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Published on: October 2, 2019
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.
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.
Aims:
To compare sleep in infants and toddlers with Down syndrome (DS) to typically developing controls, including differences in snoring and sleep ecology (sleep setting and parent behaviors).
Methods:
Parents of 104 children with DS and 489 controls aged 6-36 months completed the Brief Infant Sleep Questionnaire (BISQ). We explored group differences, controlling for demographic variables.
Results:
Parents of children with DS reported more sleep problems (45% v 19%), snoring (19% vs 2%), room-sharing (37% vs 17%), as well as less night-time sleep (55 mins) and total sleep over 24 h (38 mins). They were more likely to be present when their child fell asleep (OR 4.40). Snoring increased night waking but did not limit night-time/24-hour sleep. However, parental presence was associated with 55 min less night-time and 64 min less 24-hour sleep. After controlling for snoring and parental presence, children with DS slept less at night (38 mins) but more during the day (21 mins) with no significant difference in 24-hour sleep.
Conclusions:
Overall, significant differences in sleep patterns, problems, and ecology were found between children with DS and controls. Parental presence at settling, not snoring, explained most differences, including over an hour's less 24-hour sleep. Early intervention programmes that promote self-soothing skills could prevent the burden of sleep loss in young children with DS.
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