0207 The Effect of Naps on Inhibitory Control and Sustained Attention in Early Childhood

Abstract

Abstract Introduction Sleep in adults and school-age children has been shown to improve regulatory behaviors. Specifically, slow wave sleep (SWS) disruptions have been positively associated with decreased levels of sustained attention and inhibitory control in adults, while REM sleep has been associated with inhibitory control in typically developing children. However, it is unknown whether midday naps confer a similar benefit in preschool-aged children, particularly since REM sleep is often lacking in their naps. In this study, we used a Go/No-Go task to determine whether SWS during early childhood naps benefits sustained attention and inhibitory control. We also explored nap habituality as a factor given that habitual and non-habitual nappers have different sleep architecture in adults and children. Methods Preschool children (N=22, 38–69 months) completed a Go/No-Go task, after which they either napped with polysomnography (nap condition) or stayed awake (wake condition) for an equivalent amount of time (within subject; order counterbalanced; ~1 week apart). After their nap and wake sessions, they completed the Go/No-Go task again. Results When controlling for nap frequency, participant performance (accuracy) post-session did not differ across conditions. However, by examining only the habitual nappers (5–7 days/week, N=9), we found a moderate positive correlation between percent of sleep spent in SWS and post-nap accuracy (r=0.335, p=0.037). Interestingly, we did not see the same relationship with non-habitual nappers (0–4 days/week, N=13) and found a weak negative correlation with SWS (r=0.007, p=0.031). Conclusion The findings suggest that habitually napping children show a benefit of nap SWS on regulatory behaviors while non-habitual nappers do not. Such results have important translational significance for early education settings. Support NIH R01 HL111695.