Abstract

BackgroundWe evaluated if exposure to RF-EMF was associated with reported quality of sleep in 2,361 children, aged 7 years.MethodsThis study was embedded in the Amsterdam Born Children and their Development (ABCD) birth cohort study. When children were about five years old, school and residential exposure to RF-EMF from base stations was assessed with a geospatial model (NISMap) and from indoor sources (cordless phone/WiFi) using parental self-reports. Parents also reported their children’s use of mobile or cordless phones. When children were seven years old, we evaluated sleep quality as measured with the Child Sleep Habits Questionnaire (CSHQ) filled in by parents. Of eight CSHQ subscales, we evaluated sleep onset delay, sleep duration, night wakenings, parasomnias and daytime sleepiness with logistic or negative binomial regression models, adjusting for child’s age and sex and indicators of socio-economic position of the parents. We evaluated the remaining three subscales (bedtime resistance, sleep anxiety, sleep disordered breathing) as unrelated outcomes (negative control) because these were a priori hypothesised not to be associated with RF-EMF.ResultsSleep onset delay, night wakenings, parasomnias and daytime sleepiness were not associated with residential exposure to RF-EMF from base stations. Sleep duration scores were associated with RF-EMF levels from base stations. Higher use mobile phones was associated with less favourable sleep duration, night wakenings and parasomnias, and also with bedtime resistance. Cordless phone use was not related to any of the sleeping scores.ConclusionGiven the different results across the evaluated RF-EMF exposure sources and the observed association between mobile phone use and the negative control sleep scale, our study does not support the hypothesis that it is the exposure to RF-EMF that is detrimental to sleep quality in 7-year old children, but potentially other factors that are related to mobile phone usage.

Highlights

  • Sleep difficulties in children are common; 20%-40% of children are reported to experience such problems [1, 2]

  • Night wakenings, parasomnias and daytime sleepiness were not associated with residential exposure to Radiofrequency electromagnetic fields (RF-EMF) from base stations

  • Given the different results across the evaluated RF-EMF exposure sources and the observed association between mobile phone use and the negative control sleep scale, our study does not support the hypothesis that it is the exposure to RF-EMF that is detrimental to sleep quality in 7-year old children, but potentially other factors that are related to mobile phone usage

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Summary

Introduction

Sleep difficulties in children are common; 20%-40% of children are reported to experience such problems [1, 2]. Sleep difficulties in children are a major cause of morbidity and have been associated with poor school performance [3], behaviour problems [4], neurocognitive effects [5] as well as obesity [6]. Radiofrequency electromagnetic fields (RF-EMF) are emitted by a range of modern telecommunication devices, such as mobile and cordless phones and their base stations, transmitters or wireless internet connections [7]. Persons who attribute symptoms to exposure to electromagnetic fields frequently report experiencing sleep problems [8,9,10]. We evaluated if exposure to RF-EMF was associated with reported quality of sleep in 2,361 children, aged 7 years

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