Normative values of polysomnographic parameters in childhood and adolescence: quantitative sleep parameters

Sabine Scholle1, Uta Beyer, Michael Bernhard

  • 1Zentrum für Schlaf- und Beatmungsmedizin, Robert-Koch-Krankenhaus Apolda GmbH, Apolda, Germany. sl@rkk-apolda.de

Sleep Medicine
|May 24, 2011
PubMed

Insights

This study provides normative sleep macroarchitecture values for healthy children aged 1-18 years. Sleep patterns significantly change with age and pubertal development, but not with gender.

Area of Science:

  • Pediatric Sleep Medicine
  • Neuroscience
  • Developmental Biology

Background:

  • Understanding typical sleep macroarchitecture is crucial for identifying sleep disorders in children.
  • Previous studies have provided limited normative data, especially for specific age ranges and using current scoring criteria.

Purpose of the Study:

  • To establish normative values for sleep macroarchitecture in healthy children aged 1-18 years.
  • To investigate the influence of age, gender, and Tanner pubertal stage on sleep parameters.

Main Methods:

  • One-night polysomnography was conducted in 16 laboratories on 209 healthy German children.
  • Data were analyzed using the American Academy of Sleep Medicine (AASM) sleep scoring criteria.

Main Results:

  • Significant age-dependent changes were observed in various sleep parameters, including sleep efficiency, sleep stages (N2, N3, REM), and sleep fragmentation.
  • Total sleep time and sleep period time decreased with age, while the awakening index and stage N2 increased.
  • Sleep macrostructure showed dependencies on Tanner pubertal stages, aligning with age-related changes. No gender differences were detected.

Conclusions:

  • The study provides valuable normative data for pediatric sleep macroarchitecture based on AASM criteria.
  • Findings highlight the dynamic development of sleep patterns throughout childhood and adolescence.
  • Discussion includes factors influencing sleep and AASM guideline modifications for scoring sleep fragmentation.
Abstract

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