Sensory processing and sleep characteristics in preterm infants in the early period of life

Gülsen Sırtbaş-Işık1, Bilge Nur Yardımcı-Lokmanoğlu1, Ayşe Livanelioğlu1

  • 1Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Developmental and Early Physiotherapy Unit, Ankara, Turkey.

Sleep Medicine
|April 13, 2023
PubMed

Insights

Preterm infants with atypical sensory processing experience poorer sleep, including shorter sleep duration and more wakefulness. Early detection of sensory and sleep issues is crucial for intervention in these vulnerable infants.

Area of Science:

  • Neonatology
  • Developmental Pediatrics
  • Sleep Medicine

Background:

  • Preterm infants exhibit unique developmental trajectories, often facing challenges in sensory processing and sleep regulation.
  • Understanding the interplay between sensory processing and sleep is critical for optimizing health outcomes in this population.

Purpose of the Study:

  • To investigate sensory processing and sleep differences in preterm infants based on gestational age (<32 vs. ≥32 weeks).
  • To compare sleep characteristics between preterm infants with typical versus atypical sensory processing.
  • To examine the relationship between sensory processing and sleep patterns at 3 months corrected age.

Main Methods:

  • 189 preterm infants (54 <32 weeks, 135 ≥32 weeks gestation) were assessed.
  • Sleep characteristics were evaluated using the Brief Infant Sleep Questionnaire.
  • Sensory processing was assessed using the Infant Sensory Profile-2.

Main Results:

  • No significant differences in overall sensory processing or sleep were found between gestational age groups.
  • Preterm infants with atypical sensory processing exhibited significantly shorter nighttime and total sleep durations.
  • Atypical sensory processing was associated with increased nocturnal wakefulness and snoring compared to typical processing.

Conclusions:

  • Sensory processing patterns are significantly linked to sleep characteristics in preterm infants.
  • Atypical sensory processing in preterm infants correlates with disrupted sleep patterns.
  • Early identification of sensory processing difficulties and sleep problems is essential for timely intervention.
Abstract

Related Concept Videos

Understanding Sleep01:11

Understanding Sleep

Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
441
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.5K
Piaget's Stage 1 of Cognitive Development01:14

Piaget's Stage 1 of Cognitive Development

The sensorimotor stage, the initial phase of Jean Piaget's theory of cognitive development, spans the first two years of a child's life. During this period, infants actively engage with their surroundings, building cognitive awareness through direct interaction with the world. This interaction is primarily based on sensory perception and motor actions, allowing infants to gradually understand basic physical properties and predict how objects interact within their environment.
695
Stages of Sleep01:22

Stages of Sleep

Sleep progresses through distinct stages, each characterized by specific brain wave patterns and physiological responses ranging from wakefulness to stages of non-rapid eye movement, known as non-REM, to rapid eye movement, referred to as REM. Understanding these stages helps in recognizing how sleep supports various bodily and cognitive functions.
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
404
Sensory Perception: Organization of the Somatosensory System01:11

Sensory Perception: Organization of the Somatosensory System

The somatosensory system is the central and peripheral nervous system component that senses and processes touch, pressure, pain, temperature, and body position or proprioception. The process of sensation takes place at three levels:
The receptor level:
The receptor level is the first stage of sensation. It involves the detection of a stimulus by specialized sensory receptors. The stimulus must arrive within the receptor's receptive field. Next, the receptor converts the energy of the...
3.2K
The Nativist Approach01:21

The Nativist Approach

The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to...
93