Evidence map›Paper›PMID 30476202›Full record

Trial reportJournal of pediatric psychology2019

Featured Article: Bidirectional Effects of Sleep and Sedentary Behavior Among Toddlers: A Dynamic Multilevel Modeling Approach.

Bridget Armstrong, Lauren B Covington, George J Unick, Maureen M Black

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pediatric psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Bridget ArmstrongDepartment of Pediatrics, University of Maryland School of Medicine.
Lauren B CovingtonSchool of Nursing, University of Delaware.
George J UnickUniversity of Maryland School of Social Work.
Maureen M BlackDepartment of Pediatrics, University of Maryland School of Medicine.
University of Maryland, Baltimore · USUniversity of Delaware · US

Funding

Toddler Feeding StylesR01HD056099 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI BLACK, MAUREEN M · 2009 to 2010
$2.0M
Longitudinal and Micro-Level Dyadic Analysis of Toddler-Caregiver Feeding Interactions among Low-Income DyadsF32HL138963 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI ARMSTRONG, BRIDGET R. · 2017 to 2018
$121k
NHLBI NIH HHS F32 HL138963NICHD NIH HHS R01 HD056099
6 · The paper itself

Abstract

objectiveTo examine the bidirectional effects of objectively measured nighttime sleep and sedentary activity among toddlers.

methodActical accelerometer data were analyzed for 195 toddlers participating in an obesity prevention trial (mean age = 27 months). Toddlers wore the accelerometers for up to 7 consecutive days. Nighttime sleep was defined as the number of minutes asleep between the hours of 8 pm and 8 am the following morning. Sedentary behavior (in minutes) was defined using previously established Actical cut points for toddlers. Variables were lagged and parsed into latent within- and between-person components, using dynamic structural equation modeling (DSEM).

resultsToddlers spent an average of 172 min (∼3 hr) in sedentary activity and slept an average of 460 min (∼8 hr) per night. An autoregressive cross-lagged multilevel model revealed significant autoregression for both sleep and sedentary activity. Cross-lagged values revealed that decreased sleep predicted increased next-day sedentary activity, and sedentary activity predicted that night's sleep. For 89% of the sample, the within-person standardized cross-lagged effects of sleep on sedentary were larger than the cross-lagged effects of sedentary on sleep.

conclusionsResults suggest that, on average, nighttime sleep is a stronger predictor of subsequent sedentary behavior (compared with the reverse), and this is the case for the majority of toddlers. Findings highlight the importance of interindividual associations between sleep and sedentary activity. The present study is an example of how DSEM methods can be used to ask questions about Granger-causal cross-lagged relations between variables, both within and between individuals.

Indexed as

Sedentary BehaviorAccelerometryChild BehaviorChild, PreschoolFemaleHumansInfantMalePediatric ObesitySleepresearch design and methodssleepstatistical applications

Identifiers

PMID30476202
PMCPMC6551589
OpenAlexW2901852800

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.