The effect of respiratory problems and nutritional characteristics of children on sleep quality and influencing factors: A descriptive study

Abstract

The aim of this study was to determine the effect of respiratory problems and nutritional characteristics on sleep quality in children and the factors related to this effect. This descriptive and cross-sectional study was conducted in a hospital between October 2023 and July 2024. Data were collected using child information form and Pediatric Sleep Questionnaire: Sleep-disordered breathing subscale. Data were analyzed by computer with 95% confidence interval. A total of 101 children with an average age of 7.3 years and their mothers participated in the study. The mean sleep quality scale score was 0.22 points. The quality of sleep was influenced by nutrition, especially the number and timing of snacks, daytime sleep duration, number of nighttime waking, characteristics of the sleep environment, presence of respiratory disorders or attention deficit hyperactivity disorder, and sleep disorder diagnosed by polysomnography. The health of their mothers was also found to be an important factor. In order for children to have a healthy growth and development period, their sleep needs should be met in a healthy way. It is important to ensure sleep and nutritional regularity for sleep quality. It was observed that individual and family-based interventions are necessary for a healthy sleep pattern.

Keywords

• Respiration
• nutrition and sleep quality
• child

Çocukların solunum problemlerinin ve beslenme özelliklerinin uyku kalitesi üzerindeki etkisi ve etkileyen faktörler: Tanımlayıcı bir çalışma

Abstract

Solunum ve beslenme sorunları çocuklarda uyku kalitesini etkileyen faktörlerden biridir. Bu çalışmanın amacı, çocuklarda solunum problemleri ve beslenme özelliklerinin uyku kalitesi üzerine etkisini ve bu etkiyle ilişkili faktörleri belirlemektir. Tanımlayıcı ve kesitsel tipteki bu çalışma Ekim 2023-Temmuz 2024 tarihleri arasında bir hastanede yürütülmüştür. Veriler çocuk bilgi formu ve Pediatrik Uyku Anketi kullanılarak toplanmıştır: Uykuda solunum bozuklukları alt ölçeği. Veriler bilgisayar ortamında %95 güven aralığında analiz edilmiştir. Çalışmaya yaş ortalaması 7,3 yıl olan toplam 101 çocuk ve anneleri katılmıştır. Ortalama uyku kalitesi ölçeği puanı 0,22 idi. Uyku kalitesi beslenmeden, özellikle ara öğün sayısı ve zamanlamasından, gündüz uyku süresinden, gece uyanma sayısından, uyku ortamının özelliklerinden, solunum bozuklukları veya dikkat eksikliği hiperaktivite bozukluğu varlığından ve polisomnografi ile teşhis edilen uyku bozukluğundan etkilenmiştir. Annelerinin sağlığı da önemli bir faktör olarak bulunmuştur. Çocukların sağlıklı bir büyüme ve gelişme dönemi geçirebilmeleri için uyku ihtiyaçlarının sağlıklı bir şekilde karşılanması gerekmektedir. Uyku kalitesi için uyku ve beslenme düzeninin sağlanması önemlidir. Sağlıklı bir uyku düzeni için bireysel ve aile temelli müdahalelerin gerekli olduğu görülmüştür.

Keywords

• Solunum
• beslenme ve uyku kalitesi ilişkisi
• çocuk

References

1. Referans1. Marcus, C. L., Brooks, L. J., Draper, K. A., Gozal, D., Halbower, A. C., Jones, J., Schechter, M. S., Sheldon, S. H., Spruyt, K., Ward, S. D., Lehmann, C., Shiffman, R. N., & American Academy of Pediatrics. (2012). Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 130(3), 576-84. https://doi.org/10.1542/peds.2012-1671.
2. Referans2. Lumeng, J. C., & Chervin, R. D. (2008). Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc. 5(2), 242-52. https://doi.org/10.1513/pats.200708-135MG.
3. Referans3. Ersin, F., Öztürk, S., & Kılıç, M. (2018). Prevalence of sleep problems in children and associated factors: A cross-sectional study. Turkish Archives of Pediatrics. 53(2), 78-85. https://www.turkarchpediatr.org/EN/june-2018-0030
4. Referans4. Spruyt, K., & Gozal, D. (20119. Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev. 15(1), 19-32. https://doi.org/10.1016/j.smrv.2010.07.005.
5. Referans5. Iber, C., Ancoli-Israel, S., Chesson, A., & Quan, S. F. (2007). The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications. American Academy of Sleep Medicine. https://aasm.org/clinical-resources/scoring-manual/
6. Referans6. Kaditis, A. G., Alonso Alvarez, M. L., Boudewyns, A., Alexopoulos, E. I., Ersu, R., Joosten, K., Larramona, H., Miano, S., Narang, I., Trang, H., Tsaoussoglou, M., Vandenbussche, N., Villa, M. P., Van Waardenburg, D., Weber, S., & Verhulst, S. (2016). Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management. Eur Respir J. 47(1), 69-94. https://doi.org/10.1183/13993003.00385-2015.
7. Referans7. United Nations. (2015). Sustainable Development Goals: Goal 3 – Ensure healthy lives and promote well-being for all at all ages. United Nations. https://sdgs.un.org/goals/goal3
8. Referans8. Çelik, H. T., & Yalçın, S. S. (2019). The relationship between sleep problems, eating habits and anthropometric measurements of school children. Journal of Turkish Sleep Medicine, 6(3), 107-114. https://jtsm.org/archives/2019-006-002

