Publication: Effect of current breastfeeding on sleep patterns in infants from Asia-Pacific region
Issued Date
2012-08-01
Resource Type
ISSN
14401754
10344810
10344810
Other identifier(s)
2-s2.0-84864709634
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Paediatrics and Child Health. Vol.48, No.8 (2012), 669-674
Suggested Citation
Mahesh Babu Ramamurthy, Rini Sekartini, Nichara Ruangdaraganon, Duy Houng T Huynh, Avi Sadeh, Jodi A. Mindell Effect of current breastfeeding on sleep patterns in infants from Asia-Pacific region. Journal of Paediatrics and Child Health. Vol.48, No.8 (2012), 669-674. doi:10.1111/j.1440-1754.2012.02453.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/14716
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Title
Effect of current breastfeeding on sleep patterns in infants from Asia-Pacific region
Abstract
Aim: The aim of this study was to assess the relationship between breastfeeding and sleep patterns in infants from Asia-Pacific region. Methods: Parents of 10 321 infants (0-11 months) from Australia, China, Hong Kong, India, Indonesia, Korea, Japan, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand and Vietnam completed an expanded version of the Brief Infant Sleep Questionnaire. Results: Overall, 4714 (45.72%) were currently being breastfed; 61.3% of those between 0 and 5 months and 36.6% of those between 6 and 11 months. Currently breastfed infants, when compared with not currently breastfed infants, had a significant increase in the number and duration of night-time wakings and less consolidated sleep. Interestingly, currently breastfed infants less than 6 months also showed longer duration of daytime sleep and obtained more sleep overall. Of note, of those who were currently breastfed, those infants who were nursed back to sleep during night, woke up more often at night (2.41 vs. 1.67 times) and had shorter continuous night-time sleep period (5.58 vs. 6.88 h; P < 0.001). There was no significant difference between breastfeeding and non-breastfeeding infants in the number of night wakings, when the nursing to sleep variable was controlled for in the analysis of variance. Conclusion: Breastfeeding is associated with reduced sleep consolidation in infants. This relationship, however, may be moderated by parenting practices of nursing to sleep and back to sleep during the night. Thus, parents of infants with night waking problems should be encouraged to limit the association between nursing and falling to sleep, to improve sleep while maintaining breastfeeding. © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians).