Sleep quality and temperament in association with autism spectrum disorder among infants in Japan.


Journal

Communications medicine
ISSN: 2730-664X
Titre abrégé: Commun Med (Lond)
Pays: England
ID NLM: 9918250414506676

Informations de publication

Date de publication:
16 Jun 2023
Historique:
received: 14 11 2022
accepted: 05 06 2023
medline: 17 6 2023
pubmed: 17 6 2023
entrez: 16 6 2023
Statut: epublish

Résumé

Sleep problems and irritable temperaments are common among infants with autism spectrum disorder (ASD). The prospective association between such sleep problems and irritable temperaments and ASDs needs to be determined for elucidating the mechanism and exploring the future intervention study. Thus, in this study, we investigated whether sleep quality and temperament in 1-month-old infants are associated with the onset of ASD in 3-year-old children. We also assessed its sex-stratified associations. We conducted a longitudinal study using data from 69,751 mothers and infants from a large-cohort study, the Japan Environment and Children's Study. We examined the prospective association between infant sleep quality and temperament at 1 month of age and ASD diagnosis by 3 years of age. Here we show infants with longer daytime sleep have a higher risk of later ASD than those with shorter daytime sleep (risk ratio [RR]: 1.33, 95% confidence interval [CI]: 1.01-1.75). Infants who experienced intense crying have a higher risk of ASD than those who did not (RR: 1.31, 95% CI: 1.00-1.72). There is a difference in sex in the association between a bad mood and later ASD. In particular, female infants experiencing bad moods have a higher risk of ASD than others (RR: 3.59, 95% CI: 1.91-6.75). The study findings provide important information for future intervention to reduce the risk of future ASD. Sleep problems and irritable temperaments are common among infants with autism. This study looked at the sleep and temperament of nearly 70,000 1-month-old infants in Japan and whether they were subsequently diagnosed with autism spectrum disorder during the first three years of life. Children who had slept for longer during the day and were more prone to frequent, prolonged, or intense crying were more likely to have been diagnosed with Autism Spectrum Disorder by age 3. The findings of this study might be useful for those monitoring the development of autism spectrum disorder or developing support for those with autism spectrum disorders.

Sections du résumé

BACKGROUND BACKGROUND
Sleep problems and irritable temperaments are common among infants with autism spectrum disorder (ASD). The prospective association between such sleep problems and irritable temperaments and ASDs needs to be determined for elucidating the mechanism and exploring the future intervention study. Thus, in this study, we investigated whether sleep quality and temperament in 1-month-old infants are associated with the onset of ASD in 3-year-old children. We also assessed its sex-stratified associations.
METHODS METHODS
We conducted a longitudinal study using data from 69,751 mothers and infants from a large-cohort study, the Japan Environment and Children's Study. We examined the prospective association between infant sleep quality and temperament at 1 month of age and ASD diagnosis by 3 years of age.
RESULTS RESULTS
Here we show infants with longer daytime sleep have a higher risk of later ASD than those with shorter daytime sleep (risk ratio [RR]: 1.33, 95% confidence interval [CI]: 1.01-1.75). Infants who experienced intense crying have a higher risk of ASD than those who did not (RR: 1.31, 95% CI: 1.00-1.72). There is a difference in sex in the association between a bad mood and later ASD. In particular, female infants experiencing bad moods have a higher risk of ASD than others (RR: 3.59, 95% CI: 1.91-6.75).
CONCLUSIONS CONCLUSIONS
The study findings provide important information for future intervention to reduce the risk of future ASD.
Sleep problems and irritable temperaments are common among infants with autism. This study looked at the sleep and temperament of nearly 70,000 1-month-old infants in Japan and whether they were subsequently diagnosed with autism spectrum disorder during the first three years of life. Children who had slept for longer during the day and were more prone to frequent, prolonged, or intense crying were more likely to have been diagnosed with Autism Spectrum Disorder by age 3. The findings of this study might be useful for those monitoring the development of autism spectrum disorder or developing support for those with autism spectrum disorders.

Autres résumés

Type: plain-language-summary (eng)
Sleep problems and irritable temperaments are common among infants with autism. This study looked at the sleep and temperament of nearly 70,000 1-month-old infants in Japan and whether they were subsequently diagnosed with autism spectrum disorder during the first three years of life. Children who had slept for longer during the day and were more prone to frequent, prolonged, or intense crying were more likely to have been diagnosed with Autism Spectrum Disorder by age 3. The findings of this study might be useful for those monitoring the development of autism spectrum disorder or developing support for those with autism spectrum disorders.

Identifiants

pubmed: 37328542
doi: 10.1038/s43856-023-00314-9
pii: 10.1038/s43856-023-00314-9
pmc: PMC10275966
doi:

Types de publication

Journal Article

Langues

eng

Pagination

82

Investigateurs

Michihiro Kamijima (M)
Shin Yamazaki (S)
Yukihiro Ohya (Y)
Reiko Kishi (R)
Nobuo Yaegashi (N)
Koichi Hashimoto (K)
Chisato Mori (C)
Shuichi Ito (S)
Zentaro Yamagata (Z)
Hidekuni Inadera (H)
Takeo Nakayama (T)
Hiroyasu Iso (H)
Masayuki Shima (M)
Youichi Kurozawa (Y)
Narufumi Suganuma (N)
Takahiko Katoh (T)

Informations de copyright

© 2023. The Author(s).

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Auteurs

Kimiyo Kikuchi (K)

Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Takehiro Michikawa (T)

Department of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan.

Seiichi Morokuma (S)

Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. morokuma.seiichi.845@m.kyushu-u.ac.jp.
Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan. morokuma.seiichi.845@m.kyushu-u.ac.jp.

Norio Hamada (N)

Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Yoshiko Suetsugu (Y)

Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Subaru Ikeda (S)

Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Kazushige Nakahara (K)

Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Kiyoko Kato (K)

Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Masayuki Ochiai (M)

Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Eiji Shibata (E)

Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.

Mayumi Tsuji (M)

Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.

Masayuki Shimono (M)

Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.

Toshihiro Kawamoto (T)

Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.

Shouichi Ohga (S)

Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Koichi Kusuhara (K)

Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.

Classifications MeSH