Many of the sleep rituals described in the communication [1] do not apply to pediatric age group. We do not expect most children, except adolescents, to indulge in consumption of alcohol, sleeping pills, and nicotine products. Presuming that most children would be expected to go to bed by 10 PM in night, not indulging in heavy exercise for six hours prior to sleep is not practical because that is the time when they are expected to be out in the play grounds after doing their homework. It is necessary to suggest age specific sleep rituals applicable to our culture and social life.

Reference

1. Sukumaran TU. Pediatric sleep project. Indian Pediatr. 2011;48:843-4.