Electroencephalographic sleep macrostructure and sleep spindles in early infancy
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Published on: October 24, 2019
Soraia Ventura1,2, Sean R Mathieson1,2, John M O'Toole1,2
1Department of Paediatrics & Child Health, University College Cork, Cork, Ireland.
Insights
This study provides normative sleep data for 4-5 month old infants, revealing sex-based differences in sleep spindle spectral power and brain symmetry. These findings offer valuable insights into infant brain maturation and potential biomarkers for neurodevelopmental studies.
Area of Science:
- Neuroscience
- Developmental Biology
- Sleep Medicine
Background:
- Infant sleep patterns are crucial indicators of brain development.
- Normative data for sleep macrostructure and sleep spindles in early infancy are limited.
- Understanding these patterns can help identify potential biomarkers for neurodevelopmental outcomes.
Purpose of the Study:
- To establish normative values for sleep macrostructure and sleep spindles in healthy 4-5 month old infants.
- To investigate the influence of sex, recording time, and age on these sleep features.
- To provide a reference dataset for future research on infant sleep and neurodevelopment.
Main Methods:
- Recruited healthy term infants and recorded daytime sleep electroencephalograms (EEGs) at 4-5 months.
- Performed sleep staging and analyzed five macrostructure features.
- Annotated sleep spindles and extracted seven quantitative features for analysis.
- Examined variations across sex, recording time, infant age, and sleep cycles.
Main Results:
- Analyzed recordings from 91 infants, detailing sleep duration, REM percentage, and REM latency.
- Reported median values for sleep spindle features including number, density, frequency, duration, spectral power, brain symmetry index, and synchrony.
- Observed significant sex-based differences: males had lower spindle spectral power and higher brain symmetry index than females.
- Found no other significant associations with sex, recording time, or age; spectral power decreased in the second sleep cycle.
Conclusions:
- The established normative data for infant sleep macrostructure and spindles can serve as a benchmark.
- These findings highlight sex-specific variations in sleep spindle characteristics during early development.
- This data is valuable for comparative studies on sleep dysfunction and atypical neurodevelopment in infancy.
Study Objectives:
Sleep features in infancy are potential biomarkers for brain maturation but poorly characterized. We describe normative values for sleep macrostructure and sleep spindles at 4-5 months of age.
Methods:
Healthy term infants were recruited at birth and had daytime sleep electroencephalograms (EEGs) at 4-5 months. Sleep staging was performed and five features were analyzed. Sleep spindles were annotated and seven quantitative features were extracted. Features were analyzed across sex, recording time (am/pm), infant age, and from first to second sleep cycles.
Results:
We analyzed sleep recordings from 91 infants, 41% females. Median (interquartile range [IQR]) macrostructure results: sleep duration 49.0 (37.8-72.0) min (n = 77); first sleep cycle duration 42.8 (37.0-51.4) min; rapid eye movement (REM) percentage 17.4 (9.5-27.7)% (n = 68); latency to REM 36.0 (30.5-41.1) min (n = 66). First cycle median (IQR) values for spindle features: number 241.0 (193.0-286.5), density 6.6 (5.7-8.0) spindles/min (n = 77); mean frequency 13.0 (12.8-13.3) Hz, mean duration 2.9 (2.6-3.6) s, spectral power 7.8 (4.7-11.4) µV2, brain symmetry index 0.20 (0.16-0.29), synchrony 59.5 (53.2-63.8)% (n = 91). In males, spindle spectral power (µV2) was 24.5% lower (p = .032) and brain symmetry index 24.2% higher than females (p = .011) when controlling for gestational and postnatal age and timing of the nap. We found no other significant associations between studied sleep features and sex, recording time (am/pm), or age. Spectral power decreased (p < .001) on the second cycle.
Conclusion:
This normative data may be useful for comparison with future studies of sleep dysfunction and atypical neurodevelopment in infancy. Clinical Trial Registration: BABY SMART (Study of Massage Therapy, Sleep And neurodevelopMenT) (BabySMART)URL: https://clinicaltrials.gov/ct2/show/results/NCT03381027?view=results.ClinicalTrials.gov Identifier: NCT03381027.
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