Sleep in infants and toddlers with Down syndrome compared to typically developing peers: looking beyond snoring

Soonyiu Yau1, Ruth M Pickering2, Paul Gringras3

  • 1Division of Clinical Experimental Sciences, Faculty of Medicine, University of Southampton, UK.

Sleep Medicine
|October 14, 2019
PubMed

Insights

Children with Down syndrome (DS) experience more sleep problems and less sleep overall compared to typically developing children. Parental presence during sleep onset significantly impacts sleep duration, highlighting the need for early intervention programs promoting self-soothing skills.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Developmental Psychology

Background:

  • Down syndrome (DS) is associated with various health challenges, including potential sleep disturbances.
  • Understanding sleep patterns in infants and toddlers with DS is crucial for their development and well-being.
  • Sleep ecology, encompassing sleep setting and parental behaviors, may influence sleep quality in young children.

Purpose of the Study:

  • To compare sleep patterns, problems, and sleep ecology in infants and toddlers with Down syndrome (DS) versus typically developing controls.
  • To investigate the roles of snoring and parental behaviors in sleep differences.
  • To identify potential targets for intervention to improve sleep in children with DS.

Main Methods:

  • A cross-sectional study involving parents of 104 children with DS and 489 typically developing controls, aged 6-36 months.
  • Utilized the Brief Infant Sleep Questionnaire (BISQ) to gather data on sleep habits and problems.
  • Employed statistical analyses to explore group differences, controlling for demographic variables.

Main Results:

  • Parents of children with DS reported significantly more sleep problems (45% vs. 19%) and snoring (19% vs. 2%).
  • Children with DS experienced less night-time sleep (-55 minutes) and total 24-hour sleep (-38 minutes).
  • Parental presence at sleep onset was strongly associated with reduced night-time and 24-hour sleep duration, more so than snoring.

Conclusions:

  • Significant differences in sleep patterns and ecology exist between children with DS and controls.
  • Parental presence during sleep onset is a key factor contributing to reduced sleep duration in children with DS.
  • Early intervention programs focusing on self-soothing skills are recommended to mitigate sleep loss in young children with DS.
Abstract

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