Sleep deprivation and accidental fall risk in children

Bibliographic Details
Main Author: Boto, Leonor Reis
Publication Date: 2012
Other Authors: Crispim, João Núncio, Melo, Isabel Saraiva de, Juvandes, Carla, Rodrigues, Teresa, Azeredo, Paula, Ferreira, Rosário
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/20532
Summary: The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: doi:10.1016/j.sleep.2011.04.010
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spelling Sleep deprivation and accidental fall risk in childrenChildrenSleep durationSleep patternNapSleep deprivationAccidental fallThe ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: doi:10.1016/j.sleep.2011.04.010© 2011 Elsevier B.V. All rights reserved.Objectives: To look for an association between sleep deprivation and risk of accidental falls (AF) in children. Methods: A questionnaire was applied to two groups of children aged 1–14 years, encompassing children observed in an emergency room for AF (G1) and children attending health care visits (HV) (G2). Collected data included demographic characteristics, medical history, previous week’s sleep pattern (PWSP), sleep duration and sleep pattern in the preceding 24 h, mechanism of fall, and injury severity. Exclusion criteria: acute or chronic disease or exposure to drugs interfering with sleep. Statistical analyses included Fisher’s exact test, Pearson Chi-square, Fisher–Freeman–Halton test, T and Mann–Whitney tests for independent samples, and multivariate logistic regression (a = 5%). Results: We obtained 1756 questionnaires in G1 and 277 in G2. Of those, 834 in G1 and 267 in G2 were analyzed. We found an increased risk of AF in boys (OR 1.6; 95% CI 1.2–2.4). After controlling for age, gender, summer holidays, parental education and profession, lack of naps and PWSP were associated with increased risk (OR 2.1; 95% CI 1.3–3.3 and OR 2.7; 95% CI 1.2–6.1). In 3–5 year-old children there was an association between AF and a shorter than usual sleep duration in the previous 24 h (p = 0.02). Conclusions: To our knowledge, our study is the largest so far to assess the association between sleep deprivation and childhood injury. It evidences a protective effect of naps in children. Sleep duration of less than 8 h increases risk of AF. Pre-schoolers may be particularly susceptible to sleep deprivation.This research was funded by a clinical research grant awarded by the Pediatrics’ Clinic of the Medical Faculty of Lisbon.ElsevierRepositório da Universidade de LisboaBoto, Leonor ReisCrispim, João NúncioMelo, Isabel Saraiva deJuvandes, CarlaRodrigues, TeresaAzeredo, PaulaFerreira, Rosário2015-11-19T15:57:35Z20122012-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/20532engSleep Medicine 13 (2012) 88–951389-945710.1016/j.sleep.2011.04.010metadata only accessinfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T13:21:51Zoai:repositorio.ulisboa.pt:10451/20532Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T02:41:34.255785Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Sleep deprivation and accidental fall risk in children
title Sleep deprivation and accidental fall risk in children
spellingShingle Sleep deprivation and accidental fall risk in children
Boto, Leonor Reis
Children
Sleep duration
Sleep pattern
Nap
Sleep deprivation
Accidental fall
title_short Sleep deprivation and accidental fall risk in children
title_full Sleep deprivation and accidental fall risk in children
title_fullStr Sleep deprivation and accidental fall risk in children
title_full_unstemmed Sleep deprivation and accidental fall risk in children
title_sort Sleep deprivation and accidental fall risk in children
author Boto, Leonor Reis
author_facet Boto, Leonor Reis
Crispim, João Núncio
Melo, Isabel Saraiva de
Juvandes, Carla
Rodrigues, Teresa
Azeredo, Paula
Ferreira, Rosário
author_role author
author2 Crispim, João Núncio
Melo, Isabel Saraiva de
Juvandes, Carla
Rodrigues, Teresa
Azeredo, Paula
Ferreira, Rosário
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Boto, Leonor Reis
Crispim, João Núncio
Melo, Isabel Saraiva de
Juvandes, Carla
Rodrigues, Teresa
Azeredo, Paula
Ferreira, Rosário
dc.subject.por.fl_str_mv Children
Sleep duration
Sleep pattern
Nap
Sleep deprivation
Accidental fall
topic Children
Sleep duration
Sleep pattern
Nap
Sleep deprivation
Accidental fall
description The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: doi:10.1016/j.sleep.2011.04.010
publishDate 2012
dc.date.none.fl_str_mv 2012
2012-01-01T00:00:00Z
2015-11-19T15:57:35Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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url http://hdl.handle.net/10451/20532
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language eng
dc.relation.none.fl_str_mv Sleep Medicine 13 (2012) 88–95
1389-9457
10.1016/j.sleep.2011.04.010
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