Understanding the Role of Sleep in Children's Health

Learn the latest science about why we sleep, how it influences physical and emotional health, and how it can help your child or teen.

Dr. Sarat Susarla, M.D.

5/8/20242 min read

A person is sleeping on a bed with a blue patterned blanket and a pillow under their head. They are holding a red plush toy, and the room is softly lit by natural light coming through semi-transparent curtains.
A person is sleeping on a bed with a blue patterned blanket and a pillow under their head. They are holding a red plush toy, and the room is softly lit by natural light coming through semi-transparent curtains.

Sleep plays an essential role our physical and emotional health with benefits that accrue early in life. Our sleep needs vary by age, with infants and toddlers needing significantly more sleep than school age children and teenagers. Understanding how these needs change over time can empower parents to identify problems early in life and anticipate challenges your child may face.

Healthy sleep is fundamental to the physical, cognitive, and emotional development of children. During sleep, the body engages in critical processes such as tissue repair, growth hormone release, and immune system strengthening, which are essential for a child’s physical health. Cognitively, sleep supports memory consolidation, learning, and problem-solving skills, enabling children to process and retain information from their daily experiences. Emotionally, adequate sleep fosters mood regulation and resilience, reducing the likelihood of irritability, anxiety, or behavioral issues. Insufficient sleep, conversely, can lead to impaired academic performance, weakened immune function, and increased risk of obesity or mood disorders, underscoring the necessity of prioritizing healthy sleep habits from an early age.

Sleep patterns in children evolve significantly with age, reflecting developmental changes in their biological and environmental needs. Infants (0-12 months) typically require 14-17 hours of sleep per day, with frequent naps and irregular sleep-wake cycles as their circadian rhythms mature. Toddlers (1-3 years) need 11-14 hours, including naps, as they transition to more consolidated nighttime sleep. Preschoolers (3-5 years) require 10-13 hours, with most children phasing out naps by age 5, while school-age children (6-12 years) need 9-11 hours of primarily nighttime sleep. These shifts are driven by changes in brain development, hormonal regulation, and social factors like school schedules, which gradually align sleep patterns with adult-like circadian rhythms.

As children approach adolescence (13-18 years), their sleep needs stabilize at 8-10 hours, but significant changes occur due to shifts in melatonin production, leading to a natural delay in sleep onset and wake times. This phase, often termed “sleep phase delay,” can clash with early school start times, resulting in chronic sleep deprivation. Environmental factors, such as screen time and academic pressures, further complicate sleep quality in older children. Establishing consistent sleep routines, limiting stimulants, and creating a conducive sleep environment are critical across all ages to support healthy development and mitigate the risks associated with sleep deficiencies.