Table 4 Association between sleep before pregnancy and infant development, Japan Environment and Children's Study (2011–2014).
No. of participants | No. of outcome | Maternal age adjusted model | Multivariable modela | ||||||
|---|---|---|---|---|---|---|---|---|---|
% | RR | 95% CI | RR | 95% CI | |||||
Communication | |||||||||
Sleep duration | |||||||||
< 6 h | 4489 | 5 | 0.1 | 1.19 | 0.45 | 3.15 | 1.15 | 0.43 | 3.03 |
6 < 7 | 13,427 | 18 | 0.1 | 1.40 | 0.75 | 2.61 | 1.32 | 0.71 | 2.47 |
7 < 8 | 23,058 | 22 | 0.1 | Ref | Ref | ||||
8 < 9 | 16,779 | 13 | 0.1 | 0.82 | 0.41 | 1.63 | 0.90 | 0.45 | 1.80 |
9 < 10 | 6863 | 6 | 0.1 | 0.95 | 0.39 | 2.35 | 1.12 | 0.45 | 2.82 |
10< | 2975 | 3 | 0.1 | 1.29 | 0.38 | 4.31 | 1.42 | 0.42 | 4.78 |
Bedtime | |||||||||
21 < 24 | 45,971 | 46 | 0.1 | Ref | Ref | ||||
24 < 27 | 19,816 | 19 | 0.1 | 1.01 | 0.59 | 1.73 | 0.86 | 0.49 | 1.50 |
Other | 1804 | 2 | 0.1 | 1.33 | 0.32 | 5.51 | 1.39 | 0.33 | 5.79 |
Gross motor skills | |||||||||
Sleep duration | |||||||||
< 6 h | 4489 | 265 | 5.9 | 1.08 | 0.95 | 1.23 | 1.07 | 0.94 | 1.22 |
6 < 7 | 13,427 | 832 | 6.2 | 1.12 | 1.03 | 1.22 | 1.11 | 1.02 | 1.20 |
7 < 8 | 23,066 | 1264 | 5.5 | Ref | Ref | ||||
8 < 9 | 16,775 | 902 | 5.4 | 0.99 | 0.91 | 1.07 | 1.02 | 0.93 | 1.10 |
9 < 10 | 6861 | 327 | 4.8 | 0.89 | 0.79 | 1.01 | 0.94 | 0.84 | 1.06 |
10< | 2975 | 120 | 4.0 | 0.82 | 0.69 | 0.99 | 0.86 | 0.72 | 1.03 |
Bedtime | |||||||||
21 < 24 | 45,972 | 2546 | 5.5 | Ref | Ref | ||||
24 < 27 | 19,816 | 1073 | 5.4 | 1.01 | 0.95 | 1.09 | 0.97 | 0.90 | 1.05 |
Other | 1805 | 91 | 5.0 | 1.01 | 0.83 | 1.24 | 1.06 | 0.86 | 1.30 |
Fine motor skills | |||||||||
Sleep duration | |||||||||
< 6 h | 4489 | 252 | 5.6 | 1.01 | 0.88 | 1.15 | 1.02 | 0.90 | 1.17 |
6 < 7 | 13,415 | 781 | 5.8 | 1.04 | 0.95 | 1.13 | 1.05 | 0.97 | 1.15 |
7 < 8 | 23,063 | 1283 | 5.6 | Ref | Ref | ||||
8 < 9 | 16,766 | 932 | 5.6 | 1.01 | 0.93 | 1.09 | 0.99 | 0.91 | 1.08 |
9 < 10 | 6859 | 373 | 5.4 | 1.00 | 0.90 | 1.12 | 0.98 | 0.87 | 1.09 |
10< | 2974 | 141 | 4.7 | 0.95 | 0.80 | 1.12 | 0.93 | 0.79 | 1.10 |
Bedtime | |||||||||
21 < 24 | 45,951 | 2623 | 5.7 | Ref | Ref | ||||
