ArticleFrontiers in public health2025
The mediating role of sleep disorders in the relationship between breastfeeding and behavioral problems among 6- to 8-year-old children in Shanghai, China.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Improving breastfeeding rates is a key target in the WHO Global Nutrition Targets 2025, yet the link between breastfeeding duration/exclusivity and childhood behavioral problems (BPs) remains controversial due to conflicting evidence. This study examined the role of sleep disorders in mediating the relationship between breastfeeding and BPs in children. Its aim was to provide a scientific basis for early intervention in children with BPs. Methods: This cross-sectional study was conducted across 34 elementary schools in Xuhui District, Shanghai, China, between September and December 2019. The valid data were collected from 11,319 primary school students aged 6-8 years. An online survey completed by their guardians was used to obtain demographic information and to score the Children's Sleep Habits Questionnaire (CSHQ) and Conners' Parent Rating Scale (CPRS). Descriptive statistics (frequencies and medians) were generated. Associations among variables were assessed using the Mann-Whitney Results: In our sample, the breastfeeding rate was 64.55% ( Conclusion: Sleep disorders may mediate the relationship between the lack of breastfeeding and BPs in children 6-8 years of age, though our cross-sectional design precludes causal inference and parent-reported sleep disorders severity may bias true associations. Future studies should utilize longitudinal cohorts to explore whether sleep disorders is involved in the relationship between breastfeeding and behavioral problems.
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