Document Detail


Effects of sleeping position and time after feeding on the organization of sleep/wake states in prematurely born infants.
MedLine Citation:
PMID:  9646378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Epidemiologic studies provide strong evidence for the conclusion that sleeping in the prone position places infants at greater risk for sudden infant death syndrome (SIDS). Prior studies in newborn infants found that in the prone sleeping position there is less time awake and more quiet sleep, but little change in the amount of active sleep. To determine whether the effects of sleeping position on state distribution vary with time after feeding, we studied prematurely born infants in both the prone and supine sleeping positions. Sleep states were recorded each minute during interfeed intervals. Results demonstrate expected effects of sleep position on state distribution: prone sleeping is associated with a 79% increase in quiet sleep and a 71% decrease in time awake. While the decreases in time awake are seen throughout the interfeed interval, increases in quiet sleep in the prone position are found only within the first hour and again near the end of the interfeed interval. These results are consistent with the hypothesis that prone sleeping could increase risk for SIDS by altering the organization of sleep, and that time after feeding may play an important role in the expression of these effects.
Authors:
M M Myers; W P Fifer; L Schaeffer; R Sahni; K Ohira-Kist; R I Stark; K F Schulze
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Sleep     Volume:  21     ISSN:  0161-8105     ISO Abbreviation:  Sleep     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-10-22     Completed Date:  1998-10-22     Revised Date:  2009-01-29    
Medline Journal Info:
Nlm Unique ID:  7809084     Medline TA:  Sleep     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-9     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, Columbia College of Physicians and Surgeons, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Crying / physiology
Eating*
Female
Humans
Infant, Newborn
Infant, Premature*
Male
Prone Position*
Sleep / physiology*
Sudden Infant Death / prevention & control
Supine Position*
Time Factors
Wakefulness / physiology*
Grant Support
ID/Acronym/Agency:
HD13063/HD/NICHD NIH HHS; HD27564/HD/NICHD NIH HHS; HD32774/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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