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Published on: December 26, 2013
Infants sleeping outdoors in a northern winter climate: skin temperature and duration of sleep
Marjo Tourula1, Arja Isola, Juhani Hassi
1Institute of Health Sciences, University of Oulu, Oulu, Finland. marjo.tourula@oulu.fi
Insights
Infants slept longer outdoors in winter, but prolonged outdoor sleep was limited by increased skin cooling. Appropriate clothing may facilitate longer outdoor sleep by preventing overheating.
Area of Science:
- Pediatric environmental health
- Infant sleep physiology
- Thermoregulation in infants
Background:
- Understanding infant sleep patterns in varying thermal environments is crucial for development.
- Limited research exists on the impact of outdoor winter conditions on infant sleep duration and skin temperature.
Purpose of the Study:
- To investigate the relationship between the thermal environment, infant skin temperatures, and daytime outdoor sleep duration during northern winters.
- To analyze how ambient temperature and air velocity affect infant thermoregulation and sleep during outdoor and indoor sleep periods.
Main Methods:
- A cross-over observational study involving three-month-old infants.
- Continuous recording of skin temperatures from seven sites during outdoor (n=34) and indoor (n=33) sleep in home environments.
- Observation of sleep duration, and measurement of ambient temperature and air velocity.
Main Results:
- Infant skin temperatures decreased during outdoor sleep and increased during indoor sleep.
- The rate of skin temperature decrease (cooling rate) correlated with lower outdoor temperatures, despite increased clothing.
- Outdoor sleep duration was longer but shortened when the skin cooling rate increased.
Conclusions:
- Longest sleep durations were observed outdoors when the skin cooling rate was minimal.
- Clothing restriction may prolong sleep, and cold environments allow for swaddling without overheating.
- Reduced ambient temperatures increased heat loss, indicating partial compensation by clothing.
Aim:
The aim of the study is to describe the relationships among thermal environment, skin temperatures and infants' daytime outdoor sleep duration in northern winter conditions.
Methods:
This study is a cross-over observational study. Skin temperatures of three-month-old infants were recorded from seven skin sites continuously throughout outdoor (n = 34) and indoor sleep (n = 33) in the families' homes. The duration of the sleep was observed, and temperature and the air velocity of the environment were recorded.
Results:
Skin temperatures increased towards the end of indoor sleeping, whereas they decreased during outdoor sleeping. The cooling rate of mean skin temperature (T(sk)) increased in lower outdoor temperatures (r(s) = .628, p < 0.001) in spite of increased clothing. On some occasions, cold extremities were observed, suggesting slight deviations from thermoneutrality. Sleep time was 92 min longer in outdoors than in indoors. However, outdoor sleep duration was shortened when the cooling rate of T(sk) increased (r(s) = 0.611, p < 0.001).
Conclusion:
The longest sleep was recorded outdoors when the cooling rate of T(sk) was minimal. Restriction of movements by clothing probably increases the length of sleep, and a cold environment makes swaddling possible without overheating. A decrease in ambient temperature increased the cooling rate, suggesting that the cold protection of the clothing compensated only partly for the increased heat loss.
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