
@article{ref1,
title="Sleep characteristics of young children in Japan: Internet study and comparison with other Asian countries",
journal="Pediatrics international",
year="2011",
author="Kohyama, Jun and Mindell, Jodi A. and Sadeh, Avi",
volume="53",
number="5",
pages="649-655",
abstract="<p><b>Background:</b> A recent international Internet‐based study of young children (birth to 36 months) found that total sleep duration in Japan was the shortest among 17 countries/regions. The present study compared features of children's sleep in Japan relative to those in other Asian countries/regions.</p> <p><b>Methods:</b> Parents of 872 infants and toddlers in Japan (48.6% boys), and parents of 20 455 infants and toddlers in 11 other Asian countries/regions (48.1% boys; China, Hong Kong, India, Indonesia, Korea, Malaysia, Philippines, Singapore, Taiwan, Thailand, and Vietnam) completed an Internet‐based expanded version of the Brief Infant Sleep Questionnaire.</p> <p><b>Results:</b> Young children in Japan exhibited significantly fewer nocturnal wakings and shorter daytime sleep in comparison with other Asian countries/regions. Although the former finding was apparent in all age groups, the reduced duration of daytime sleep in Japan was not present until after 3 months of age. Interestingly, sleep problems were reported by significantly fewer parents in Japan compared with those in other Asian countries/regions, although parents in Japan reported significantly more difficulty at bedtime.</p> <p><b>Conclusions:</b> The short sleep duration of young children in Japan is largely due to a relatively short duration of daytime sleep. Significant differences in sleep characteristics in Japan relative to other Asian regions were found primarily after 3 months of age. Future studies should further explore the underlying causes and the potential impacts of these sleep differences.</p><p />",
language="",
issn="1328-8067",
doi="10.1111/j.1442-200X.2010.03318.x",
url="http://dx.doi.org/10.1111/j.1442-200X.2010.03318.x"
}