Effects of a Physical Activity Intervention in the School Setting on Sleep Quality and Quantity in Preschoolers: A Systematic Review

Authors

DOI:

https://doi.org/10.47197/retos.v51.99792

Keywords:

sleep, physical activity, preschoolers, sleep quality, sleep duration, school setting

Abstract

Sleep is a physiological process that plays a fundamental role in systemic physiological brain function in many bodily systems. The scientific literature associates efficient and high-quality sleep with optimal cognitive, physical, and socioemotional development during the early years of life. Many preschoolers have sleep problems due to an increasingly digitized lifestyle with inadequate physical activity that does not meet the minimum daily activity recommendations. Given the influence of physical activity on sleep in other populations, the objective of this study was to conduct a systematic review to determine whether a physical activity intervention influences the quality and duration of sleep in preschoolers. A search for randomized controlled trials was conducted in MEDLINE, Web of Science (WOS), Scopus, PsycINFO, Cinahl, and SPORTdiscus databases using established inclusion and exclusion criteria, resulting in a final outcome of 3 included studies. The analyzed studies did not show an influence of physical activity intervention on sleep duration but did on sleep quality. The lack of evidence in this population makes it impossible to draw a clear conclusion; therefore, it is essential to generate a research line to clearly understand what type of physical activity-based intervention can positively influence the quantity and quality of sleep in preschoolers.

Key words: Child, Preschool; exercise; schools, nursery; sleep; sleep duration; sleep quality.

 

References

Adan, A., Archer, S. N., Hidalgo, M. P., Di Milia, L., Natale, V., & Randler, C. (2012). Circadian typology: a comprehen-sive review. Chronobiology International, 29(9), 1153-1175. https://doi.org/10.3109/07420528.2012.719971

Agaronov, A., Ash, T., Sepulveda, M., Taveras, E. M., & Davison, K. K. (2018). Inclusion of Sleep Promotion in Family-Based Interventions To Prevent Childhood Obesity. Childhood Obesity , 14(8), 485-500. https://doi.org/10.1089/chi.2017.0235

Antle, M. C., & Mistlberger, R. E. (2000). Circadian clock resetting by sleep deprivation without exercise in the Syrian hamster. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 20(24), 9326-9332. https://doi.org/10.1523/JNEUROSCI.20-24-09326.2000

Bailey, B. W., Allen, M. D., LeCheminant, J. D., Tucker, L. A., Errico, W. K., Christensen, W. F., & Hill, M. D. (2014). Objectively measured sleep patterns in young adult women and the relationship to adiposity. American Journal of Health Promotion: AJHP, 29(1), 46-54. https://doi.org/10.4278/ajhp.121012-QUAN-500

Biddle, S. J. H., Pearson, N., Ross, G. M., & Braithwaite, R. (2010). Tracking of sedentary behaviours of young people: a systematic review. Preventive Medicine, 51(5), 345-351. https://doi.org/10.1016/j.ypmed.2010.07.018

Bower, J. K., Hales, D. P., Tate, D. F., Rubin, D. A., Benjamin, S. E., & Ward, D. S. (2008). The childcare environment and children’s physical activity. American Journal of Preventive Medicine, 34(1), 23-29. https://doi.org/10.1016/j.amepre.2007.09.022

Buxton, O. M., Lee, C. W., L’Hermite-Baleriaux, M., Turek, F. W., & Van Cauter, E. (2003). Exercise elicits phase shifts and acute alterations of melatonin that vary with circadian phase. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 284(3), R714-R724. https://doi.org/10.1152/ajpregu.00355.2002

Buysse, D. J. (2014). Sleep health: can we define it? Does it matter? Sleep, 37(1), 9-17. https://doi.org/10.5665/sleep.3298

Cappuccio, F. P., Taggart, F. M., Kandala, N.-B., Currie, A., Peile, E., Stranges, S., & Miller, M. A. (2008). Meta-analysis of short sleep duration and obesity in children and adults. Sleep, 31(5), 619-626. https://doi.org/10.1093/sleep/31.5.619

Carter, B., Rees, P., Hale, L., Bhattacharjee, D., & Paradkar, M. S. (2016). Association Between Portable Screen-Based Media Device Access or Use and Sleep Outcomes: A Systematic Review and Meta-analysis. JAMA Pediatrics, 170(12), 1202-1208. https://doi.org/10.1001/jamapediatrics.2016.2341

