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Sleep characteristics, early spontaneous movements, and developmental functioning in preterm infants in the early

Gülsen Sırtbaş-Işık1, Doğan Porsnok1, Bilge Nur Yardımcı-Lokmanoğlu1

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

Sleep Medicine
|January 7, 2024
PubMed

Insights

Adequate sleep duration is crucial for preterm infants, significantly impacting their early development. Shorter sleep is linked to poorer motor, cognitive, and language outcomes, highlighting sleep

Area of Science:

  • Neonatal development
  • Sleep science
  • Developmental pediatrics

Background:

  • Preterm infants exhibit diverse sleep patterns.
  • Early life sleep characteristics may influence neurodevelopment.
  • Understanding sleep's role is vital for optimizing preterm infant care.

Purpose of the Study:

  • To investigate sleep characteristics in preterm infants (9-20 weeks corrected age).
  • To examine associations between sleep patterns and early spontaneous movements.
  • To determine the relationship between sleep characteristics and developmental functioning.

Main Methods:

  • Seventy-four preterm infants assessed using the Brief Infant Sleep Questionnaire (BISQ).
  • Sleep duration categorized into <12 hours and ≥12 hours groups.
  • General Movements Assessment (GMA) and Bayley Scales of Infant and Toddler Development (Bayley-III) used for developmental evaluation.

Main Results:

  • Infants sleeping ≥12 hours showed significantly better motor, cognitive, and language development.
  • Absent fidgety movements were associated with shorter sleep duration (<12 hours).
  • Snoring and frequent nocturnal awakenings correlated with poorer developmental outcomes; prone/supine sleep positions were linked to better motor results.

Conclusions:

  • Sleep characteristics are significantly associated with developmental functioning in preterm infants.
  • Sleep duration and quality appear to be critical for nervous system integrity and early development.
  • Targeting sleep improvements may enhance developmental trajectories in this population.
Abstract

Keywords:
Fidgety movementsGeneral movementsNocturnal awakeningsSleep durationSleep locationSleep positionSnore

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