9. Referans9. Mindell, J. A., Sadeh, A., Kwon, R., & Goh, D. Y. (2014). Cross-cultural differences in the sleep of preschool children. Sleep Med. 15(12), 1595-6. https://doi.org/10.1016/j.sleep.2013.09.002.
10. Referans10. Sadeh, A., Gruber, R., & Raviv, A. (2002). Sleep, neurobehavioral functioning, and behavior problems in school-age children. Child Dev. 73(2), 405-17. https://doi.org/10.1111/1467-8624.00414.
11. Referans11. Beebe, D. W., Byars, K. C., & Owens, J. A. (2017). Sleep disorders. In M. K. Dulcan (Ed.), Dulcan's textbook of child and adolescent psychiatry. 2nd edition, American Psychiatric Association Publishing. pp. 477-491
12. Referans12. Cortese, S., Faraone, S.V., Konofal, E., & Lecendreux, M. (2009). Sleep in children with attention-deficit/hyperactivity disorder: meta-analysis of subjective and objective studies. J Am Acad Child Adolesc Psychiatry. 48(9), 894-908. https://doi.org/10.1097/CHI.0b013e3181ac09c9.
13. Referans13. Mileva-Seitz, V. R., Bakermans-Kranenburg, M. J., Battaini, C., & Luijk, M. P. (2017). Parent-child bed-sharing: The good, the bad, and the burden of evidence. Sleep Med Rev. 32, 4-27. https://doi.org/10.1016/j.smrv.2016.03.003.
14. Referans14. Bayer, J. K., Hiscock, H., Hampton, A., & Wake, M. (2007). Sleep problems in young infants and maternal mental and physical health. Journal of Paediatrics and Child Health, 43(1-2), 66-73. https://doi.org/10.1111/j.1440-1754.2007.01005.x
15. Referans15. Tikotzky, L., & Sadeh, A. (2009). Maternal sleep-related cognitions and infant sleep: a longitudinal study from pregnancy through the 1st year. Child Dev. 80(3), 860-74. https://doi.org/10.1111/j.1467-8624.2009.01302.x.
16. Referans16. Chaput, J.P., Dutil, C., & Sampasa-Kanyinga, H. (2019). Sleeping hours: What is the ideal number and how does age impact this? Nature and Science of Sleep, 11, 421-430. https://doi.org/10.2147/NSS.S163071
17. Referans17. McQuillan, M. E., Bates, J. E., Staples, A. D., & Deater-Deckard, K. (2019). Maternal stress, sleep, and parenting. J Fam Psychol. 33(3), 349-359. https://doi.org/10.1037/fam0000516.
18. Referans18. Williamson, A. A., Mindell, J. A., Hiscock, H., & Quach, J. (2019). Child sleep behaviors and sleep problems from infancy to school-age. Sleep Med. 63, 5-8. https://doi.org/ 10.1016/j.sleep.2019.05.003.
19. Referans19. İlkşen Hocaoğlu, Z., & Şişmanlar Eyüboğlu, T. (2022). Classification of sleep disorders, In: Pediatric Sleep Disorders (Ed. Özçelik U, Aslan AT, Erdem) Logos Publishing; Istanbul, Türkiye. p:30-56
20. Referans20. Şahin, B., Önal, B. S., & Hoşoğlu, E. (2021). Anxiety Levels and Sleep Problems in Children of Healthcare Workers with COVID-19. Turkish Journal of Child and Adolescent Mental Health, 28(1), 41-48. https://doi.org/10.4274/tjcamh.galenos.2021.83803.
21. Referans21. Chervin, R. D., Hedger, K., Dillon, J. E., & Pituch, K. J. (2000) Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 1(1), 21-32. https://doi.org/10.1016/s1389-9457(99)00009-x.
22. Referans22. Yüksel, H., Söğüt, A., Yılmaz, O., & Kutluay, E. (2011). Reliability and validity of the Turkish version of the pediatric sleep questionnaire: a tool for prediction of sleep related breathing disorder. Tuberk Toraks. 59(3), 236-41. https://doi.org/10.5578/tt.2467
