Document Detail

Pacifier use does not alter the frequency or duration of spontaneous arousals in sleeping infants.
MedLine Citation:
PMID:  18684666     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: It has been reported that pacifiers might reduce the risk of SIDS by favouring infants' arousability from sleep. We evaluated the influence of a pacifier on the frequency and duration of spontaneous arousals in healthy infants. METHODS: Polygraphic recordings were performed in 14 infants with an age of 51.7+/-19.9 days (means+/-SD) who regularly used a pacifier during sleep. Cortical and subcortical arousals were scored according to the recommendations of the "International Paediatric Work Group on Arousals." The number of arousals per 10-min-period and the duration of arousals were determined for periods of pacifier use as well as for periods after pacifier dislodgement and were compared with the data of 10 control infants (age 49.8+/-16.5 days) who never used a pacifier. RESULTS: Altogether, 211 arousals in pacifier users and 225 arousals in non-users were scored. In pacifier users, 2.0+/-1.6 arousals per 10-min-period with a duration of 12.2+/-3.0 s occurred during pacifier use, and 1.7+/-1.6 arousals per 10-min-period with a duration of 12.2+/-3.1s occurred during periods without pacifier. In pacifier non-users, 2.3+/-1.2 arousals per 10-min-period (duration 13.9+/-2.9s) were scored. The results did not show a significant difference concerning frequency and duration of spontaneous arousals between pacifier users and non-users. CONCLUSIONS: Our findings suggest that factors other than arousal mechanisms might be responsible for the efficacy of pacifiers in SIDS prophylaxis.
Marie Hanzer; Heinz Zotter; Werner Sauseng; Klaus Pfurtscheller; Wilhelm Müller; Reinhold Kerbl
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article     Date:  2008-08-05
Journal Detail:
Title:  Sleep medicine     Volume:  10     ISSN:  1389-9457     ISO Abbreviation:  Sleep Med.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100898759     Medline TA:  Sleep Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  464-70     Citation Subset:  IM    
Department of Pediatrics, Medical University of Graz, Auenbruggerplatz 30, 8036 Graz, Styria, Austria.
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MeSH Terms
Arousal / physiology*
Pacifiers / adverse effects*
Risk Assessment
Risk Factors
Sleep / physiology*
Sleep Disorders / diagnosis,  epidemiology*
Time Factors

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