Chaput, J.-P., Brunet, M., & Tremblay, A. (2006). Relationship between short sleeping hours and childhood over-weight/obesity: results from the ‘Québec en Forme’ Project. International Journal of Obesity , 30(7), 1080-1085. https://doi.org/10.1038/sj.ijo.0803291

Chaput, J.-P., Gray, C. E., Poitras, V. J., Carson, V., Gruber, R., Birken, C. S., MacLean, J. E., Aubert, S., Sampson, M., & Tremblay, M. S. (2017). Systematic review of the relationships between sleep duration and health indicators in the early years (0-4 years). BMC Public Health, 17(Suppl 5), 855. https://doi.org/10.1186/s12889-017-4850-2

Chaput, J.-P., Gray, C. E., Poitras, V. J., Carson, V., Gruber, R., Olds, T., Weiss, S. K., Gorber, S. C., Kho, M. E., Sampson, M., Belanger, K., Eryuzlu, S., Callender, L., & Tremblay, M. S. (2016). Systematic review of the relation-ships between sleep duration and health indicators in school-aged children and youth1. Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme. https://doi.org/10.1139/apnm-2015-0627

Chen, X., Beydoun, M. A., & Wang, Y. (2008). Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity , 16(2), 265-274. https://doi.org/10.1038/oby.2007.63

Cosco, N. G., Moore, R. C., & Islam, M. Z. (2010). Behavior mapping: a method for linking preschool physical activity and outdoor design. Medicine and Science in Sports and Exercise, 42(3), 513-519. https://doi.org/10.1249/MSS.0b013e3181cea27a

Crumbley, C. A., Ledoux, T. A., & Johnston, C. A. (2020). Physical Activity During Early Childhood: The Importance of Parental Modeling. American Journal of Lifestyle Medicine, 14(1), 32-35. https://doi.org/10.1177/1559827619880513

De Bock, F., Genser, B., Raat, H., Fischer, J. E., & Renz-Polster, H. (2013). A participatory physical activity intervention in preschools: a cluster randomized controlled trial. American Journal of Preventive Medicine, 45(1), 64-74. https://doi.org/10.1016/j.amepre.2013.01.032

Dolezal, B. A., Neufeld, E. V., Boland, D. M., Martin, J. L., & Cooper, C. B. (2017). Interrelationship between Sleep and Exercise: A Systematic Review. Advances in Preventive Medicine, 2017, 1364387. https://doi.org/10.1155/2017/1364387

Dowda, M., Brown, W. H., McIver, K. L., Pfeiffer, K. A., O’Neill, J. R., Addy, C. L., & Pate, R. R. (2009). Policies and characteristics of the preschool environment and physical activity of young children. Pediatrics, 123(2), e261-e266. https://doi.org/10.1542/peds.2008-2498

García-Hermoso, A., & Alonso-Martínez, A. M. (2020). Association of physical education with improvement of health-related physical fitness outcomes and fundamental motor skills among youths: a systematic review and …. JAMA: the journal of the American Medical Association. https://jamanetwork.com/journals/jamapediatrics/article-abstract/2763829

Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Medicine Reviews, 21, 50-58. https://doi.org/10.1016/j.smrv.2014.07.007

Hall, W. A., & Nethery, E. (2019). What does sleep hygiene have to offer children’s sleep problems? Paediatric Respiratory Reviews, 31, 64-74. https://doi.org/10.1016/j.prrv.2018.10.005

Hart, C. N., Jelalian, E., & Raynor, H. A. (2020). Behavioral and social routines and biological rhythms in prevention and treatment of pediatric obesity. The American Psychologist, 75(2), 152-162. https://doi.org/10.1037/amp0000599

Janssen, X., Martin, A., Hughes, A. R., Hill, C. M., Kotronoulas, G., & Hesketh, K. R. (2020). Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis. Sleep Medicine Reviews, 49, 101226. https://doi.org/10.1016/j.smrv.2019.101226

Jiang, F. (2019). Sleep and Early Brain Development. Annals of Nutrition & Metabolism, 75 Suppl 1, 44-54. https://doi.org/10.1159/000508055

Krystal, A. D., & Edinger, J. D. (2008). Measuring sleep quality. Sleep Medicine, 9 Suppl 1, S10-S17. https://doi.org/10.1016/S1389-9457(08)70011-X

