sleep in children





30-07-2024 _ By Dr. Vannala Raju



All about Sleep in Kids





Normal Sleep and Physical Activity in Children: Essential Guidelines for Parents

Ensuring that children get adequate sleep and physical activity is crucial for their growth, development, and overall health. This comprehensive guide, based on scientific evidence and expert recommendations, aims to help parents understand the importance of sleep and physical activity in children. We will discuss normal sleep patterns, the benefits of physical activity, and practical tips for fostering a healthy lifestyle.

Importance of Sleep in Children, Why is Sleep Important?

Sleep is a vital, active process that significantly impacts health, development, and daily functioning. During sleep, the body conserves energy, restores normal processes, and promotes physical growth. Adequate sleep improves mood and is essential for optimal cognitive and physical performance. Stages of Sleep Sleep cycles through two main stages: Rapid Eye Movement (REM) sleep and non-REM sleep. These stages alternate multiple times throughout the night, with longer and deeper REM periods occurring towards the morning. Understanding these cycles can help parents appreciate the complexity and importance of sleep.

Sleep Requirements by Age Children's sleep needs change significantly as they grow. Below are the recommended sleep durations for different age groups:

0-3 months: 14-17 hours, with multiple naps

4-11 months: 12-15 hours, with 2 naps

1-2 years: 11-14 hours, with 1 nap

3-5 years: 10-13 hours, naps decrease significantly

6-13 years: 9-11 hours, occasional naps

14-17 years: 8-10 hours

Consequences of Sleep Deprivation

Insufficient sleep can lead to daytime sleepiness, irritability, behavioral problems, learning difficulties, poor academic performance, and an increased risk of accidents. Long-term sleep deprivation may also contribute to chronic health issues.

Tips for Better Sleep : Establishing a Sleep Routine Creating a consistent sleep routine helps children develop healthy sleep habits.

Consider the following tips:

Avoid TV, computer, and video games at least one hour before bedtime.

Read or tell a bedtime story. If noise is unavoidable, consider using earplugs. Encourage a warm bath before bed. Avoid chocolate, caffeinated, or sugary drinks at bedtime; opt for warm milk instead.

Promoting Sleep in Babies:

Babies need to learn to settle themselves to sleep. Parents can help by: Holding the baby until they fall asleep, then placing them in the cot with soothing words or gentle stroking. Placing the baby in the cot when calm and drowsy, using gentle strokes and soft sounds to help them fall asleep.

Behavioral Sleep Problems Behavioral sleep problems often result from reinforcing bad habits. Common issues include: Sleep-onset association disorder: The child struggles to sleep without a specific person or object present. Limit-setting disorder: The child makes multiple requests to avoid going to bed.

Management Strategies Checking method: Gradually increase the time spent outside the child's room until they fall asleep independently. Camping out method: Gradually move a chair or bed away from the child's bed over several nights, reducing the need for physical presence to fall asleep.

Safe Sleeping Practices Safe Sleep Guidelines

Always place babies on their backs to sleep, allowing them to find their own position if they roll over. Promote breastfeeding, which reduces the risk of Sudden Unexpected Death in Infancy (SUDI). Room sharing is recommended for the first 6-12 months, but avoid bed-sharing. Use a firm sleep surface with a tight-fitting bedsheet and no soft pillows or toys. Swaddle the baby with their head and face uncovered. Discourage smoking, as second-hand smoke increases the risk of SUDI.

Physical Activity in Children

What is Sedentary Behavior?

Sedentary behavior includes activities like sitting and lying down but not sleeping. Quality sedentary activities such as storytelling, reading, and solving puzzles are beneficial for development. Recommendations by Age <2 years: Avoid electronic media. 2-5 years: Limit screen time to less than 1 hour per day. <5 years: Encourage activity and avoid more than 1 hour of sedentary behavior at a time. 5-17 years: Minimize sedentary time, limiting electronic use to a maximum of 2 hours a day.

Benefits of Physical Activity

Physical activity offers numerous benefits, including: Improved physical and mental well-being. Development of healthy heart, lungs, bones, muscles, and joints. Enhanced coordination, balance, and posture. Maintenance of a healthy body weight. Improved brain function, concentration, and academic performance. Reduced risk of chronic diseases like type 2 diabetes, hypertension, and obesity. Psychological benefits such as improved mood, self-esteem, and social skills.

Recommended Physical Activity Children should engage in age-appropriate physical activities throughout the day in a safe, supervised environment.

Birth to 1 year: At least 30 minutes of tummy time when awake.

1-2 years: At least 3 hours of activity, including light activities like standing and playing.

3-5 years: At least 3 hours of activity with 60 minutes of moderate-to-vigorous activity.

5-18 years: 3 hours of structured physical activity, including muscle-strengthening exercises at least 3 days a week.

Examples of Activities Moderate activities: Cycling, walking, and playground games. Vigorous activities: Running, jumping, dancing, and sports like basketball and football. Muscle-strengthening activities: Gymnastics, rock climbing, and resistance exercises.


Special Considerations

Children with Special Needs Children with conditions like autism, cerebral palsy, or chronic diseases can and should participate in physical activities tailored to their abilities and interests. Encourage fun, inclusive activities that promote social interaction and physical health. Autism: Identify and encourage preferred activities.

Cerebral Palsy: Replace sedentary behavior with light activity and encourage participation in adaptive sports.

Diabetes: Exercise helps regulate blood sugar levels. Modify insulin and carbohydrate intake as needed. Conclusion Integrating adequate sleep and physical activity into children's daily routines is vital for their health and well-being. Establishing good sleep hygiene, promoting a variety of physical activities, and understanding the specific needs of each child can foster a healthy lifestyle.

Remember, children learn by example, so parents should model healthy behaviors and create an environment that supports these habits. For more information on child health and well-being, visit our blog regularly. Let's work together to ensure our children lead healthy, active lives.