Monday, September 19, 2016

Mommas Don't Let Your Babies Grow Up to be Sleep-Deprived

Willie wants you to have good sleep habits.
We all have had trouble sleeping but many of us have not had to see a doctor about it.  In today’s youth, about 20-30% of infants and toddlers are reported to have some kind of problem sleeping.  In the study discussed here, “Bedtime Routine” by Jodi A. Mindell, 405 mothers and their children participated in one of two study paradigms.  The first study involved infants while the second involved toddlers.  In the infant study, a one-week baseline which followed normal bedtime procedures set the stage.  Following baseline, mothers were asked to institute a 3-step nightly bedtime routine, and to follow the routine for 2 weeks.  This routine includes 1) bath with provided (unlabeled) wash product, 2) message with provided (unlabeled) product, and 3) quiet activities such as cuddling or singing a lullaby.  The toddler study was identical to the infant study aside from the use of lotion rather than a massage for each child.  Again, control group families followed normal home bedtime routine practices for the full 3-week duration of the study.
The findings of the studies showed no significant difference for all sleep variables across the duration of both the infant and toddler studies.  However, in the infant study, several differences were observed including decreased onset latency, decreased number (and duration) of night wakings, increased sleep continuity, and decreased perception of sleep as a problem by mothers involved.  In the toddler study, similar results were noted.  Specifically noted were improvements in number/duration of night wakings (a decrease), sleep continuity, and parent perception of sleep as a problem or issue in her child.  Improvements in morning mood were also observed in many cases.  Lastly, mothers reported decreases in crying out over night as well as decreases in the number of times children climbed out of bed.

In other words, these experimental studies provided a means of positive intervention for participating families.  Implementing a consistent bedtime routine here resulted in shorter sleep onset latency, decreased wakefulness after sleep onset, and finally in increased sleep consolidation.  Parents reported subjective positive perceptions of their children’s sleep following the studies as well.

I am not all that surprised that a consistent bedtime routine has such a positive impact on sleep health, but does having a daily, same-to-the-tee bedtime routine improve your sleep health that much?  Apparently it does!  However, I regret to confess that as a college student, I find it extremely difficult to implement such a strict bedtime procedure.  With tests, projects, reading, homework, and, in my case, lacrosse, Community Leader (RA) commitments as well as Baylor Student Foundation demands, it is no wonder why I don’t have the same daily bedtime process, let alone the same daily bedtime.  As I continue to progress through this predicament, I am optimistic that one day I can brag about the efficiency of my nightly sleep habits!

Last night, I laid my head on my pillow at about 1:30 am.  (I am blaming this result on CL on-call responsibilities but the truth is I just lost track of time.)  I had a hard time falling asleep.  I have not had difficulty falling asleep recently, so what could be the issue?  Warning: sleep scholars prepare to be shocked, I did not have my phone near my bed and in fact had not touched it since 8 pm.  So the lack of light put out by my phone while I surf through Facebook in bed kept me awake?  Preposterous.  Nonetheless, I conclude that this change in routine (the one common part of my daily bedtime routine) negatively affected my sleep onset latency time.  Maybe my “quiet time,” per Mindell’s article, is my phone, although I am sure the author would cringe at those words.

Many busy Americans would benefit from the information presented in this article, especially those with kids.  Single mothers, who perhaps work third shift, and cannot seem to get into a regular daily bedtime routine, would benefit from reading and understanding the contents of Mindell’s article.  She would realize the importance of consistency in her sleep habits even at the sacrifice of other tasks.  A full house with 6 children, all under the age of 10, usually is headed by tired parents.  These tired parents need to read this article and understand the importance of consistency at bedtime.  My parents, with a puppy at home (like a new baby), should understand the positive impact that consistent day-to-day bedtime habits can have on their sleep health.  Finally, I, myself need to take these results to heart, and understand that despite the challenges of my busy college life, my sleep health takes a certain priority.


2 comments:

  1. I totally relate to your comment about your cell phone. When I gave mine up for the night, I also had trouble falling asleep. I didn't really relate this to potentially being my "bedtime routine" until I read this article. These data show that a regular bedtime routine is very important for sleep health. We probably need to start a new routine that doesn't involve our phones unless we get some stylish orange tinted glasses...

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  2. I also have difficulty sleeping sleeping when my routine is changed, but that's more if I am sleeping in a different bed or have an important event that day. I think having a set number of activities you do before bed can help condition your brain into falling asleep quicker as it associates those activities with sleep. But I also think if you're using your phone every night before before going to sleep, you are conditioning your brain to think using your cellphone means it's sleep time. That makes me wonder if that has any sleep inducing effects when you look at your phone during the daytime.

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