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Sleep deprivation and accidental fall risk in children
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Orientador(es)
Resumo(s)
Objectives: To look for an association between sleep deprivation and risk of accidental falls (AF) in children.
Methods: A questionnaire was applied to two groups of children aged 1–14 years, encompassing children
observed in an emergency room for AF (G1) and children attending health care visits (HV) (G2). Collected
data included demographic characteristics, medical history, previous week’s sleep pattern (PWSP), sleep
duration and sleep pattern in the preceding 24 h, mechanism of fall, and injury severity. Exclusion criteria:
acute or chronic disease or exposure to drugs interfering with sleep. Statistical analyses included
Fisher’s exact test, Pearson Chi-square, Fisher–Freeman–Halton test, T and Mann–Whitney tests for independent
samples, and multivariate logistic regression (a = 5%).
Results: We obtained 1756 questionnaires in G1 and 277 in G2. Of those, 834 in G1 and 267 in G2
were analyzed. We found an increased risk of AF in boys (OR 1.6; 95% CI 1.2–2.4). After controlling
for age, gender, summer holidays, parental education and profession, lack of naps and PWSP were
associated with increased risk (OR 2.1; 95% CI 1.3–3.3 and OR 2.7; 95% CI 1.2–6.1). In 3–5 year-old
children there was an association between AF and a shorter than usual sleep duration in the previous
24 h (p = 0.02).
Conclusions: To our knowledge, our study is the largest so far to assess the association between sleep
deprivation and childhood injury. It evidences a protective effect of naps in children. Sleep duration of
less than 8 h increases risk of AF. Pre-schoolers may be particularly susceptible to sleep deprivation.
Descrição
The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: doi:10.1016/j.sleep.2011.04.010
© 2011 Elsevier B.V. All rights reserved.
© 2011 Elsevier B.V. All rights reserved.
Palavras-chave
Children Sleep duration Sleep pattern Nap Sleep deprivation Accidental fall
Contexto Educativo
Citação
Sleep Medicine 13 (2012) 88–95
Editora
Elsevier