Kuzik, N., Poitras, V. J., Tremblay, M. S., Lee, E.-Y., Hunter, S., & Carson, V. (2017). Systematic review of the relation-ships between combinations of movement behaviours and health indicators in the early years (0-4 years). BMC Public Health, 17(Suppl 5), 849. https://doi.org/10.1186/s12889-017-4851-1

LeBourgeois, M. K., Hale, L., Chang, A.-M., Akacem, L. D., Montgomery-Downs, H. E., & Buxton, O. M. (2017). Digi-tal Media and Sleep in Childhood and Adolescence. Pediatrics, 140(Suppl 2), S92-S96. https://doi.org/10.1542/peds.2016-1758J

Lerner-Geva, L., Bar-Zvi, E., Levitan, G., Boyko, V., Reichman, B., & Pinhas-Hamiel, O. (2015). An intervention for improving the lifestyle habits of kindergarten children in Israel: a cluster-randomized controlled trial investigation. Public Health Nutrition, 18(9), 1537-1544. https://doi.org/10.1017/S136898001400024X

McDowall, P. S., Galland, B. C., Campbell, A. J., & Elder, D. E. (2017). Parent knowledge of children’s sleep: A systemat-ic review. Sleep Medicine Reviews, 31, 39-47. https://doi.org/10.1016/j.smrv.2016.01.002

Miller, A. L., Kaciroti, N., Lebourgeois, M. K., Chen, Y. P., Sturza, J., & Lumeng, J. C. (2014). Sleep timing moderates the concurrent sleep duration-body mass index association in low-income preschool-age children. Academic Pediatrics, 14(2), 207-213. https://doi.org/10.1016/j.acap.2013.12.003

Miller, M. A., Bates, S., Ji, C., & Cappuccio, F. P. (2021). Systematic review and meta-analyses of the relationship between short sleep and incidence of obesity and effectiveness of sleep interventions on weight gain in preschool children. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 22(2), e13113. https://doi.org/10.1111/obr.13113

Mindell, J. A., Li, A. M., Sadeh, A., Kwon, R., & Goh, D. Y. T. (2015). Bedtime routines for young children: a dose-dependent association with sleep outcomes. Sleep, 38(5), 717-722. https://doi.org/10.5665/sleep.4662

Moore, M., & Bonuck, K. (2013). Comorbid symptoms of sleep-disordered breathing and behavioral sleep problems from 18-57 months of age: a population-based study. Behavioral Sleep Medicine, 11(3), 222-230. https://doi.org/10.1080/15402002.2012.666219

Moreno, J. P., Crowley, S. J., Alfano, C. A., Hannay, K. M., Thompson, D., & Baranowski, T. (2019). Potential circadian and circannual rhythm contributions to the obesity epidemic in elementary school age children. The International Journal of Behavioral Nutrition and Physical Activity, 16(1), 25. https://doi.org/10.1186/s12966-019-0784-7

Moreno, J. P., Crowley, S. J., Alfano, C. A., & Thompson, D. (2020). Physiological mechanisms underlying children’s circannual growth patterns and their contributions to the obesity epidemic in elementary school age children. Obesity Re-views: An Official Journal of the International Association for the Study of Obesity, 21(3), e12973. https://doi.org/10.1111/obr.12973

Morrissey, B., Taveras, E., Allender, S., & Strugnell, C. (2020). Sleep and obesity among children: A systematic review of multiple sleep dimensions. Pediatric Obesity, 15(4), e12619. https://doi.org/10.1111/ijpo.12619

Nicaise, V., Kahan, D., & Sallis, J. F. (2011). Correlates of moderate-to-vigorous physical activity among preschoolers during unstructured outdoor play periods. Preventive Medicine, 53(4-5), 309-315. https://doi.org/10.1016/j.ypmed.2011.08.018

Nixon, G. M., Thompson, J. M. D., Han, D. Y., Becroft, D. M., Clark, P. M., Robinson, E., Waldie, K. E., Wild, C. J., Black, P. N., & Mitchell, E. A. (2008). Short sleep duration in middle childhood: risk factors and consequences. Sleep, 31(1), 71-78. https://doi.org/10.1093/sleep/31.1.71

Ohayon, M., Wickwire, E. M., Hirshkowitz, M., Albert, S. M., Avidan, A., Daly, F. J., Dauvilliers, Y., Ferri, R., Fung, C., Gozal, D., Hazen, N., Krystal, A., Lichstein, K., Mallampalli, M., Plazzi, G., Rawding, R., Scheer, F. A., Somers, V., & Vitiello, M. V. (2017). National Sleep Foundation 's sleep quality recommendations: first report. Sleep Health, 3(1), 6-19. https://doi.org/10.1016/j.sleh.2016.11.006

