Tuesday, March 10, 2009

18 and Under - Distractions May Shift, but Sleep Needs Don’t

18 and Under - Distractions May Shift, but Sleep Needs Don’t - NYTimes.com:

"“The literature really strongly suggests the average early to mid-adolescent needs 9 to 9.25 hours a night,” said Dr. Judith Owens, an associate professor of pediatrics at the Alpert Medical School of Brown University, who directs the Pediatric Sleep Disorders Clinic at Hasbro Children’s Hospital.

She quickly headed off my question about children — or adults — who don’t need that much sleep. “It’s a bell-shaped curve,” she said, with just 2.5 percent of the population needing significantly less sleep than average.

“The problem,” she went on, “is that 95 percent of us think we’re in that 2.5 percent. You should assume until proven otherwise that your kid needs that much sleep.”

What is the bedtime recommendation for an 8- or 9-year-old? The experts sensibly suggest that you work backward from wake-up time, trying for 10 hours of sleep, and testing your routine by checking whether the child wakes spontaneously, alert and cheerful and ready for the day....

As children move into middle school, Dr. Owens said, they still need plenty of sleep, but it gets harder for them to follow the schedule that the world demands.

“Sleep needs don’t change all that dramatically from late elementary through middle school into high school,” she said. “What changes is the circadian rhythm of sleep and wake, and typically as you go into and through puberty your sleep and wake time shifts by as much as two hours. They simply can’t fall asleep as early as they did when they were 7 or 8 years old.” That is why many experts say the high school day should start later....

Even as we’ve come to understand more and more about the importance of sleep, for brain function and learning, for mental and physical health, the world has gotten to be a harder and harder place for a child to go to sleep. The basic advice pediatricians give to parents of young children about bedtime routines — turn off the television, take her on your lap, read a book — is important for older children, too: spend time together, wind down, turn off electronic devices, read a book...."

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