Evidence map›Paper›PMID 30679794›Full record

ArticlePediatric research2019

Early sleep deprivation and attention-deficit/hyperactivity disorder.

Winnie Tso, Meanne Chan, Frederick K Ho, Nirmala Rao, Albert M Li, Ko Ling Chan, Agnes Tiwari, Ian C K Wong, Yun Kwok Wing, Benjamin Van Voorhees and 3 more

Abstract read
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In one paragraph

Article in Pediatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Sleep in Young Children With Autism, ADHD and Combined Presentations.Autism research : official journal of the International Society for Autism Research · 2026
    Article
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  5. Early childhood sleep quantity, but not caregiver-reported sleep problems, predicts impulse control in children at age 8 years.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Article
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  14. Article
  15. The Role of the Circadian System in Attention Deficit Hyperactivity Disorder.Advances in experimental medicine and biology · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Winnie TsoDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong.
Meanne ChanDepartment of Psychiatry, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong.
Frederick K HoDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong.
Nirmala RaoFaculty of Education, The University of Hong Kong, Pokfulam, Hong Kong. nrao@hku.hk.
Albert M LiDepartment of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, 30 Ngan Shing Street, Sha Tin, Hong Kong.
Ko Ling ChanDepartment of Applied Social Science, The Hong Kong Polytechnic University, Pokfulam, Hong Kong.
Agnes TiwariSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong.
Ian C K WongDepartment of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong.
Yun Kwok WingDepartment of Psychiatry, The Chinese University of Hong Kong, Shatin Hospital, 33A Kung Kok Street, Ma On Shan, Hong Kong.
Benjamin Van VoorheesDepartment of Paediatrics, College of Medicine at Chicago, University of Illinois, Chicago, IL, USA.
Sophia Ling LiDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong.
Winnie H S GohDivision of Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Kallang, Singapore.
Patrick IpDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong. patricip@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to study prospectively specific sleep patterns and risk of ADHD after adjusting for potential confounders such as obstructive sleep apnoea (OSA) and methylphenidate use.

methodsA population-representative sample of 514 Chinese preschool children was recruited when in kindergarten (K3). Parents reported on their socioeconomic status and children's sleep duration. The cohort was reassessed 3 years later when the children were in Grade 3 (P3). Parents reported on children's sleep patterns and ADHD symptoms. Information on OSA diagnosis and methylphenidate use was retrieved from health records.

resultsAmong the 514 parent-child dyads (mean [SD] age, 5.52 [0.33] years), 411 were reassessed (80.0% retention; 9.35 [0.33] years) at follow-up. There were no significant baseline differences between follow-up and drop-out groups. A gradient relationship was observed between probable ADHD in P3 and sleep duration in K3. The risk of probable ADHD was 15.5 per 100 for children with <8 h of sleep in K3, whereas it was 1.1 per 100 for children with 11-12 h of sleep in K3. The adjusted risk ratio was 14.19 (p = 0.02).

conclusionsSleep deprivation in early childhood is associated with higher risk of ADHD in middle childhood.

Indexed as

Sleep DeprivationAttention Deficit Disorder with HyperactivityChildChild, PreschoolChinaFemaleHumansMaleProspective StudiesSocioeconomic Factors

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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.