Supporting Articles — Troubled Teens

Too little childhood sleep tied to later problems
Mon Apr 7, 2008 7:25pm EDT NEW YORK (Reuters Health)

Getting too little sleep doubles a young child's risk of being overweight and raises the chances of later anxiety and depression, researchers said on Monday.

Several studies published in the journal Archives of Pediatrics & Adolescent Medicine add heft to the notion that getting enough sleephas wide-ranging health benefits.

Previous studies have shown that older children and adults who get too little sleep are more likely to weigh too much. Researchers led by Dr. Elsie Taveras of Harvard Medical School demonstrated that this is also the case in very young kids.

In a study involving 915 children in Massachusetts, they found that those who slept less than 12 hours a day in the first two years of life were twice as likely to be overweight at age 3 than children who slept longer.

Very young children need more sleep and those in this study slept an average of 12.3 hours per day.

"There are consequences to children not sleeping well, even at this age," Taveras said in a telephone interview. "It's going to be important to help parents learn how to improve the quality of their children's sleep."

Television tended to make matters worse, with children who watched two or more hours daily by age 2 more likely to be overweight at age 3, the researchers said.

Taveras said getting enough sleep is becoming harder with televisions, computers and video games in kids' bedrooms.

The researchers said previous studies in adults and older children have shown that restricting sleep changes certain hormone levels, possibly stimulating hunger and weight gain.

EMOTIONAL FALLOUT

Another team of researchers led by Alice Gregory of the University of London examined the long-term emotional fallout from too little sleep in childhood. They gathered sleep data on 2,076 Dutch children ages 4 to 16, and then questioned them as adults years later about various emotional and behavioral symptoms.

The children who slept less than others reported more anxiety, depression and aggressive behavior as adults, the researchers said.

Researchers led by Valerie Sung of Royal Children's Hospital in Parkville, Australia found that children with attention-deficit hyperactivity disorder commonly had sleep problems. Among 239 Australian children ages 5 to 18 years with ADHD in the study, 73 percent had sleep problems. Their most common problems were difficulty falling asleep, resisting going to bed and tiredness upon waking, Sung said.

Compared to other children with ADHD but no sleep problems, these children were more likely to have poorer quality of life and daily functioning, as well as poorer school attendance. Sung offered advice to families of children with ADHD. "If you are worried about your child's sleep, ask your doctor for help, and if help is not forthcoming, keep asking and seek help from a specialist sleep clinic at your closest children's hospital," Sung said by e-mail.

Sleep easier knowing what not to do when putting the child to bed
Story by ABC News 10:11 A.M. TUESDAY, APRIL 8, 2008

The latest research suggests that a baby's sleep problems can often be traced back to the parents, that too often, with the best of intentions, parents actually contribute to bad sleep habits. One common bedtime mistake is holding or rocking an infant. "The more parents interfere with the process of falling asleep at bedtime, the more likely that child is going to be dependent on the parent to fall asleep," Brown Medical School Dr. Judith Owens said. This is especially true at 3 o'clock in the morning. "When parents repeatedly respond to children or infants who are waking and crying, that's what the child learns to expect," Montefiore Medical Center Dr. Blanche Beneson said. Other common bedtime mistakes, the study found: Moving babies into the parent's bed in the middle of the night. Pediatricians recognize that some babies at bedtime are "stubborn". But they say if parents are consistent, and patient, babies will learn to fall asleep on their own.