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updated 10:06 a.m. EDT, Mon September 14, 2009
(CNN) -- When Genevieve and Brian Skory were new to parenting, they
allowed their two young kids to read or watch TV until they fell asleep.
A child's bedtime routine could affect his or her sleep pattern throughout a
lifetime, a researcher said.
"It was an agitated frenzy until they would pass out," Genevieve Skory
recalled. The weary parents broke up fights between their bickering children.
The next morning, the house would be chaotic again. "I don't think it's good
for kids to stay up until they fall asleep -- that's three hours later than
they needed to go to sleep," she said.
Setting bedtimes can improve sleep quality and quantity for infants and
toddlers, according to a growing body of research. Not getting
enough sleep affects children's behavior, memory, attention, and emotional
well-being, experts said.
Tired of the chaos in the house, the Skorys started to enforce bedtime every
night at 9. About an hour before bedtime, she restricts her children's use of
TV and computers and instructs them to prepare for bedtime.
"Everyone is happier in the morning when there's a bedtime," Skory said.
Research suggests there are additional benefits for children who have bedtimes.
"Sleep patterns and sleep routines matter because they have both long-term and
short-term implications for health and cognitive development," said Lauren
Hale, an assistant professor of preventive medicine at Stony Brook University
Medical Center in Stony Brook, New York. "If it sets a pattern in the way you
treat sleep or bedtimes, these patterns may last your whole life unknowingly."
Hale is one of the authors of a new study published online in the Journal of
Developmental & Behavioral Pediatrics this month that found that black and
Hispanic families and those with lower levels of income and education were
less likely to enforce regular bedtimes for children. This could play a role
in health disparities, she said.
How much sleep do you need?
Newborns
• Birth - 2 months old need 10.5 - 18 hours
Infants
•3 - 11 months old need 9 - 12 hours (and additional naps)
Toddlers/Children
• 1 - 3 years old need 12 - 14 hours
• 3 - 5 years old need 11 - 13 hours
• 5 - 12 years old need 10 - 11 hours
Adolescents need at least 8.5 - 9.25 hours
Adults typically need 7 - 9 hours
Source: National Sleep Foundation
"What we find is that disadvantaged populations or lower-education populations
have worse health outcomes and it turns out they have worse sleep problems,"
she said.
The data didn't show why these families were less likely to use children's
bedtimes. It could be related to the stress levels and fewer routines in the
households, Hale said.
"Parents in those households, many of which are below poverty line, tend to be
single-mother households, and they may be more burdened in many more ways than
a traditional nuclear family," she said. Another possibility is that the parents
may not be aware of the health benefits of regular bedtime routines.
In a sample of 3,217 households, in which three-quarters of the children were
born to unmarried mothers, about 67 percent used a bedtime. Of the 67 percent,
only about half put their 3-year-olds to bed before 9 p.m.
Toddlers between the age of 1 and 3 need 12 to 14 hours of sleep. Children who
lack sleep can have behavioral and emotional problems and cognitive
developmental issues, sleep
researchers said.
About 71 percent of the sample reported using bedtime routines.
Such routines, such as a bath or a soothing activity, cuddling or singing a
lullaby, help infants sleep better through the night and improve sleep issues
for children, according to another study.
"Instituting a routine helped children fall asleep faster at bedtime," said
Jodi Mindell, an author of that study published in a May edition of the
journal Sleep.
In that study, 405 mothers and their infants or toddlers under the age of 3
were randomly assigned to a bedtime routine or instructed to follow their
usual habits. The mothers recorded daily sleep diaries and filled out
questionnaires every week. The researchers found that moods improved after
using the bedtime routine.
Parents mean well, but some mistakenly believe that keeping their babies up
late will help them sleep, said Mindell, an associate director of the Sleep
Center at The Children's Hospital of Philadelphia.
"They think that if they keep them up late, they'll conk out, that they'll be
exhausted and they'll sleep better," she said. "And it backfires. We know that
overtired babies take longer to fall asleep and they wake more frequently at
night."
If children
have difficulty falling asleep, parents should not turn to medication, experts
said.
"Don't do it," warned Mindell. "Even in severely neurologically impaired kids,
that is our third, fourth, or fifth choice. You really want to institute
behavior changes first. ... [Medication is] not a panacea and there are so
many concerns about side effects."
Using drugs such as Benadryl to help a child sleep may mask underlying
problems, added Kelly Byars, director of the Behavioral Sleep Medicine Program
at Cincinnati Children's Hospital in Ohio.
"It may be helpful for some children in a short-term situation, but in some
cases children have a paradoxical reaction to Benadryl and become more alert,
irritable, and hyperactive which leads to worse sleep problems," he wrote.
In many homes, bedtime still remains a battle of wills between parents and
children.
In their bustling household in Lathrup Village, Michigan, the four Skory
children are now between the ages of 9 and 18. Genevieve Skory doesn't get the
crying, temper tantrums or massive resistance anymore, but her younger kids
still try to stay up late by peppering her with questions and last-minute
requests for snacks.
But Skory is adamant that bedtime is non-negotiable and this isn't enforced
solely for their children's health.
"I believe in bedtime for parents' mental health," she said with a laugh.