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Published on: October 24, 2019
[Development of sleep/wake patterns in infants during the first 12 months of life]
Xiao-Na Huang1, Hui-Shan Wang, Xi-Cheng Lu
1Department of Child Health, National Center for Maternal and Child Health, Chinese Center for Disease Prevention and Control, Beijing 100013, China.
Insights
Infant sleep patterns develop rapidly in the first year, with significant changes in daytime sleep and nighttime sleep consolidation occurring by 4 and 9 months. Key developmental periods for infant sleep are identified as 0-6 and 8-9 months.
Area of Science:
- Pediatric sleep medicine
- Developmental pediatrics
- Circadian biology
Context:
- Infant sleep patterns are crucial for healthy development.
- Longitudinal studies in home environments are needed to understand typical sleep development.
- Previous research often lacks detailed, long-term data from early infancy.
Purpose:
- To longitudinally track the development of sleep/wake patterns in healthy term infants.
- To identify key developmental periods influencing infant sleep characteristics over the first 12 months.
- To analyze changes in daytime and nighttime sleep duration, naps, and sleep consolidation.
Summary:
- This nationwide study followed 524 healthy term infants for 12 months using parental sleep diaries.
- Significant changes in daytime sleep and nap frequency occurred, with a decrease in daytime sleep percentage and nap number.
- Nighttime sleep consolidation improved, with longer continuous sleep duration and reduced awakenings, showing a general trend of decreasing total sleep time with age.
Impact:
- Identifies critical 0-6 and 8-9 month periods for infant sleep development.
- Provides normative data on sleep pattern evolution in the first year of life.
- Informs parental guidance and clinical interventions related to infant sleep.
Objective:
This was a nationwide study of sleep circadian in term infants. The aim was to understand the development characteristics of infants' sleep/wake patterns longitudinally in their own home environments over the first 12 months of life.
Method:
Totally 524 healthy term infants from 9 urban districts took part in this project Their sleep/wake patterns over 24 h were recorded using parental sleep diaries, from the 2nd day to 12 months old.
Result:
The results showed that infant daytime sleep changed significantly at 0-2, 3-4, 5-6, and 8-9 months after birth, and the change was the fastest in the first month, the mean percentage of daytime sleep decreased from 82.4% at Day 2 to 62.8% at 1 month old. Also, the average number of naps reduced from 3.7 to 2 across the infancy. The ability of continuous sleep throughout the night gradually enhanced from 1 month old, and the nocturnal longest sleep time extended to 6.8 h at 4 months of age as well as the nighttime awakening frequency less than 0.5 over 6 months old. Additionally, the nighttime sleep increased significantly at 4 and 9 months after birth, where the proportion of nighttime sleep increased from 55.8% at Day 2 to 64.3% of 4 months and 71.2% of 9 months respectively. In general, the total sleep time over a 24 h period presented a downward trend as the infant aged.
Conclusion:
The periods 0-6 and 8-9 months after birth were the key periods for the development of infant sleep.
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