Maternal reports of sleep in 6-18 month-old infants from Nepal and Zanzibar: Association with iron deficiency anemia and stunting

Katarzyna Kordas, Emily H. Siegel, Deanna K. Olney, Joanne Katz, James M. Tielsch, Hababu M. Chwaya, Patricia K. Kariger, Steven C. LeClerq, Subarna K. Khatry, Rebecca J. Stoltzfus

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Abstract

Background: Infants with iron deficiency anemia (IDA) and stunting explore and interact less with their environment. They may also be fatigued more often, suggesting their sleep may be affected. It is unclear whether fatigue in these infants is due to poor nighttime sleep or if it is compensated for with frequent naps or longer sleep. Aims: In 2 studies from Pemba Island, Zanzibar and 1 from Nepal we investigated the relationship between IDA, stunting, and maternal reports of sleep in 6-18 mo old infants. Methods: Parents reported on the number and duration of naps, hours of nighttime sleep, and frequency of night waking. Anemia was defined as Hb < 10 g/dL, iron deficiency as zinc protoporphyrin (ZPP ≥ 90 μmol/mol heme), stunting as HAZ < - 2 SD, and IDA as Hb < 10 g/dL and ZPP ≥ 90 μmol/mol heme. Results: The prevalence of IDA and stunting was 34-84% and 22-37%, respectively. Most infants napped during the day and took approximately 1.5 naps (mean nap duration 1.4-1.7 h). Mean nighttime sleep duration was 8.3-9.7 h and infants awoke 2.1-2.5 times per night. Both IDA and stunting were associated with differences in reported sleep characterized by shorter night sleep duration and higher frequency of night waking; stunting was also related to shorter nap duration. Conclusions: We found reduced sleep duration and increased night waking among infants with IDA and stunting. Because sleep plays an essential role in infant development, our findings indicate a clear need for further research into these relationships.

Original languageEnglish (US)
Pages (from-to)389-398
Number of pages10
JournalEarly Human Development
Volume84
Issue number6
DOIs
StatePublished - Jun 1 2008

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Growth Disorders
Nepal
Tanzania
Iron-Deficiency Anemias
Sleep
Mothers
Heme
Indian Ocean Islands
Child Development
Islands
Fatigue
Anemia
Iron
Parents

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Kordas, Katarzyna ; Siegel, Emily H. ; Olney, Deanna K. ; Katz, Joanne ; Tielsch, James M. ; Chwaya, Hababu M. ; Kariger, Patricia K. ; LeClerq, Steven C. ; Khatry, Subarna K. ; Stoltzfus, Rebecca J. / Maternal reports of sleep in 6-18 month-old infants from Nepal and Zanzibar : Association with iron deficiency anemia and stunting. In: Early Human Development. 2008 ; Vol. 84, No. 6. pp. 389-398.
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title = "Maternal reports of sleep in 6-18 month-old infants from Nepal and Zanzibar: Association with iron deficiency anemia and stunting",
abstract = "Background: Infants with iron deficiency anemia (IDA) and stunting explore and interact less with their environment. They may also be fatigued more often, suggesting their sleep may be affected. It is unclear whether fatigue in these infants is due to poor nighttime sleep or if it is compensated for with frequent naps or longer sleep. Aims: In 2 studies from Pemba Island, Zanzibar and 1 from Nepal we investigated the relationship between IDA, stunting, and maternal reports of sleep in 6-18 mo old infants. Methods: Parents reported on the number and duration of naps, hours of nighttime sleep, and frequency of night waking. Anemia was defined as Hb < 10 g/dL, iron deficiency as zinc protoporphyrin (ZPP ≥ 90 μmol/mol heme), stunting as HAZ < - 2 SD, and IDA as Hb < 10 g/dL and ZPP ≥ 90 μmol/mol heme. Results: The prevalence of IDA and stunting was 34-84{\%} and 22-37{\%}, respectively. Most infants napped during the day and took approximately 1.5 naps (mean nap duration 1.4-1.7 h). Mean nighttime sleep duration was 8.3-9.7 h and infants awoke 2.1-2.5 times per night. Both IDA and stunting were associated with differences in reported sleep characterized by shorter night sleep duration and higher frequency of night waking; stunting was also related to shorter nap duration. Conclusions: We found reduced sleep duration and increased night waking among infants with IDA and stunting. Because sleep plays an essential role in infant development, our findings indicate a clear need for further research into these relationships.",
author = "Katarzyna Kordas and Siegel, {Emily H.} and Olney, {Deanna K.} and Joanne Katz and Tielsch, {James M.} and Chwaya, {Hababu M.} and Kariger, {Patricia K.} and LeClerq, {Steven C.} and Khatry, {Subarna K.} and Stoltzfus, {Rebecca J.}",
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Kordas, K, Siegel, EH, Olney, DK, Katz, J, Tielsch, JM, Chwaya, HM, Kariger, PK, LeClerq, SC, Khatry, SK & Stoltzfus, RJ 2008, 'Maternal reports of sleep in 6-18 month-old infants from Nepal and Zanzibar: Association with iron deficiency anemia and stunting', Early Human Development, vol. 84, no. 6, pp. 389-398. https://doi.org/10.1016/j.earlhumdev.2007.10.007

