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Diz-me como dormes: hábitos e problemas de sono em crianças portuguesas em idade pré-escolar e escolar
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Advisor(s)
Abstract(s)
Introdução:A avaliação dos problemas de sono é crucial na clínica diária, devido aos potenciais problemas orgânicos e comportamentais a eles associados.
Objetivos:Avaliar os hábitos e problemas de sono em crianças em idade pré-escolar e escolar e comparar os resultados com outros estudos.
Material e métodos:Aplicação da versão portuguesa do Children’s Sleep Habits Questionnaire (CSHQ-PT) aos pais de crianças frequentadoras de infantários ou escolas primárias no concelho de Vila Nova de Famalicão.
Resultados: Foram incluídas 107 crianças pré-escolares e 122 escolares (n=229), com idade média de 6,3 anos e 54.1% eram rapazes. A prevalência de crianças que partilhavam o quarto foi de 37.3%. A hora média de deitar foi 21h:41m e de levantar 7h:20m. A duração total média de sono foi 9,7 horas, sendo maior nos pré-escolares (p<0.001). A prevalência global de problemas de sono foi 75.7% e a pontuação média total no CSHQ-PT foi 47.05, maior nos pré-escolares (p=0.001). Os pré-escolares pontuaram mais alto nos items resistência na hora de deitar (p<0,001), início do sono (p=0.046) e despertares notur- nos (p<0.001). A resistência na hora de deitar e ansiedade rela- cionada com o sono foram maiores nos filhos únicos (p=0.003). A prevalência de enurese noturna foi 7,7%, sono agitado 52.7% e bruxismo 22.2%.
Conclusão: As crianças incluídas tendem a adormecer mais tarde e dormir menos relativamente a outros estudos. Foi encontrada uma elevada prevalência de problemas de sono, principalmente em idade pré-escolar, realçando a necessidade de uma diferente abordagem deste tema na prática clínica do pediatra.
Background: Given the risk of significant organic and behavioral morbidity, it is crucial to evaluate sleep problems in clinical practice. Objectives: To evaluate sleep habits and problems in pre- scholar and scholar children and compare the results with other studies. Material and Methods: Children’s Sleep Habits Questionnaire Portuguese version (CSHQ-PT) was applied to parents of children (4-10 years old) attending daycare centers and elementary schools in Vila Nova de Famalicão county. Results: 107 pre-scholar and 122 scholar children were included (n=229), mean age 6,3 years. 54,1% were boys. 37,3% of children shared the bedroom with another relative . Mean bedtime was 21h:41m and mean wake-up time was 7h:20m. Mean sleep duration was 9.7hours, being longer in pre-scholars (p<0.001).The prevalence of global sleep disturbances was 75,7% and the mean CSHQ-PT total score was 47,05, being higher in pre-scholars (p=0,001). Pre-scholars also scored higher on bedtime resistance (p<0,001), sleep onset delay (p=0,046) and night wakening (p<0,001). Bedtime resistance and sleep anxiety scores were higher in only children (p=0.003). The prevalence of enuresis was 7,7%, restless sleep 52,7% and bruxism 22,2%. Conclusion: In this study, children tend to fall asleep later and sleep less than in other studies. A high prevalence of sleep problems was found, specially in pre-scholar children, which claims a different approach of this subject in pediatrician´s clinical practice.
Background: Given the risk of significant organic and behavioral morbidity, it is crucial to evaluate sleep problems in clinical practice. Objectives: To evaluate sleep habits and problems in pre- scholar and scholar children and compare the results with other studies. Material and Methods: Children’s Sleep Habits Questionnaire Portuguese version (CSHQ-PT) was applied to parents of children (4-10 years old) attending daycare centers and elementary schools in Vila Nova de Famalicão county. Results: 107 pre-scholar and 122 scholar children were included (n=229), mean age 6,3 years. 54,1% were boys. 37,3% of children shared the bedroom with another relative . Mean bedtime was 21h:41m and mean wake-up time was 7h:20m. Mean sleep duration was 9.7hours, being longer in pre-scholars (p<0.001).The prevalence of global sleep disturbances was 75,7% and the mean CSHQ-PT total score was 47,05, being higher in pre-scholars (p=0,001). Pre-scholars also scored higher on bedtime resistance (p<0,001), sleep onset delay (p=0,046) and night wakening (p<0,001). Bedtime resistance and sleep anxiety scores were higher in only children (p=0.003). The prevalence of enuresis was 7,7%, restless sleep 52,7% and bruxism 22,2%. Conclusion: In this study, children tend to fall asleep later and sleep less than in other studies. A high prevalence of sleep problems was found, specially in pre-scholar children, which claims a different approach of this subject in pediatrician´s clinical practice.
Description
Keywords
sono criança hábitos problemas escolar pré-escolar
Citation
Nascer e Crescer 2016; 25(4): 211-6