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Sleep in Infants, Children, Adolescents, and Pregnant Women
Knowledge Path

Introduction

This knowledge path directs readers to a selection of current, high-quality resources about sleep in infants, children, adolescents, and pregnant women. This knowledge path can be used by health professionals, researchers, educators, community advocates, and families to learn more about sleep, to improve diagnosis and treatment of sleep disorders, for program development, and to locate training resources and information to answer specific questions. Separate briefs present resources for families and schools. This knowledge path has been developed by the six national Pediatric Pulmonary Training Programs and the MCH Library at Georgetown University, all of whom are funded by the Maternal and Child Health Bureau (MCHB). It will be updated periodically.

Overview

Sleep is an important component of daily life for people of all ages, with children spending an average of 30 percent to 50 percent of their day sleeping. Sleep is especially important for infants, children, adolescents, pregnant women, and new mothers. Good sleep is essential to a well-functioning family. Poor sleep and/or sleep disorders in children can have an impact on the child and the entire family. Infants, children, and adolescents are particularly vulnerable to sleep disorders and are at higher risk than adults for getting insufficient sleep. Sleep problems are increasingly being recognized as a public health issue with ties to obesity, attention deficit hyperactivity disorder (ADHD), autism, and poor school performance. Underserved populations are at higher risk for sleep problems. Health professionals, families, and communities need to be knowledgeable about how to improve sleep and be able to recognize sleep disorders.

General Resources for Professionals

Websites

Additional Electronic Publications

Databases

The databases listed below are excellent tools for identifying data, additional literature and research, and programs about sleep and sleep disorders. Many of the entries below contain tips on how to use the databases efficiently. Please note that databases vary in how terms should be entered; for example, some require quotation marks and others don't. Enter search phrases as shown in bold below.

Data
  • Data Resource Center for Child and Adolescent Health (DRC). Data from the National Survey of Children's Health, 2003 and 2007, and the National Survey of Children with Special Health Care Needs, 2001 and 2005/2006. For data about sleep, see the search box for the National Survey of Children's Health. Select a year; select nationwide or a state; and select Family Health and Activities. Click on Go. Select a measure (e.g., 6.9 Adequate amount of sleep, age 6–17, 6.10b Child has TV in bedroom, age 6–17) and click on Next to view results. DRC is a project of the Child and Adolescent Health Measurement Initiative (CAHMI).

  • Health Indicators Warehouse (HIW). National, state, and community health indicators organized by topic, geography, and initiative. To identify indicators, type sleep in the box, Search for Indicators, and click on the search icon. Select an indicator (e.g., School health education—rest and sleep, Sufficient sleep among 9th to 12th graders. Toggle between an overview of the survey and the data. HIW serves as the data hub for the Department of Health and Human Services (DHHS) Community Health Data Initiative, a collaboration of many agencies and offices within DHHS.

  • National Quality Measures Clearinghouse™ (NQMC). Evidence-based health-care-quality measures and measure sets for physicians, hospitals, and health plans to evaluate and improve the quality of health care for consumers. Identify measures by selecting Advanced Search. Type sleep in the Keyword field. Scroll down on the search form to select Age Range (e.g., Adolescent). Hold down the control key (ctrl) or Apple command key and click your mouse to make multiple selections. Click on Show results to get your results. The database is sponsored by the Agency for Healthcare Research and Quality (AHRQ).
Literature and Research Databases
  • Center on Media and Child Health (CMCH). Online catalog of research articles examining the relationship between media exposure and health-risk behaviors. To identify articles, type sleep in the Text field. Under All fields, select Subject term. Click on Search Now! to get your results. CMCH is a joint project of Children's Hospital Boston, Harvard Medical School, and Harvard School of Public Health.

  • Centre for Reviews and Dissemination (CRD) Databases. Summaries of systematic reviews, economic evaluations, and health technology assessments that have met strict quality criteria and address the effectiveness and cost-effectiveness of health care interventions. To identify summaries, type sleep AND (infants OR children OR adolescents OR pregnancy) in the Quick search field. Click on Go to get your results. CRD is located at the University of York, United Kingdom.

  • ClinicalTrials.gov. Information about clinical research studies for a wide range of diseases and conditions, including sleep disorders. Included are a summary of the purpose of the study, the recruiting status, criteria for patient participation, the trial location, and contact information. To identify studies, select Search for Clinical Trials. Select Advanced Search. Enter sleep in the Search Terms field. Scroll to Age Group and select Child (birth–17). Click on Search to get your results. Conduct another search, by entering sleep AND pregnancy in the Search Terms field. Click on Search to get your results. ClinicalTrials.gov is a service of the National Institutes of Health (NIH).

  • Cochrane Reviews. Abstracts for systematic reviews of health care interventions internationally. To access the abstracts of reviews, go to the box, Search abstracts & summaries. Type sleep AND (infants OR children OR adolescents OR pregnancy). Click on Search Reviews to get your results. Access to the full-text article requires a subscription that is available in many hospital and university health sciences libraries. The database is published by the Cochrane Collaboration, an international nonprofit organization based in the United Kingdom.

