DOI: 10.2337/dc09-1124. View

16.

Jack D, Asante K, Wylie B, Chillrud S, Whyatt R, Ae-Ngibise K . Ghana randomized air pollution and health study (GRAPHS): study protocol for a randomized controlled trial. Trials. 2015; 16:420. PMC: 4579662. DOI: 10.1186/s13063-015-0930-8. View

17.

Sabanayagam C, Shankar A . Sleep duration and cardiovascular disease: results from the National Health Interview Survey. Sleep. 2010; 33(8):1037-42. PMC: 2910533. DOI: 10.1093/sleep/33.8.1037. View

18.

Natale V, Plazzi G, Martoni M . Actigraphy in the assessment of insomnia: a quantitative approach. Sleep. 2009; 32(6):767-71. PMC: 2690564. DOI: 10.1093/sleep/32.6.767. View

19.

Meltzer L, Montgomery-Downs H, Insana S, Walsh C . Use of actigraphy for assessment in pediatric sleep research. Sleep Med Rev. 2012; 16(5):463-75. PMC: 3445439. DOI: 10.1016/j.smrv.2011.10.002. View

20.

Kaali S, Jack D, Delimini R, Hu L, Burkart K, Opoku-Mensah J . Prenatal Household Air Pollution Alters Cord Blood Mononuclear Cell Mitochondrial DNA Copy Number: Sex-Specific Associations. Int J Environ Res Public Health. 2018; 16(1). PMC: 6338880. DOI: 10.3390/ijerph16010026. View