Feeding methods, sleep arrangement, and infant sleep patterns: a Chinese population-based study

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Feeding methods, sleep arrangement, and infant sleep patterns: a Chinese population-based study Xiao-Na Huang, Hui-Shan Wang, Jen-Jen Chang, Lin-Hong Wang, Xi-Cheng Liu, JingXiong Jiang, Lin An Beijing, China

Methods: This longitudinal cohort study enrolled 524 pregnant women at 34-41 weeks of gestation and their infants after delivery in 2006 and followed up until eight months postpartum. The study subjects were recruited from nine women and children hospitals in nine cities in China (Beijing, Chongqing, Wuhan, Changsha, Nanning, Xiamen, Xi'an, Jinan, and Hailin). Participating infants were followed up weekly during the first month and monthly from the second to the eighth month after birth. Twenty-four hour sleep diaries recording infants' sleeping and feeding methods were administered based on caregiver's self-report. Multivariable mixed growth curve models were fitted to estimate the effects of feeding methods and sleep arrangement on infants' sleep patterns over time, controlling for maternal and paternal age, maternal and paternal education level, household income, supplementation of complementary food, and infant birth weight and length.

Author Affiliations: Department of Children Health, National Center for Maternal and Children Health, Chinese Center for Disease Control and Prevention, Beijing, China (Huang XN, Wang HS, Jiang JX); Department of Epidemiology, Saint Louis University College for Public Health and Social Justice, St. Louis. MO, USA (Chang JJ); The National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (Wang LH); Bronchoscopy Center, Affiliated Children Hospital of Beijing Capital Medical University, Beijing, China (Liu XC); Department of Public Health, Peking University Health Science Center, Beijing, China (An L) Corresponding Author: Lin-Hong Wang, MD, The National Center for Chronic and Non-communicable Disease Control and Prevention, China Center for Disease and Control, 27 Nanwei Road, Xicheng District, Beijing 100050, China (Tel: 86-10-63038055; Fax: 86-10-63042350; Email: [email protected]) doi: 10.1007/s12519-015-0012-8

©Children's Hospital, Zhejiang University School of Medicine, China and

Springer-Verlag Berlin Heidelberg 2015. All rights reserved.

World J Pediatr, Online First, March 2015 . www.wjpch.com

Results: Exclusively formula fed infants had the greatest sleep percentage/24 h, followed by exclusively breast milk fed infants and partially breast milk fed infants (P