  • Health Services Research Projects in Progress (HSRProj). Information about ongoing health services research and public health projects. To identify projects, click on Advanced Search. Enter (infant OR child OR adolescent OR pregnancy) AND sleep in the search box. HSRProj is funded by the National Library of Medicine (NLM).

  • MCH Library at the National Center for Education in Maternal and Child Health (NCEMCH), Georgetown University. Databases to collect, manage, and disseminate knowledge about MCH, with special emphasis on knowledge gained from initiatives and programs supported by the Maternal and Child Health Bureau (MCHB). The library's bibliographic database is

    MCHLine®. An online catalog of materials in the MCH Library with several items about safe sleep environments for infants. To identify them, type sleep in the keyword field of the database search form.

    The MCH Library also offers an organizations database.

  • National Guideline Clearinghouse (NGC). Evidence-based clinical practice guidelines and related materials for health professionals. Identify guidelines about pediatric sleep disorders by selecting Advanced Search. Enter sleep in the Keyword field. Scroll down on the search form to select Age of Target Population (e.g., Adolescent). Hold down the control key (ctrl) or Apple command key and click your mouse to make multiple selections. Click on Show results to get your results. The database is an initiative of the Agency for Healthcare Research and Quality (AHRQ).

  • National Institutes of Health (NIH) Research Portfolio Online Reporting Tool (RePORT): RePORTER. Access to reports, data, and analyses of NIH research activities, including information on NIH expenditures and the results of NIH-supported research. To identify information, enter sleep AND (infants OR children OR adolescents OR pregnancy) in the Text Search field. Click on Advanced and Submit Query to get your results. Narrow your searches by selecting a project start date or adding terms to other search fields.

  • PubMed. Citations for biomedical articles from MEDLINE and life science journals. Citations may include links to full-text content from PubMed Central and publisher websites. To identify citations on the topic, enter sleep in the search box. Refine your search by clicking on Limits and making the following selections on the page: select a date (e.g. Published in the last 2 years); click on Languages: English; click on Species: Humans; click on Ages: All Child; and select Search Field Tags: MeSH Major Topic. Click on Search to get your results. For citations about sleep and pregnancy, enter sleep AND pregnancy in the search box. Click on Limits. Click on Reset and make the following selections on the page: select a date (e.g. Published in the last 2 years); click on Languages: English; click on Species: Humans; and select Search Field Tags: MeSH Major Topic. Click on Search to get your results. To narrow your search further or for additional searches, use the MeSH (Medical Subject Headings) database to identify terms (e.g., Sleep Disorders, Sleep Apnea Syndromes, Sleep Bruxism). PubMed is a service of the National Library of Medicine (NLM).
Programs Databases

News and Commentary

Resources for Families

Resources for Schools

  • See the MCH Library school resource brief Sleep.

Resources on Specific Aspects of Sleep

Anxiety, Depression, Trauma, and Stress

Attention Deficit Hyperactivity Disorder (ADHD)

Autism Spectrum Disorders

Bruxism, Parasomnias, and Rhythmic Movement Disorder

Caffeine

Insomnia

Narcolepsy

Polysomnography

Pregnancy

Restless Legs Syndrome (RLS)

Sleep Apnea

  • American Sleep Apnea Association (ASAA): Children's Sleep Apnea. Information about sleep apnea in children. Includes a directory of pediatric sleep specialists and an online support forum for pediatric sleep apnea.

  • Cataletto ME, Lipton AJ, Murphy TD. 2011. Childhood Sleep Apnea. New York, NY: WebMD LLC. [Article].

  • KIDSAPNEA.COM. Information about obstructive sleep apnea in children and its causes, consequences, and treatment. Topics include failure to thrive and orthodontics. KIDSAPNEA.COM was developed and is maintained by Allen J. Moses, D.D.S.

  • Childhood obesity is associated with sleep apnea. See the MCH Library knowledge path, Overweight and Obesity in Children and Adolescents for resources about the prevention, identification, management, and treatment of overweight and obesity in children and adolescents.

Sleep Deprivation

Sleep Practices

Related MCH Library Resources

Sleep in Infants, Children, Adolescents, and Pregnant Women: Knowledge Path. (October 2011).
Authors: Susan Chauncey Horky, L.C.S.W., M.S.W., University of Florida; Susan Brune Lorenzo, M.L.S., MCH Library; Mary H. Wagner, M.D., University of Florida.
Contributors: Kristen Hedger Archbold, R.N., Ph.D., University of Arizona; Candace Dreier, R.R.T., University of Wisconsin; Carla Salldin, Parent Consultant, University of Washington; Sarah Walker, M.S., M.P.H., R.D., University of New Mexico.
Reviewers: Jeanne Anastasi, M.A., National Sudden and Unexpected Infant/Child Death and Pregnancy Loss Resource Center; Olivia Pickett, M.A., M.L.S., MCH Library.
Editor: Ruth Barzel, M.A., MCH Library.

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