RELATIONS BETWEEN INFANT FEEDING PRACTICES AND SLEEP QUALITY OR DURATION AT AGE 2 IN THE FRENCH EDEN BIRTH COHORT

Luisa Fernanda Murcia-Soriano, Blandine de Lauzon-Guillain, Barbara Heude, Marie Aline Charles, Anne Forhan, Sabine Plancoulaine

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction:
Short sleep duration and/or poor sleep quality in childhood have been associated with later poorer health outcomes. Breastfeeding has been associated with frequent night-waking and inconsistently with short sleep duration up to 18 months. Besides mothers may introduce complementary feeding before the recommended age when children presented sleep troubles. We aimed to study the relations between feeding practices up to 8 months and child’s sleep at age 2 in a French cohort.

Methods:
Analyses were based on the children from the EDEN French birth-cohort recruited between 2003 and 2006. Data were collected prospectively through questionnaires and dietary records at 4, 8 and 2 years old. Night-feeding was assessed from dietary records and breastfeeding duration, age at complementary feeding introduction, night-sleep duration and frequent night-waking from questionnaires. Frequent night-waking was defined as waking each other night or more. Multivariate analyses were performed using linear or logistic regressions when appropriate.

Results:
A total of 827 children (48% girls) with complete data were included in the analyses. The mothers were at birth 30 years old. Night-feeding was observed for 22.5% and 9.6% of the children aged 4 and 8 months, respectively. The median age of breastfeeding cessation was 2 months and 5 months for complementary feeding introduction. At 2 years old, the children median night-sleep duration was 11hrs and frequent night-waking was observed for 19.3% of them. Multivariate models showed that night-sleep duration at 2 years old was negatively associated with night-feeding at 4 months (p=0.020), but positively associated with age at complementary feeding introduction (p=0.019) whereas frequent night-waking at 2 years old was positively associated with night-feeding at 8 months (p=0.016).

Conclusion:
Results showed that some night-feeding practices during infancy were related to lower night-sleep quality while age at complementary feeding introduction was related to longer night-sleep duration in early childhood.

Support (If Any):
L Murcia received the 2016 Master grant from Société Francaise de la Recherche et Médecine du Sommeil (SFRMS)
Original languageEnglish
Pages (from-to)A364
Number of pages1
JournalSleep
DOIs
StatePublished - 28 Apr 2017

Keywords

  • breast feeding
  • child
  • sleep
  • night waking
  • diet records

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