Document Detail

Normative values of polysomnographic parameters in childhood and adolescence: Arousal events.
MedLine Citation:
PMID:  22261241     Owner:  NLM     Status:  Publisher    
OBJECTIVE: This study focused on differences in arousals during sleep, using the arousal rules of the American Academy of Sleep Medicine, by gender, age, and maturity in healthy children. METHODS: One-night polysomnography was performed on 209 healthy German children (age 1-18years) at their habitual bedtimes in 16 laboratories. Subjects were grouped by gender (112 females, 97 males), age, and Tanner stage. RESULTS: Normative values of arousal events in sleep are presented, including indexes of spontaneous and respiratory arousals, total electroencephalogram (EEG) arousals, phasic increase in submental electromyogram (EMG) in stage R, and leg movements. With increasing age, a decrease was seen in: EEG arousal index ⩾1-2.9s, EEG arousal index ⩾3s, index of total EEG arousals, index of respiratory arousals, chin EMG enhancement in stage R ⩾1-2.9 and ⩾3s, index of total leg movements, and leg movements with EEG arousals (p<0.05). Only spontaneous arousals showed no association with age. There was a significant negative correlation between Tanner stage and arousals ⩾1-2.9s, respiratory arousals, leg movements, and leg movements with arousals (p<0.05). Only arousals ⩾3s and total leg movements showed gender differences (p<0.05). CONCLUSIONS: For the diagnosis of pediatric sleep disturbances, the given arousal data enable estimation of the degree of deviation from normal findings for age and maturity. There is need for further research on, and further discussion of, the arousal rules of the American Academy of Sleep Medicine.
Sabine Scholle; Alfred Wiater; Hans Christoph Scholle
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-17
Journal Detail:
Title:  Sleep medicine     Volume:  -     ISSN:  1878-5506     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100898759     Medline TA:  Sleep Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier B.V. All rights reserved.
Zentrum für Schlaf- und Beatmungsmedizin, Robert-Koch-Krankenhaus Apolda GmbH, Apolda, Germany.
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