OMS. (2021). Directrices de la OMS sobre la actividad física, el comportamiento sedentario y el sueño para menores de 5 años. Orga-nización Panamericana de la Salud. https://doi.org/10.37774/9789275321836

Ortega, F. B., Ruiz, J. R., Labayen, I., Kwak, L., Harro, J., Oja, L., Veidebaum, T., & Sjöström, M. (2011). Sleep dura-tion and activity levels in Estonian and Swedish children and adolescents. European Journal of Applied Physiology, 111(10), 2615-2623. https://doi.org/10.1007/s00421-011-1883-6

Owens, J. A., & Mindell, J. A. (2011). Pediatric insomnia. Pediatric Clinics of North America, 58(3), 555-569. https://doi.org/10.1016/j.pcl.2011.03.011

Poitras, V. J., Gray, C. E., Borghese, M. M., Carson, V., Chaput, J.-P., Janssen, I., Katzmarzyk, P. T., Pate, R. R., Con-nor Gorber, S., Kho, M. E., Sampson, M., & Tremblay, M. S. (2016). Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiology, Nutri-tion, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme, 41(6 Suppl 3), S197-S239. https://doi.org/10.1139/apnm-2015-0663

Poitras, V. J., Gray, C. E., Janssen, X., Aubert, S., Carson, V., Faulkner, G., Goldfield, G. S., Reilly, J. J., Sampson, M., & Tremblay, M. S. (2017). Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years). BMC Public Health, 17(Suppl 5), 868. https://doi.org/10.1186/s12889-017-4849-8

Puder, J. J., Marques-Vidal, P., Schindler, C., Zahner, L., Niederer, I., Bürgi, F., Ebenegger, V., Nydegger, A., & Kriem-ler, S. (2011). Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant pre-school children (Ballabeina): cluster randomised controlled trial. BMJ , 343, d6195. https://doi.org/10.1136/bmj.d6195

Quante, M., Cespedes Feliciano, E. M., Rifas-Shiman, S. L., Mariani, S., Kaplan, E. R., Rueschman, M., Oken, E., Tave-ras, E. M., & Redline, S. (2019). Association of Daily Rest-Activity Patterns With Adiposity and Cardiometabolic Risk Measures in Teens. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 65(2), 224-231. https://doi.org/10.1016/j.jadohealth.2019.02.008

Quante, M., Kaplan, E. R., Cailler, M., Rueschman, M., Wang, R., Weng, J., Taveras, E. M., & Redline, S. (2018). Actigraphy-based sleep estimation in adolescents and adults: a comparison with polysomnography using two scoring al-gorithms. Nature and Science of Sleep, 10, 13-20. https://doi.org/10.2147/NSS.S151085

Quick, V., Byrd-Bredbenner, C., White, A. A., Brown, O., Colby, S., Shoff, S., Lohse, B., Horacek, T., Kidd, T., & Greene, G. (2014). Eat, sleep, work, play: associations of weight status and health-related behaviors among young adult college students. American Journal of Health Promotion: AJHP, 29(2), e64-e72. https://doi.org/10.4278/ajhp.130327-QUAN-130

Reilly, J. J., Armstrong, J., Dorosty, A. R., Emmett, P. M., Ness, A., Rogers, I., Steer, C., Sherriff, A., & Avon Longitu-dinal Study of Parents and Children Study Team. (2005). Early life risk factors for obesity in childhood: cohort study. BMJ , 330(7504), 1357. https://doi.org/10.1136/bmj.38470.670903.E0

Reynaud, E., Vecchierini, M.-F., Heude, B., Charles, M.-A., & Plancoulaine, S. (2018). Sleep and its relation to cognition and behaviour in preschool-aged children of the general population: a systematic review. Journal of Sleep Research, 27(3), e12636. https://doi.org/10.1111/jsr.12636

Roenneberg, T., Wirz-Justice, A., & Merrow, M. (2003). Life between clocks: daily temporal patterns of human chrono-types. Journal of Biological Rhythms, 18(1), 80-90. https://doi.org/10.1177/0748730402239679

