Hábitos de sueño en niños durante la cuarentena por Covid-19
DOI:
https://doi.org/10.22529/me.2023.8(1)06Parole chiave:
coronavirus, covid 19, trastorno de sueño, niñosAbstract
INTRODUCCIÓN: El objetivo principal de esta investigación fue evaluar la percepción de los padres en relación a la cantidad, calidad y patrones del sueño en niños, durante el confinamiento por pandemia por Covid-19. MATERIAL Y MÉTODO: Se llevó a cabo un estudio prospectivo, analítico, de corte transversal. Se realizó una encuesta anónima, voluntaria, a través de plataforma virtual a los padres o tutores de niños de Argentina que desearon participar en la misma. RESULTADOS: Se incluyeron 1743 niños, de los cuales 830 (48 %) niños fueron de sexo femenino y 913 (52 %) de sexo masculino. En cuanto a la cantidad de horas de sueño nocturno, durante la cuarentena, el promedio de tiempo que durmieron los niños fue 9,40 ± 1,76 horas. La media obtenida de la calidad de sueño fue de 7,41 ± 2,16 puntos. En relación al horario de acostarse, se encontró una diferencia horaria de 1.60±1.88 horas, mayor durante la cuarentena (p<0.001). En el horario de despertar, se encontró una diferencia 2.29±0.59 horas superior durante el confinamiento con respecto a los horarios previos al mismo (p<0.001). En 673 (39 %) niños se presentó un aumento en la latencia de conciliación. CONCLUSIÓN: Durante la cuarentena, la mayoría de los pacientes modificó sus patrones de sueño, con aumento en la cantidad horas de sueño y disminución en la calidad del mismo. Además, se ha presentado disrupción en el ritmo circadiano de sueño, con posible retraso de fase, y aumento en la latencia de conciliación del sueño.Downloads
Riferimenti bibliografici
Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool -age children. Curr Probl Pediatr Adolesc Health Care. 2017;47(2):29-42. https://doi.org/10.1016/j.cppeds.2016.12.001
Faruqui, Firoza, et al. Sleep disorders in children: a national assessment of primary care pediatrician practices and perceptions. Pediatrics, 2011, vol. 128, no3, p. 539-546. https://doi.org/10.1542/peds.2011-0344
Wheaton, Anne G., et al. Short sleep duration among middle school and high school students-United States, 2015. Morbidity and Mortality Weekly Report, 2018, vol. 67, no 3, p. 85. https://doi.org/10.15585/mmwr.mm6703a1
Varela Folgueiras, Sonia, et al. Hábitos de sueño en lactantes y preescolares. Metas enferm, 2017, p. 12-18. https://doi.org/10.35667/MetasEnf.2019.20.1003081115
Maski, K., & Owens, J. Pediatric sleep disorders. CONTINUUM: Lifelong Learning in Neurology. 2018. 24(1), 210-227. https://doi.org/10.1212/CON.0000000000000566
Perry, Geraldine S.; Patil, Susheel P.; Presley-Cantrell, Letitia R. Raising awareness of sleep as a healthy behavior. Preventing chronic disease, 2013, vol. 10. https://doi.org/10.5888/pcd10.130081
Črncec, Rudi; Mathey Stephen; Nemeth, Deborah. Infant sleep problems and emotional health: a review of two behavioural approaches. Journal of Reproductive and Infant Psychology, 2010, vol. 28, no 1, p. 44-54. https://doi.org/10.1080/02646830903294995
Aldabal L. Bahammam A. Metabolic, endocrine, and immune consequences of sleep deprivation. The open respiratory medicine journal, 2011, vol. 5, p. 31. https://doi.org/10.2174/1874306401105010031
Mindell, Jodi A., et al. Sleep and social emotional development in infants and toddlers. Journal of Clinical Child & Adolescent Psychology, 2017, vol. 46, no 2, p. 236-246. https://doi.org/10.1080/15374416.2016.1188701
Gonzalez García, L M; Sosa Hernandez, J; Fierro Martinez S. Muestreo virtual online basado en redes sociales para localización de teletrabajadores como participantes de un estudio realizado en Victoria de Durango, México. PAAKAT: revista de tecnología y sociedad, 2018, vol. 8, no 15, p. 21-38 https://doi.org/10.32870/Pk.a8n15.333
Iglowstein, Ivo, et al. Sleep duration from infancy to adolescence: reference values and generational trends. Pediatrics, 2003, vol. 111, no 2, p. 302 307 https://doi.org/10.1542/peds.111.2.302
Novelli, L, Ferri R, Bruni O. Sleep classification according to AASM and Rechtschaffen and Kales: effects on sleep scoring parameters of children and adolescents. Journal of sleep research, 2010, vol. 19, no 1p2, p. 238 247. https://doi.org/10.1111/j.1365-2869.2009.00785.x
WORLD HEALTH ORGANIZATION, et al. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. World Health Organization, 2019.