Maternal reports of sleep in 6-18 month-old infants from Nepal and Zanzibar : Association with iron deficiency anemia and stunting. / Kordas, Katarzyna; Siegel, Emily H.; Olney, Deanna K.; Katz, Joanne; Tielsch, James M.; Chwaya, Hababu M.; Kariger, Patricia K.; LeClerq, Steven C.; Khatry, Subarna K.; Stoltzfus, Rebecca J.

In: Early Human Development, Vol. 84, No. 6, 01.06.2008, p. 389-398.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Maternal reports of sleep in 6-18 month-old infants from Nepal and Zanzibar

T2 - Association with iron deficiency anemia and stunting

AU - Kordas, Katarzyna

AU - Siegel, Emily H.

AU - Olney, Deanna K.

AU - Katz, Joanne

AU - Tielsch, James M.

AU - Chwaya, Hababu M.

AU - Kariger, Patricia K.

AU - LeClerq, Steven C.

AU - Khatry, Subarna K.

AU - Stoltzfus, Rebecca J.

PY - 2008/6/1

Y1 - 2008/6/1

N2 - Background: Infants with iron deficiency anemia (IDA) and stunting explore and interact less with their environment. They may also be fatigued more often, suggesting their sleep may be affected. It is unclear whether fatigue in these infants is due to poor nighttime sleep or if it is compensated for with frequent naps or longer sleep. Aims: In 2 studies from Pemba Island, Zanzibar and 1 from Nepal we investigated the relationship between IDA, stunting, and maternal reports of sleep in 6-18 mo old infants. Methods: Parents reported on the number and duration of naps, hours of nighttime sleep, and frequency of night waking. Anemia was defined as Hb < 10 g/dL, iron deficiency as zinc protoporphyrin (ZPP ≥ 90 μmol/mol heme), stunting as HAZ < - 2 SD, and IDA as Hb < 10 g/dL and ZPP ≥ 90 μmol/mol heme. Results: The prevalence of IDA and stunting was 34-84% and 22-37%, respectively. Most infants napped during the day and took approximately 1.5 naps (mean nap duration 1.4-1.7 h). Mean nighttime sleep duration was 8.3-9.7 h and infants awoke 2.1-2.5 times per night. Both IDA and stunting were associated with differences in reported sleep characterized by shorter night sleep duration and higher frequency of night waking; stunting was also related to shorter nap duration. Conclusions: We found reduced sleep duration and increased night waking among infants with IDA and stunting. Because sleep plays an essential role in infant development, our findings indicate a clear need for further research into these relationships.

AB - Background: Infants with iron deficiency anemia (IDA) and stunting explore and interact less with their environment. They may also be fatigued more often, suggesting their sleep may be affected. It is unclear whether fatigue in these infants is due to poor nighttime sleep or if it is compensated for with frequent naps or longer sleep. Aims: In 2 studies from Pemba Island, Zanzibar and 1 from Nepal we investigated the relationship between IDA, stunting, and maternal reports of sleep in 6-18 mo old infants. Methods: Parents reported on the number and duration of naps, hours of nighttime sleep, and frequency of night waking. Anemia was defined as Hb < 10 g/dL, iron deficiency as zinc protoporphyrin (ZPP ≥ 90 μmol/mol heme), stunting as HAZ < - 2 SD, and IDA as Hb < 10 g/dL and ZPP ≥ 90 μmol/mol heme. Results: The prevalence of IDA and stunting was 34-84% and 22-37%, respectively. Most infants napped during the day and took approximately 1.5 naps (mean nap duration 1.4-1.7 h). Mean nighttime sleep duration was 8.3-9.7 h and infants awoke 2.1-2.5 times per night. Both IDA and stunting were associated with differences in reported sleep characterized by shorter night sleep duration and higher frequency of night waking; stunting was also related to shorter nap duration. Conclusions: We found reduced sleep duration and increased night waking among infants with IDA and stunting. Because sleep plays an essential role in infant development, our findings indicate a clear need for further research into these relationships.

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