Sá, C., Vilar, J., Magalhães, P., & Vasques, C. (2022). Tiempo de sueño, televisión / videojuegos y consumo de bocadillos en niños en edad preescolar: un estudio transversal (Sleep time, tv/video games and snack consumption in preschool children – a cross-sectional study). Retos, 46, 581-585. https://doi.org/10.47197/retos.v46.91165

Sadeh, A. (2015). Iii. Sleep assessment methods. Monographs of the Society for Research in Child Development, 80(1), 33-48. https://doi.org/10.1111/mono.12143

Sadeh, A., Acebo, C., Seifer, R., Aytur, S., & Carskadon, M. A. (1995). Activity-based assessment of sleep-wake patterns during the 1st year of life. Infant behavior & development, 18(3), 329-337. https://doi.org/10.1016/0163-6383(95)90021-7

Scharf, R. J., Demmer, R. T., Silver, E. J., & Stein, R. E. K. (2013). Nighttime sleep duration and externalizing behaviors of preschool children. Journal of Developmental and Behavioral Pediatrics: JDBP, 34(6), 384-391. https://doi.org/10.1097/DBP.0b013e31829a7a0d

Schlieber, M., & Han, J. (2018). The sleeping patterns of Head Start children and the influence on developmental outcomes. Child: Care, Health and Development, 44(3), 462-469. https://doi.org/10.1111/cch.12522

Taylor, A. W., Winefield, H., Kettler, L., Roberts, R., & Gill, T. K. (2012). A population study of 5 to 15 year olds: full time maternal employment not associated with high BMI. The importance of screen-based activity, reading for pleasure and sleep duration in children’s BMI. Maternal and Child Health Journal, 16(3), 587-599. https://doi.org/10.1007/s10995-011-0792-y

Tinker, E. C., Garrison, M. M., & Ward, T. M. (2020). Development of the Sleep Health in Preschoolers (SHIP) interven-tion: Integrating a theoretical framework for a family-centered intervention to promote healthy sleep. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 38(4), 406-417. https://doi.org/10.1037/fsh0000546

Vallance, J. K., Buman, M. P., Stevinson, C., & Lynch, B. M. (2015). Associations of overall sedentary time and screen time with sleep outcomes. American Journal of Health Behavior, 39(1), 62-67. https://doi.org/10.5993/AJHB.39.1.7

Van Cauter, E., & Knutson, K. L. (2008). Sleep and the epidemic of obesity in children and adults. European Journal of Endo-crinology / European Federation of Endocrine Societies, 159 Suppl 1(S1), S59-S66. https://doi.org/10.1530/EJE-08-0298

Vanderloo, L. M., Tucker, P., Johnson, A. M., van Zandvoort, M. M., Burke, S. M., & Irwin, J. D. (2014). The influence of center-based childcare on preschoolers’ physical activity levels: a cross-sectional study. International Journal of Envi-ronmental Research and Public Health, 11(2), 1794-1802. https://doi.org/10.3390/ijerph110201794

Weaver, R. G., Armstrong, B., Hunt, E., Beets, M. W., Brazendale, K., Dugger, R., Turner-McGrievy, G., Pate, R. R., Maydeu-Olivares, A., Saelens, B., & Youngstedt, S. D. (2020). The impact of summer vacation on children’s obesogen-ic behaviors and body mass index: a natural experiment. The International Journal of Behavioral Nutrition and Physical Activ-ity, 17(1), 1-14. https://doi.org/10.1186/s12966-020-01052-0

Williams, B. D., Whipps, J., Sisson, S. B., & Guseman, E. H. (2021). Associations between health-related family environ-ment and objective child sleep quality. Journal of Paediatrics and Child Health, 57(7), 1031-1036. https://doi.org/10.1111/jpc.15372

Williams, S. M., Farmer, V. L., Taylor, B. J., & Taylor, R. W. (2014). Do more active children sleep more? A repeated cross-sectional analysis using accelerometry. PloS One, 9(4), e93117. https://doi.org/10.1371/journal.pone.0093117

Published

2024-01-01

How to Cite

Ramos-Munell, J. ., del Pozo-Cruz, J., Alfonso-Rosa, R. M., & Álvarez-Barbosa, F. . (2024). Effects of a Physical Activity Intervention in the School Setting on Sleep Quality and Quantity in Preschoolers: A Systematic Review. Retos, 51, 235–242. https://doi.org/10.47197/retos.v51.99792

Issue

Section

Theoretical systematic reviews and/or meta-analysis