Later bedtimes fine for pre-schoolers if they get enough sleep

Parents of pre-schoolers can take reassurance from new Otago research which shows early bedtimes aren’t vital for healthy development, as long as young children get enough sleep.

A new study led by Dr Melyssa Roy, from the University of Otago’s Department of Medicine, has found later bedtimes for children between the ages of 2 and 5 years old aren’t likely to directly increase their risk of developing obesity.

Childhood obesity is a global problem, with the World Health Organisation reporting 38 million children under 5 years old as overweight or obese in 2019.

The correlation between later bedtimes and the risk of developing obesity has been documented among older children, but the Otago-led study is one of the first to examine whether a connection exists from an early age.

Dr Roy says addressing the problem of childhood obesity is difficult because it is hard to influence children’s eating or physical activity.

“However, it is known that children who sleep longer are less likely to be overweight,” she says.

“Our research helps confirm more sleep is beneficial for young children but putting them to bed earlier is only helpful if it means they sleep longer.”

Dr Roy’s team examined data on 1642 children from four separate studies, which showed the average bedtime for 2-year-olds was 8.06pm, compared to 7.50pm for 3-year-olds and 7.55pm for 5-year-olds.

A late bedtime was defined as being consistently after 9pm.

However, the data showed no consistent associations between bedtimes and the risk of obesity.

Overall, the children studied had between 10 and 11 hours sleep per night at 2, 3 and 5 years old.

Overall, while children in this age group who had an earlier bedtime were at lower risk of obesity, this association was because they slept for a longer duration, consistent with findings reported in other age groups.

However, children who consistently went to bed after 9pm were not found to be at higher risk.

It is thought that sleeping for longer may simply limit eating opportunities, reducing overall caloric intake.

Longer sleep duration is likely to be associated with better overall sleep quality or may represent other influences on obesity such as more responsive parenting and less chaos within a household.

Dr Roy says one surprising factor was the possibility earlier bedtimes and longer sleep duration may be more influential at lowering the risk of obesity for girls aged 3 or 5 years old.

However, she says results were not consistent and more research is needed to determine whether girls are at greater risk of developing obesity in response to adverse sleep patterns in infancy.

In general, Dr Roy says parents might like to try earlier bedtimes to improve their children’s sleep and health.

“But for those parents who have a child with a late bedtime, it may be reassuring to know that in itself it doesn’t seem to make much difference.”