Yepez CE, Anderson CE, Frost E, Whaley SE, Koleilat M. Sleep Duration Is Associated with Household Food Insecurity and Sugar-Sweetened Beverage Intake Among
Women, Infants and Children Participating Children Ages 0-5.
Am J Health Promot 2024;
38:492-502. [PMID:
38155440 DOI:
10.1177/08901171231225289]
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Abstract
PURPOSE
To determine associations between child and household characteristics and sleep duration among low-income children in Los Angeles County.
DESIGN
Cross-sectional study.
SETTING
Survey data collected in 2017 and 2020 in Los Angeles County, California.
SAMPLE
Special Supplemental Nutrition Program for Women, Infants and Children (WIC) households with children ages 4-60 months.
MEASURES
Sleep duration for children 4-60 months old (less than recommended (LTR), recommended range, more than recommended (MTR)), household food insecurity (HFI), sociodemographics, and daily servings of sugar-sweetened beverages (SSB).
ANALYSIS
Multinomial logistic regression, stratified by child age, was used to calculate odds ratios (OR) and 95% confidence intervals (CI) for associations between household/child characteristics and LTR or MTR sleep compared to recommended duration among WIC participating children 4-60 months old.
RESULTS
The final sample included 3512 children ages 4-23 months and 6035 children ages 24-60 months. In the study population, 32% (3-5 years old) to 44% (4-11months) of children under 5 did not meet the recommended hours of sleep per night. HFI was associated with higher odds of LTR (OR 1.27, CI 1.12-1.45) and MTR (OR 1.46, CI 1.15-1.87) sleep among 24-60 month-old children. Each additional daily SSB serving was associated with higher odds of LTR sleep (4-23 months: OR 1.10, CI 1.02-1.19; 24-59 months: OR 1.12, CI 1.08-1.17).
CONCLUSIONS
HFI and SSB intake are associated with not getting the recommended amount of sleep among low-income WIC participating children. Nutrition assistance program participants may benefit from receiving information about recommended sleep duration for young children and how to establish sleep routines to optimize sleep duration.
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