Maturation of Arousals during Day and Night in Preterm Infants.

[en] The objective of this study was to compare the maturation of spontaneous arousals during day and night sleep in preterm and term infants. From the Autonomic Baby Evaluation study, the sleep and arousal characteristics of 12 preterm (35.1 ± 2.1 weeks' gestational age, GA) and 21 term (39.8 ± 0.8 weeks GA) newborns were compared between diurnal and nocturnal sleep periods at birth (M0) and 6 months (M6) of age. Models were adjusted for time (night/day), maturation (M0/M6), prematurity (yes/no). We found that preterm infants had less active sleep (AS)% than term infants with maturation during both day and night sleep, which may reflect accelerated brain maturation secondary to stress or environmental exposure after birth. Moreover, there was a difference in arousal maturation during day and night sleep in the preterm infants, as shown previously for term infants, which suggests the emergence of a circadian rhythm during the earliest postnatal period. We also showed that compared to term infants, these moderate preterm infants had fewer total arousals and, more specifically, fewer arousals in AS during day and night sleep, exposing them to a higher risk of sudden infant death syndrome.

Disciplines :

Pediatrics
Neurology

Author, co-author :

Guyon, Aurore; Unité de Sommeil, Service D'épilepsie, Sommeil et Explorations Fonctionnelles

Ravet, Françoise ; Centre Hospitalier Universitaire de Liège - CHU > > Service de pédiatrie ; Unité de Sommeil Pédiatrique-Département Universitaire de Pédiatrie du CHU

Champavert, Alex ; Unité de Sommeil, Service D'épilepsie, Sommeil et Explorations Fonctionnelles

Thieux, Marine ; Unité de Sommeil, Service D'épilepsie, Sommeil et Explorations Fonctionnelles

Patural, Hugues ; Neonatal and Pediatric Intensive Care Department, Inserm, U1059, University

Plancoulaine, Sabine ; Centre of Research in Epidemiology and StatisticS (CRESS), Inserm, INRAE

Franco, Patricia ; Unité de Sommeil, Service D'épilepsie, Sommeil et Explorations Fonctionnelles

Language :

English

Title :

Maturation of Arousals during Day and Night in Preterm Infants.

Publication date :

08 February 2022

Journal title :

Children

eISSN :

2227-9067

Volume :

Issue :

Available on ORBi :

since 16 February 2023

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