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Margareta Söderström, GP Lund, Sweden, Ass. prof. in Copenhagen, Denmark.

Margareta Söderström, GP Lund, Sweden, Ass. prof. in Copenhagen, Denmark. Lena Åström, GP Landskrona, Sweden Karin Ekelund, GP Eslöv, Sweden. Sleep habits and sleep problems in the post-modern family . A study of children attending child day care centers. ”Sleep you little willow bud”.

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Margareta Söderström, GP Lund, Sweden, Ass. prof. in Copenhagen, Denmark.

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  1. Margareta Söderström, GP Lund, Sweden, Ass. prof. in Copenhagen, Denmark. Lena Åström, GP Landskrona, Sweden Karin Ekelund, GP Eslöv, Sweden Sleep habits and sleep problems in the post-modern family. A study of children attending child day care centers ”Sleep you little willow bud”

  2. Research question • To describe sleep habits and sleep problems of children attending child day care centres (DCCs) in Sweden.

  3. Main findings • Shorter slept time • Changed sleep habits • Few parents regard their children have sleep problem

  4. How did we come to this conclusion? • We choose DCC in Lund and Eslöv- same size and composition of children • Questionnaire + (Diary 14+14days) • 132 (93%) of eligible participated • 129 (98%) answered the Questionnaire

  5. The study population

  6. SLEPT TIME hours

  7. Possible consequences of a shortened slept time • Reduced cognitive performance • Behaviour changes • Distorted circadiell rhythm • Increased crave for sugar • Negative effect on carbohydrate metabolism, endocrine system, increased blodpressure • Hamper the immunesystem

  8. Why shorter sleept time? • Children go to bed too late? • Children wake up too early? • Sleep habits have changed? • To be a child of post-modern parents?

  9. Sleep habits studied • Parental presence • Co sleep • Night waking • Long sleep latency • Early awakening

  10. Parental presence

  11. Parental presence %

  12. CO SLEEP

  13. CO SLEEP %

  14. Night waking %

  15. Long sleep latency • 16 % • Longest sleep latency time was 2,5 hours • Parental presence at sleep onset were correlated to night waking (p=0.002) and co-sleep (p<0,001)

  16. Night happenings • Snoring (8) • Nightmares (5) • Bedwetting (2) • Various (night terror, probable fear, wakes up before parents´s bedtime and restless sleep)

  17. How parents knew their child had or had not got sufficient sleep.

  18. Sleep problem Smedje, 3 times/week

  19. Why more of night waking and co-sleep? • Snug time? • Parental presence result in more of night waking and co sleep • Increased acceptance?

  20. To fit in sleep in the post-modern parents’ ”life puzzle”

  21. Sleep before dinner instead

  22. The biology and the ´life puzzle´ • Children have to adapt to two systems • Sleep – a “zeit-geber” to the circardiell rhythm • Growing on insulin or growing on growth hormones? • Sleep problems behind the increase in weight among children?

  23. Our messages • Put the children in bed in time • Learn them to fall a sleep by themselfe • No feeding during the night.

  24. Thank-you

  25. Tidigt uppvaknande

  26. Lång sömnlatens, Nattvaknande, eller Snarkning Minst 3 ggr/vecka SLEEP PROBLEM ACCORDING TO SMEDJE

  27. Night happenings • Wakes up before parents´ bedtime 8/129 • Snoring 8 • Night mares 5 • Bedwetting 2

  28. Long sleep latency

  29. VAD ÄR ETT SÖMNPROBLEM? Prevalensen varierar: • Andra studier 4-29% • Vår studie 12-57%

  30. Andel lärkor och ugglor samt barn med dålig morgonaptit

  31. Lärka - Uggla Börja senare på dagis-flextid Tidig fruktstund på dagis – skicka med extra frukt

  32. TV/Video och Dator

  33. TV/video-data (timmar)

  34. Fritidsaktiviteter (%)

  35. Sömnbehov (timmar)

  36. Night waking

  37. Vad är sömnproblem? 1. Föräldranärvaro 2. Co sleep 3. Nattliga uppvakn. 4. Insomningssvårigheter

  38. Main finding • Children sleep shorter time today than 10 years ago in all ages • Sleep habits of today were regarded as sleep problematic 10 years ago • The older the child the more often an owl instead of a lark • Children in DCC have a tight schedule 5 days a week

  39. Could children be more healthy than they already are? Outdoor environment, infections, slept time, steps, sunexpo. and cortisol levels

  40. Greatest problems for children in Denmark • Barn ær mindre syge jft med 2005. • Infektionssygdommer ær hyppigest Insatser infør fremtiden: bl.a akutte sygdomme – gør något, ex. minska antalet infektioner kroniskt syge, født med misdannelse - hvordan har desse børn det idag? laveste social grupper- insats før desse børns sundhet Danske børns sundhed og sygelighed, 2009

  41. Children in child day care(nursery, preschool, vuggesstuer-børnehaver) • Abscense due to illness • Carriage of potential patogenic bacteria (GAS, pneumococci, Hemofilus Influenzae, Moraxella catharralis • Sleep habits-sleeping time • Symptoms of infections • bloodpressure • Outdoor environment • Steps taken (proxy for physical activity)

  42. Findings from earlier studies • Sleeping habits have changed • Sleep time in children have decreased

  43. CO SLEEP

  44. Slept time timmar Hours Age in years

  45. Possible consequencies of decreased sleep time • Cognitiv abilities decreases • Changed behavior • Increased craven for sugar • Negative effect on carbohydrate metabolism and endocrine systems, bloodpressure, increased weight • Influence the immunesystem

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