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Relationship between sleep characteristics, motor development, and sensory processing in late preterm infants
Rabia Zorlular1, Ali Zorlular1, Bulent Elbasan2
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Nigde Omer Halisdemir University, Nigde, Türkiye.
Insights
Sleep duration and quality in late preterm infants are linked to motor development and sensory processing skills. Further research is needed to confirm these associations and explore interventions.
Area of Science:
- Neonatal development
- Pediatric sleep science
- Neurodevelopmental disorders
Background:
- Late preterm infants (born between 34 and 36 weeks gestation) represent a significant proportion of births and are at increased risk for developmental challenges.
- Sleep disturbances are common in preterm infants and may impact neurodevelopmental outcomes.
- Understanding the interplay between sleep, motor skills, and sensory processing is crucial for early identification and intervention.
Purpose of the Study:
- To examine the relationship between sleep characteristics and motor development in late preterm infants.
- To investigate the association between sleep patterns and sensory processing abilities in this population.
- To identify specific sleep parameters that may influence neurodevelopmental trajectories.
Main Methods:
- A cross-sectional study involving 81 late preterm infants aged 6-9 months corrected age.
- Sleep characteristics assessed using the Brief Infant Sleep Questionnaire.
- Motor development evaluated with the Peabody Developmental Motor Scales-2 (PDMS-2) and sensory processing skills with the Test of Sensory Functions in Infants (TSFI).
- Linear and multiple regression analyses were performed, adjusting for corrected age, gestational age, and birth weight.
Main Results:
- Nighttime sleep duration, number of night awakenings, sleep onset latency, and longest continuous sleep duration were significantly associated with both PDMS-2 and TSFI scores.
- Multivariate analyses indicated that nighttime sleep duration was associated with TSFI subtests and total score.
- Nighttime sleep duration and corrected age were associated with the PDMS-2 total score.
Conclusions:
- Sleep characteristics, particularly nighttime sleep duration, appear to be associated with motor development and sensory processing skills in late preterm infants.
- These findings highlight the potential importance of evaluating sleep in the context of neurodevelopmental assessments for this vulnerable population.
- Longitudinal studies are recommended to establish causality and inform potential intervention strategies.
Objective:
The study aimed to investigate the relationship between sleep and motor development and sensory processing skills in late preterm infants.
Methods:
This cross-sectional study included 81 late preterm infants with a corrected age of 6-9 monthsThe infants' sleep characteristics, motor development, and sensory processing skills were assessed using three assessment tools, respectively: The Brief Infant Sleep Questionnaire, Peabody Developmental Motor Scales-2 (PDMS-2), and Test of Sensory Functions in Infants (TSFI). Linear and multiple regression analyses were conducted to asses the relationship between sleep characteristics and both PDMS-2 and TSFI scores. Models were adjusted for corrected age, gestational age, and birth weight.
Results:
Nighttime sleep duration (p = 0.001, p = 0.001), number of night awakenings (p = 0.003, p = 0.001), sleep onset latency (p = 0.001, p = 0.001), and longest continuous night sleep (p = 0.044, p = 0.001) were found to be statistically related to the PDMS-2 total score and TSFI total score. Multiple regression models were used for outcomes significantly associated with multiple predictors in univariate analyses to evaluate adjusted effects and control for confounders. Considering the multivariate model results, nighttime sleep duration (p < 0.05) was statistically associated with TSFI subtests and total score. Additionally, nighttime sleep duration and corrected age were observed to be associated with the PDMS-2 total score. (p < 0.05).
Conclusion:
In this cross-sectional study, it was observed that sleep characteristics, especially nighttime sleep duration, may be associated with motor development and sensory processing skills in late preterm infants. Evaluation of sleep and its associations with motor-sensory development in late preterm infants may provide useful insights, but longitudinal studies are needed before concluding potential intervention strategies.
Clinical Trials:
The study was registered with ClinicalTrials.gov with the number NCT06880588.
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