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ABSTRACT: 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
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
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
The study findings provide important information for future intervention to reduce the risk of future ASD.
SUBMITTER: Kikuchi K
PROVIDER: S-EPMC10275966 | biostudies-literature | 2023 Jun
REPOSITORIES: biostudies-literature
Kikuchi Kimiyo K Michikawa Takehiro T Morokuma Seiichi S Hamada Norio N Suetsugu Yoshiko Y Ikeda Subaru S Nakahara Kazushige K Kato Kiyoko K Ochiai Masayuki M Shibata Eiji E Tsuji Mayumi M Shimono Masayuki M Kawamoto Toshihiro T Ohga Shouichi S Kusuhara Koichi K
Communications medicine 20230616 1
<h4>Background</h4>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-str ...[more]