<p>In 2014, Buysse published a novel definition of sleep health, raising awareness for the importance of this construct for individuals, populations, clinical care, and research. However, the original definition focused on adults, with the recommendation that it should be adapted for children and adolescents. As children live within a complex and dynamic system, and may not always have control over their own sleep, this theoretical review will examine and apply Buysse's five dimensions of sleep health within the context of pediatrics. In addition, using examples from the pediatric sleep literature we introduce a modified definition that takes into consideration the influence of the socio-ecological system within which children live, and the sleep-related behaviors that are critical in supporting or hindering sleep health. Finally, we discuss how the proposed theoretical framework, Peds B-SATED, can be applied to clinical practice, research, and training in the field of pediatric sleep.</p>

<p>More than 50% of US children are crushed with debt—sleep debt. The 2014 National Sleep in America poll found that half of youth obtain less sleep than recommended on school nights, meaning approximately 29 million children in the United States are deprived of one of the most important basic needs for optimal health and well-being. This debt is especially salient because insufficient, irregular, and poor-quality sleep is a risk factor for common concerns that dominate pediatric practice, including obesity, mental health problems, and learning difficulties. However, sleep is rarely effectively addressed in primary care.</p>