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Published on: April 19, 2017
Sleep architecture is related to birth season in 1-month-old infants
Anja Kärki1, E Juulia Paavonen2,3, Anna-Liisa Satomaa1
1a Department of Clinical Neurophysiology, Tampere University Hospital, Medical Imaging Centre and Hospital Pharmacy, Pirkanmaa Hospital District , Tampere , Finland.
Insights
Infant sleep patterns vary by birth season. Summer-born infants had more active sleep and less transitional sleep, impacting their total sleep time and awakenings.
Area of Science:
- Pediatrics
- Sleep Medicine
- Chronobiology
Background:
- Infant sleep architecture shows significant individual variability.
- Environmental and genetic factors are implicated but not fully understood.
- Seasonal influences on infant development are increasingly recognized.
Purpose of the Study:
- To investigate the impact of birth season on infant sleep architecture.
- To determine if seasonal light exposure at birth correlates with specific sleep stages.
Main Methods:
- Eighty-five healthy 1-month-old infants participated in overnight polysomnography (PSG).
- Infants were grouped into four seasonal cohorts based on light levels at birth: increasing light (spring), light (summer), increasing darkness (autumn), and dark (winter).
- Sleep architecture, including stage R (active) and stage T (transitional) sleep, was analyzed.
Main Results:
- Infants born in summer exhibited the highest amount of stage R sleep and the lowest amount of stage T sleep.
- Winter-born infants showed the lowest amount of stage R sleep and the highest amount of stage T sleep.
- Summer-born infants had shorter total sleep time (TST) and fewer awakenings.
Conclusions:
- Birth season significantly modifies infant sleep architecture.
- Seasonal variations in light exposure may influence early sleep development.
- This study provides the first PSG evidence linking birth season to distinct infant sleep patterns.
Abstract:
Individual variation in sleep quality, quantity, and architecture is pronounced in small infants. Reasons for this remain largely unclear, even though environmental and genetic factors have been suggested to play a role. In order to study the effect of birth seasons on infant sleep architecture, 85 healthy 1-month-old infants underwent an overnight polysomnography (PSG). The PSGs were conducted in 2011-2013. The cohort was divided into four subgroups according to the amount of seasonal light at the time of birth, with each group covering a period of approximately three months. The groups were labeled IL (increasing light), L (light), ID (increasing darkness), and D (dark), corresponding to spring, summer, autumn, and winter, respectively. We found the amount of stage R sleep (precursor of REM sleep, formerly active sleep) to be the highest in infants born in summer, whereas infants born in winter presented the smallest amount of stage R sleep. Infants born in summer presented the smallest amount of stage T sleep (transitional sleep), while stage T sleep was most abundant in infants born in winter. In addition, infants born in summer showed the shortest total sleep time (TST) and the smallest number of awakenings during the study night. This was the first PSG study to find out that birth season modifies the sleep architecture of infants.
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