Evidence map›Paper›PMID 41042472›Full record

ArticleWorld journal of pediatrics : WJP2025

Multilevel factors associated with sleep duration and bedtime regularity in U.S. children with and without neurodevelopmental disorders: a nationally representative study.

Freda Patterson, Shannon M Robson, Lauren B Covington, Carissa M Baker-Smith, Shannon Mayberry, Ben Brewer, Zugui Zhang, Anjana Bhat

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of pediatrics : WJP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Freda PattersonDepartment of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19716, USA. fredap@udel.edu.ORCID 0000-0001-6561-3092
Shannon M RobsonDepartment of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19716, USA.
Lauren B CovingtonDepartment of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19716, USA.
Carissa M Baker-SmithCardiovascular Research and Innovation Program, Nemours Cardiac Center, Nemours Children's Health, Wilmington, DE, USA.
Shannon MayberryDepartment of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19716, USA.
Ben BrewerDepartment of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19716, USA.
Zugui ZhangInstitute for Research On Equity and Community Health, Christiana Care Health System Inc, Newark, DE, USA.
Anjana BhatDepartment of Physical Therapy, College of Health Sciences, University of Delaware, Newark, DE, USA.

Funding

Predictive Modeling & Optimal Control Framework for Model-Based Epidemic Response in DelawareP20GM103446 · NIGMS · UNIVERSITY OF DELAWARE · PI Anjana Narayan Bhat · 2012 to 2026
$67.2M
Vascular Consequences of Duchenne Muscular DystrophyP20GM113125 · NIGMS · UNIVERSITY OF DELAWARE · PI SIONS, JACLYN MEGAN · 2016 to 2025
$23.3M
NIGMS NIH HHS 3P20GM103446-23S4NIGMS NIH HHS P20 GM103446NIGMS NIH HHS P20 GM113125NIGMS NIH HHS P20GM113125
6 · The paper itself

Abstract

backgroundThis study compared multilevel factors associated with sleep duration and bedtime regularity in children with and without neurological and developmental disorders (NDD) using a nationally representative sample.

methodsWe combined data from the 2016-2017, 2018-2019, and 2020-2021 United States National Survey of Children's Health (NSCH), including 86,014 children aged 9-17 years. Parent-reported outcomes included adequate sleep duration (yes/no) and bedtime regularity (yes/no). We assessed the relationship between twenty independent individual, social, and environmental variables on the sleep outcomes. We used random survival forest decision trees to identify the five most predictive variables [in terms of variable importance (VIMP)]. Regression analyses were then used to assess directionality and independent associations.

resultsA greater proportion of children with NDDs versus those who are typically developing (TD) had parent reports of not achieving adequate sleep duration (34.0% versus 30.9%, respectively) and bedtime regularity (18.8% versus 13.7%, respectively). For adequate sleep, achieving bedtime regularity, having more family meals together and older age emerged as the most important independent variables for both TD children and those with NDDs. For bedtime regularity, achieving adequate sleep, and having more family meals together were the most proximal independent variables for NDD and TD children.

conclusionIncreasing the frequency of family meals and addressing both sleep duration and bedtime regularity may serve as key modifiable intervention targets to improve sleep health in children, including those with NDDs.

Indexed as

Neurodevelopmental DisordersSleepAdolescentChildFemaleHealth SurveysHumansMaleSleep DurationTime FactorsUnited StatesBedtime regularityChildrenMachine learningNeurological and developmental disordersSleep duration

Identifiers

PMID41042472
PMCPMC12627111

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.