A school-based health and mindfulness curriculum improves children's objectively measured sleep: a prospective observational cohort study.


Journal

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977

Informations de publication

Date de publication:
01 09 2022
Historique:
pubmed: 26 6 2021
medline: 9 9 2022
entrez: 25 6 2021
Statut: ppublish

Résumé

Poor sleep impedes children's cognitive, emotional, and psychosocial development. Pediatric sleep dysregulation is common, and children who live in communities of low socioeconomic status experience additional risk factors for short sleep duration and poor sleep quality. School-based training in mindfulness and yoga-informed practices can improve children's behavior and well-being, but effects on objectively measured sleep are unknown. Effects of a school-based health and mindfulness curriculum, which taught practices such as paced breathing, on sleep and stress were examined in 115 children (49 girls, ages 8 to 11 at baseline). Fifty-eight children in a community of low socioeconomic status received the curriculum twice weekly for 2 years. Fifty-seven children in a socioeconomic status-matched community engaged in their usual physical education class instead. In-home ambulatory polysomnography and perceived social stress were measured in all children at 3 time points: at baseline (ie, prior to curriculum exposure) and at 2 yearly follow-ups. Children receiving the curriculum gained an average of 74 minutes of total sleep time, and 24 minutes of rapid eye movement sleep, per night over the 2-year study period. Children not receiving the curriculum experienced a decrease in total sleep time averaging 64 minutes per night, with no changes in rapid eye movement sleep. Sleep improved within the first 3 months of curriculum exposure, in a dose-dependent fashion. Higher curriculum engagement (eg, using the breathing exercises outside of class) was associated with larger gains in total and rapid eye movement sleep duration. Aggregate within-group changes in social stress were not significant. However, among children receiving the curriculum, those who experienced larger gains in total and rapid eye movement sleep duration also experienced larger increases in perceived social stress. A school-based health and mindfulness curriculum improved children's objectively measured sleep over 2 years. Social stress did not mediate these effects; instead, mindfulness training may have increased awareness of environmental stressors, while developing tools to reduce stress vulnerability. Chick CF, Singh A, Anker LA, et al. A school-based health and mindfulness curriculum improves children's objectively measured sleep: a prospective observational cohort study.

Identifiants

pubmed: 34170222
pii: jcsm.9508
doi: 10.5664/jcsm.9508
pmc: PMC9435327
doi:

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2261-2271

Subventions

Organisme : NIA NIH HHS
ID : K23 AG053465
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR003142
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001085
Pays : United States

Informations de copyright

© 2022 American Academy of Sleep Medicine.

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Auteurs

Christina F Chick (CF)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Sierra Pacific Mental Illness Research Education and Clinical Centers (MIRECC), VA Palo Alto Health Care System, Palo Alto, California.

Anisha Singh (A)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Rutgers University, New Brunswick, New Jersey.

Lauren A Anker (LA)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Sierra Pacific Mental Illness Research Education and Clinical Centers (MIRECC), VA Palo Alto Health Care System, Palo Alto, California.

Casey Buck (C)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Makoto Kawai (M)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Sierra Pacific Mental Illness Research Education and Clinical Centers (MIRECC), VA Palo Alto Health Care System, Palo Alto, California.

Christine Gould (C)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Sierra Pacific Mental Illness Research Education and Clinical Centers (MIRECC), VA Palo Alto Health Care System, Palo Alto, California.

Isabelle Cotto (I)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Logan Schneider (L)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Sierra Pacific Mental Illness Research Education and Clinical Centers (MIRECC), VA Palo Alto Health Care System, Palo Alto, California.

Omer Linkovski (O)

Department of Medical Neurobiology and The Edmond and Lily Safra Center for Brain Sciences, The Hebrew University, Jerusalem, Israel.

Rosy Karna (R)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Sophia Pirog (S)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Northwestern University, Evanston, Illinois.

Kai Parker-Fong (K)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Christian R Nolan (CR)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
San Francisco State University, San Francisco, California.

Deanna N Shinsky (DN)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Priyanka N Hiteshi (PN)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Western University of Health Sciences, Pomona, California.

Oscar Leyva (O)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Massachusetts General Hospital, Boston, Massachusetts.

Brenda Flores (B)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Ryan Matlow (R)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Travis Bradley (T)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Josh Jordan (J)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Department of Psychiatry, University of California, San Francisco, San Francisco, California.

Victor Carrion (V)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.

Ruth O'Hara (R)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Sierra Pacific Mental Illness Research Education and Clinical Centers (MIRECC), VA Palo Alto Health Care System, Palo Alto, California.

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