24 < 27 | 19,811 | 1053 | 5.3 | 0.96 | 0.90 | 1.03 | 1.00 | 0.93 | 1.07 |
Other | 1804 | 86 | 4.8 | 0.92 | 0.74 | 1.13 | 0.94 | 0.76 | 1.16 |
Problems solving | |||||||||
Sleep duration | |||||||||
< 6 h | 4482 | 246 | 5.5 | 1.09 | 0.95 | 1.25 | 1.06 | 0.93 | 1.21 |
6 < 7 | 13,404 | 726 | 5.4 | 1.08 | 0.98 | 1.18 | 1.04 | 0.95 | 1.14 |
7 < 8 | 23,041 | 1151 | 5.0 | Ref | Ref | ||||
8 < 9 | 16,757 | 831 | 5.0 | 1.00 | 0.92 | 1.09 | 1.05 | 0.96 | 1.15 |
9 < 10 | 6848 | 343 | 5.0 | 1.03 | 0.91 | 1.16 | 1.12 | 1.00 | 1.26 |
10 < | 2973 | 141 | 4.7 | 1.04 | 0.88 | 1.24 | 1.10 | 0.93 | 1.31 |
Bedtime | |||||||||
21 < 24 | 45,918 | 2321 | 5.1 | Ref | Ref | ||||
24 < 27 | 19,785 | 1042 | 5.3 | 1.08 | 1.00 | 1.16 | 1.00 | 0.93 | 1.08 |
Other | 1802 | 75 | 4.2 | 0.89 | 0.71 | 1.12 | 0.90 | 0.72 | 1.13 |
Personal-social characteristics | |||||||||
Sleep duration | |||||||||
< 6 h | 4480 | 50 | 1.1 | 1.11 | 0.82 | 1.51 | 1.20 | 0.88 | 1.62 |
6 < 7 | 13,402 | 142 | 1.1 | 1.05 | 0.85 | 1.29 | 1.12 | 0.91 | 1.37 |
7 < 8 | 23,017 | 231 | 1.0 | Ref | Ref | ||||
8 < 9 | 16,731 | 222 | 1.3 | 1.33 | 1.11 | 1.60 | 1.23 | 1.02 | 1.48 |
9 < 10 | 6852 | 99 | 1.4 | 1.48 | 1.17 | 1.87 | 1.30 | 1.03 | 1.65 |
10< | 2971 | 34 | 1.1 | 1.27 | 0.89 | 1.82 | 1.18 | 0.82 | 1.69 |
Bedtime | |||||||||
21 < 24 | 45,874 | 554 | 1.2 | Ref | Ref | ||||
24 < 27 | 19,778 | 211 | 1.1 | 0.91 | 0.78 | 1.07 | 1.10 | 0.93 | 1.29 |
Other | 1801 | 13 | 0.7 | 0.66 | 0.38 | 1.14 | 0.72 | 0.41 | 1.24 |
Total (abnormal score for any 1 of the 5 domain) | |||||||||
Sleep duration | |||||||||
< 6 h | 4491 | 621 | 13.8 | 1.01 | 0.94 | 1.10 | 1.01 | 0.93 | 1.09 |
6 < 7 | 13,432 | 1917 | 14.3 | 1.04 | 0.99 | 1.10 | 1.03 | 0.98 | 1.08 |
7 < 8 | 23,070 | 3146 | 13.6 | Ref | Ref | ||||
8 < 9 | 16,783 | 2218 | 13.2 | 0.98 | 0.93 | 1.03 | 0.99 | 0.95 | 1.05 |
9 < 10 | 6865 | 874 | 12.7 | 0.96 | 0.89 | 1.03 | 0.99 | 0.92 | 1.06 |
10< | 2976 | 365 | 12.3 | 1.00 | 0.90 | 1.10 | 1.02 | 0.92 | 1.13 |
Bedtime | |||||||||
21 < 24 | 45,987 | 6285 | 13.7 | Ref | Ref | ||||
24 < 27 | 19,823 | 2645 | 13.3 | 1.01 | 0.97 | 1.05 | 0.98 | 0.94 | 1.03 |
Other | 1807 | 211 | 11.7 | 0.94 | 0.82 | 1.07 | 0.97 | 0.85 | 1.10 |