Healthy Sleep Habits, Happy Child
233B
Night Awakenings and Neurodevelopment
October 20, 2025

Found in age groups

Healthy Sleep Habits, Happy Child

5th Edition: 
A Step-by-Step Program for a Good Night's Sleep

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Healthy Sleep Habits, Happy Child

5th Edition: 
Chapter 1 (only 16 pages!) outlines everything you need to know about your child's sleep.

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Introduction

A Healthy Child Needs a Healthy Brain, A Healthy Brain Needs Healthy Sleep

If you have not already done so, please read Blog Posts 1 through 5 that describe how sleep is important and beneficial. I will post specific information for parents and children based on my book, “Healthy Sleep Habits, Happy Child.” Please do not be put off by my book’s length. This is a reference book. Read only the topic of interest to you.

Blog 233BNight Awakenings and Neurodevelopment

3,251 Chinese children were evaluated at 42 days, 6 months, and 1 year of age. The results showed that:

  1. Frequent night awakenings ( 3 or more) at 6 months were associated with impaired gross motor development at 1 year.
  2. Increased latency to sleep onset (more than 30 minutes) at 1 year was associated with impaired fine and gross motor development at 1 year.
  3. No association between total sleep duration and infant development.

This paper does not mention the bedtime.  My published research and clinical experience shows that late bedtimes are associated with frequent night awakenings and increased latency to sleep onset.  I asked the author, Professor Yan Lin,  to evaluate the bedtime as a possible contributing variable.  She responded:

“Consistently, we observed that the late bedtime (later than 9pm) is significantly associated with an increase in the frequency of night awakenings.  Also late  bedtimes at one year of age is marginally associated with [increased] sleep onset latency…However, our data showed no association between late bedtimes and neurodevelopment.”

I wrote to her: The bedtime is a salient and potentially modifiable variable under the influence of parents,  but I think it is insufficiently appreciated by many parents (and sometimes, pediatric sleep researchers).  Do you agree?

“I totally agree!”

Blog Post 215 refers to 10 additional studies in which important sleep variables were examined, but the bedtime was not included in the paper.  However, upon re-examination of the data, the bedtime was found to be important.  An 11th similar situation is Blog Post 232C.

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