Staton Dennis. The impairment of pediatric bipolar sleep: hypotheses regarding a core defect and phenotype specific sleep disturbances. Journal of Affective Disorders, 2008, vol. 108, no 3, p. 199-206. https://doi.org/10.1016/j.jad.2007.10.007
Guilleminault, Christian, et al. Sleep parameters and respiratory variables in 'near miss' sudden infant death syndrome infants. Pediatrics, 1981, vol. 68, no 3, p. 354-360. https://doi.org/10.1542/peds.68.3.354
Galland Barbara, et al. Normal sleep patterns in infants and children: a systematic review of observational studies. Sleep medicine reviews, 2012, vol. 16, no 3, p. 213-222. https://doi.org/10.1016/j.smrv.2011.06.001
Mindell, Jodi A.; Owens, Judith A.; Carskadon, Mary A. Developmental features of sleep. Child and adolescent psychiatric clinics of North America, 1999, vol. 8, no 4, p. 695-725. https://doi.org/10.1016/S1056-4993(18)30149-4
Paruthi, Shalini, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. Journal of clinical sleep medicine, 2016, vol. 12, no 6, p. 785 786. https://doi.org/10.5664/jcsm.5866
Mindell, Jodi A., et al. Cross-cultural differences in infant and toddler sleep. Sleep medicine, 2010, vol. 11, no 3, p. 274-280. https://doi.org/10.1016/j.sleep.2009.04.012
Vazquez García, Juan Carlos; Lorenzi Filho, Geraldo; López Varela, María Victorina. Síntomas y trastornos del dormir en hispanos y latinos. Son poblaciones diferentes. Neumol Cir Torax, 2012, vol. 71, no 4, p. 369.
Owens J, Moore M. Insomnia in infants and young children. Pediatric annals, 2017, vol. 46, no 9, p. e321-e326 https://doi.org/10.3928/19382359-20170816-02
Brooks Samantha et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 2020, vol. 395, no 10227, p. 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
Rosenberg, Van Hout S. The American Academy of Sleep Medicine inter scorer reliability program: sleep stage scoring. Journal of clinical sleep medicine, 2013, vol. 9, no 1, p. 81-87. https://doi.org/10.5664/jcsm.2350
Giardino, Daniela L., et al. The endless quarantine: The impact of the COVID 19 outbreak on healthcare workers after three months of mandatory social isolation in Argentina. Sleep medicine, 2020, vol. 76, p. 16-25. https://doi.org/10.1016/j.sleep.2020.09.022
Zreik, Ghadir, et al. Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID‐19) pandemic in Israel. Journal of sleep research, 2021, vol. 30, no 1, p. e13201. https://doi.org/10.1111/jsr.13201
LI, Yun, et al. Insomnia and psychological reactions during the COVID-19 outbreak in China. Journal of Clinical Sleep Medicine, 2020, vol. 16, no 8, p. 1417-1418. https://doi.org/10.5664/jcsm.8524
Magee CA, Lee JK, Vella SA. Bidirectional relationships between sleep duration and screen time in early childhood. JAMA 2014;168(5):465-470 Pediatr. https://doi.org/10.1001/jamapediatrics.2013.4183
Higuchi S, Nagafuchi Y, Lee SI, Harada T. Influence of light at night on melatonin suppression in children. J Clin Endocrinol 2014;99(9):3298-3303 Metab. https://doi.org/10.1210/jc.2014-1629
Altena, Ellemarije, et al. Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT I Academy. Journal of Sleep Research, 2020, vol. 29, no 4, p. e13052. https://doi.org/10.1111/jsr.13052
Kocevska, Desana, et al. Sleep quality during the COVID-19 pandemic: not one size fits all. Sleep medicine, 2020, vol. 76, p. 86-88. https://doi.org/10.1016/j.sleep.2020.09.029









