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Published on: October 2, 2019
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
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.
Objective:
To provide normative values for sleep macroarchitecture of healthy children aged 1-18 years using the AASM sleep scoring criteria, assessing the effects of gender, age, and Tanner pubertal stage.
Methods:
One-night polysomnography was performed at subjects' habitual bedtimes in 16 laboratories on 209 healthy German children.
Results:
Normal values of sleep macrostructure show significant age dependencies (p<0.05). Increasing with age: awakening index, R latency (RL), sleep efficiency (SE) (total sleep time (TST)/sleep period time (SPT)) and SE (TST/time in bed), stage N2, mean sleep cycle duration, number of stage shifts. Decreasing with age: TST, SPT, wake after sleep onset, stage N3, stage R, movement time (MT), number of sleep cycles. The following sleep parameters show a dependency on Tanner stages as well as corresponding age (p<0.05):TST, SPT, awakening index, R latency, stage N2, stage N3, MT, number of sleep cycles, mean sleep cycle duration. No gender dependencies were found.
Conclusion:
The given study, considering AASM rules, shows the development of sleep in normal children ages 1-18. Subject selection criteria and other factors influencing sleep as well AASM guideline modifications including scoring arousals in N2 and scoring MT as a measure of sleep fragmentation are discussed.
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