23. Referans23. Şenol, V., Soyuer, F., Pekşen Akça, R., & Argün, M. (2012). Sleep quality and affecting factors in adolescents. Kocatepe Medical Journal, 13(2), 93-102. https://doi.org/10.18229/ktd.02830
24. Referans24. Demir Uysal, D., & Çalışır, H. (2024). The relationship between sleep problems, nutrition habits and anthropometric measurements of school children. Turkish Journal of Sleep Medicine, 11(1), 60-67. https://doi.org/10.4274/jtsm.galenos.2023.61224
25. Referans25. Ward, A. L., Reynolds, A. N., Kuroko, S., Fangupo, L. J., Galland, B. C., & Taylor, R. W. (2021). Bidirectional associations between sleep quality or quantity, and dietary intakes or eating behaviors in children 6-12 years old: A systematic review with evidence mapping. The American Journal of Clinical Nutrition, 113(6), 1441-1459. https://doi.org/10.1093/nutrit/nuaa125.
26. Referans26. St-Onge, M. P, Mikic, A., & Pietrolungo, C. E. (2016). Effects of Diet on Sleep Quality. Adv Nutr. 7(5), 938-49. https://doi.org/10.3945/an.116.012336.
27. Referans27. Minges, K. A., & Redeker, N. S. (2011). Sleep patterns of children with chronic illness: A review of the literature. Journal of Pediatric Nursing, 26(6), 500-510. https://doi.org/10.1016/j.pedn.2010.07.013.
28. Referans28. Özdemir, S., & Çolak, İ. (2019). Determination of sleep problems in children aged 0-3 years. Zeynep Kamil Medical Bulletin, 50(1), 1-6. https://jag.journalagent.com/z4/download_fulltext.asp?pdir=zkmj&plng=eng&un=ZKMJ-08870
29. Referans29. Mindell, J. A., & Williamson, A. A. (2018). Benefits of a bedtime routine in young children: Sleep, development, and beyond. Sleep Medicine Reviews, 40, 93-108. https://doi.org/10.1016/j.smrv.2017.10.007
30. Referans30. Hiscock, H., Sciberras, E., Mensah, F., Gerner, B., Efron, D., Khano, S., & Oberklaid, F. (2015). Impact of a behavioural sleep intervention on symptoms and sleep in children with attention deficit hyperactivity disorder, and parental mental health: randomised controlled trial. BMJ. 350, h68. https://doi.org/10.1136/bmj.h68.
31. Referans31. Liu, X., Liu, L., Owens, J. A., & Kaplan, D. L. (2005). Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics, 115(1), 241-249. https://doi.org/10.1542/peds.2004-0815F.
32. Referans32. Ward, T. M., Gay, C., Anders, T. F., Alkon, A., & Lee, K. A. (2008). Sleep and napping patterns in 3-to-5-year old children attending full-day childcare centers. Journal of pediatric psychology, 33(6), 666-672. https://doi.org/10.1093/jpepsy/jsm102
33. Referans33. Ertan, P., Yilmaz, O., Caglayan, M., Sogut, A., Aslan, S., & Yuksel, H. (2009). Relationship of sleep quality and quality of life in children with monosymptomatic enuresis. Child Care Health Dev. 35(4), 469-74. https://doi.org/10.1111/j.1365-2214.2009.00940.x.
34. Referans34. Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Med Rev. 21, 50-8. https://doi.org/10.1016/j.smrv.2014.07.007.
35. Referans35. World Health Organization (2022) Mental Health, Brain Health and Substance Use https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/unicef-and-who-joint-programme-on-mental-health-and-psychosocial-well-being-and-development-of-children-and-adolescents