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Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Impairment of reaction time among children awakened during stage 4 sleep
Mark Splaingard1, John Hayes, Gary A Smith
1Columbus Children's Hospital, Department of Pediatrics, Columbus, OH, USA. splaingm@pediatrics.ohio-state.edu
Insights
Children
Area of Science:
- Pediatric Sleep Medicine
- Cognitive Neuroscience
Background:
- Sleep inertia is characterized by impaired performance and sleepiness post-awakening.
- Auditory arousal from stage 4 sleep (S4S) in children can be challenging.
- Investigating reaction time (RT) deficits after awakening is crucial for understanding sleep inertia.
Purpose of the Study:
- To examine the relationship between auditory arousal from S4S and subsequent reaction time (RT) impairments in children.
- To determine if children with greater difficulty awakening or performing a self-rescue sequence (SRS) exhibit more significant RT deficits.
Main Methods:
- Observational study conducted in a pediatric sleep center.
- Participants included 44 healthy children aged 6-12 years.
- Reaction time was measured before and after awakening from S4S using 100 dB alarms or manual methods.
Main Results:
- Overall RT significantly slowed post-awakening (mean 37%, median 22%).
- Youngest children (6-7 years) and awakening from the second S4S cycle showed the most pronounced RT slowing.
- No significant difference in RT impairment was found between children who successfully performed a SRS and those who did not.
Conclusions:
- The ability to perform a self-rescue sequence (SRS) did not correlate with the degree of reaction time (RT) slowing.
- Younger children and awakening from deeper sleep stages (second S4S cycle) are associated with greater sleep inertia effects on RT.
Study Objective:
Sleep inertia refers to impairments in cognitive/motor performance and the tendency to return to sleep after awakening. As part of a project studying the effect of different types of 100 decibel (dB) sounds on awakening children during stage 4 sleep (S4S), we hypothesized that children with the greatest impairment in auditory arousal during S4S, manifested by the inability to either awaken to 100 dB sounds or successfully perform a self-rescue sequence (SRS), would have greater impairments in reaction time (RT) upon awakening than children who awoke and successfully accomplish a SRS.
Design:
Observational study.
Setting:
Pediatric hospital-based sleep center.
Participants:
Healthy children aged 6-12 years.
Interventions:
N/A.
Measurements And Results:
RT was measured in 44 children approximately 90 minutes before bedtime and again after awakening by either 100 dB alarms or manually during the first and second cycles of S4S. Overall, mean and median RT slowed significantly by 37% and 22%, respectively, from baseline. Slowing of RT was most evident in the youngest children (aged 6-7 years) and after awakening from the second S4S cycle. Impairments in RT were not significantly different among children who successfully awakened to the alarm and performed a SRS compared with children who did not.
Conclusions:
The degree of slowing of RT was not significantly different among children who awakened and performed an SRS compared with children who did not. The greatest slowing of RT was seen among younger children and after awakening from the second S4S cycle.
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