1. Childhood sleep disturbances and white matter microstructure in preadolescence
- Author
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Tonya White, Ryan L. Muetzel, M. E. Koopman-Verhoeff, Tessa A. Mulder, Manon H.J. Hillegers, Henning Tiemeier, Desana Kocevska, Erasmus MC other, Radiology & Nuclear Medicine, and Child and Adolescent Psychiatry / Psychology
- Subjects
Male ,Sleep Wake Disorders ,Pediatrics ,medicine.medical_specialty ,Population ,Pyramidal Tracts ,Uncinate fasciculus ,CBCL ,03 medical and health sciences ,0302 clinical medicine ,Child Development ,Fractional anisotropy ,Developmental and Educational Psychology ,medicine ,Humans ,0501 psychology and cognitive sciences ,Longitudinal Studies ,education ,Child Behavior Checklist ,Child ,education.field_of_study ,Preadolescence ,05 social sciences ,Infant ,Sleep in non-human animals ,White Matter ,Psychiatry and Mental health ,Diffusion Tensor Imaging ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Generation R ,Female ,Psychology ,030217 neurology & neurosurgery ,050104 developmental & child psychology - Abstract
Background Sleep problems occur in up to 30% of children and have been associated with adverse developmental outcomes. However, due to a lack of longitudinal neuroimaging studies, the neurobiological changes that may underlie some of these associations have remained unclear. This study explored the association between sleep problems during childhood and white matter (WM) microstructure in preadolescence. Methods Children from the population-based birth cohort, the Generation R Study, who had repeatedly assessed sleep problems between 1.5 and 10 years of age and a MRI scan at age 10 (N = 2,449), were included. Mothers reported on their child's sleep problems using the Child Behavior Checklist (CBCL 1.5-5) when children were 1.5, 3, and 6 years of age. At age 2, mothers completed very similar questions. At age 10, both children and their mothers reported on sleep problems. We used whole-brain and tract-specific fractional anisotropy (FA) and mean diffusivity (MD) values obtained through diffusion tensor imaging as measures of WM microstructure. Results Childhood sleep problems at 1.5, 2, and 6 years of age were associated with less WM microstructural integrity (approximately 0.05 SD lower global FA score per 1-SD sleep problems). In repeated-measures analyses, children with more sleep problems (per 1-SD) at baseline had lower FA values at age 10 in particular in the corticospinal tract (-0.12 SD, 95% CI:-0.20;-0.05), the uncinate fasciculus (-0.12 SD, 95% CI:-0.19;-0.05), and the forceps major (-0.11 SD, 95% CI:-0.18;-0.03), although effect estimates across the tracts did not differ substantially. Conclusions Childhood sleep disturbances are associated with less WM microstructural integrity in preadolescence. Our results show that early neurodevelopment may be a period of particular vulnerability to sleep problems. This study cannot demonstrate causality but suggests that preventive interventions addressing sleep problems should be further explored to test whether they impact adverse neurodevelopment.
- Published
- 2019
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