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Sleep in infants and toddlers with Down syndrome compared to typically developing peers: looking beyond snoring

Sleep in infants and toddlers with Down syndrome compared to typically developing peers: looking beyond snoring
Sleep in infants and toddlers with Down syndrome compared to typically developing peers: looking beyond snoring
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. 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%), and less night-time sleep (55 mins) and total sleep over 24 hours (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 minutes less night-time and 64 minutes less 24-hour sleep. After controlling for snoring and parental presence, children with DS slept less at night (38 mins) but more in 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.
Down syndrome, Behavioral insomnia, sleep disordered breathing, snoring, sleep ecology, sleep patterns
1389-9457
88-97
Yau, Soonyiu
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Pickering, Ruth
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Gringras, Paul
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Elphick, Heather
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Evans, Hazel
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Farquhar, Michael
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Martin, Jane
bb7a5243-8778-43fa-94fb-ea22a363211b
Joyce, Anna
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Reynolds, Janine
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Kingshott, Ruth
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Mindell, Jodi
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Hill, Catherine
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d
Yau, Soonyiu
87e006cf-6f9e-4025-8a10-3d2507c2d76e
Pickering, Ruth
4a828314-7ddf-4f96-abed-3407017d4c90
Gringras, Paul
c6762f07-b124-4136-8cc1-a517044ae7ef
Elphick, Heather
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Evans, Hazel
11506bb3-ce57-41fa-9966-0b22131a1a35
Farquhar, Michael
ec24a05e-22e9-4e6e-81b1-6a85e6c0ccef
Martin, Jane
bb7a5243-8778-43fa-94fb-ea22a363211b
Joyce, Anna
d1a82273-7d20-4c88-bb27-671c75652f85
Reynolds, Janine
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Kingshott, Ruth
d832ca93-ead4-40f4-bfe6-eef0a5580208
Mindell, Jodi
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Hill, Catherine
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d

Yau, Soonyiu, Pickering, Ruth, Gringras, Paul, Elphick, Heather, Evans, Hazel, Farquhar, Michael, Martin, Jane, Joyce, Anna, Reynolds, Janine, Kingshott, Ruth, Mindell, Jodi and Hill, Catherine (2019) Sleep in infants and toddlers with Down syndrome compared to typically developing peers: looking beyond snoring. Sleep Medicine, 63, 88-97. (doi:10.1016/j.sleep.2019.05.005).

Record type: Article

Abstract

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. 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%), and less night-time sleep (55 mins) and total sleep over 24 hours (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 minutes less night-time and 64 minutes less 24-hour sleep. After controlling for snoring and parental presence, children with DS slept less at night (38 mins) but more in 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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Yau et al-clean-copy-revision_final - Accepted Manuscript
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More information

Accepted/In Press date: 16 May 2019
e-pub ahead of print date: 24 May 2019
Published date: November 2019
Keywords: Down syndrome, Behavioral insomnia, sleep disordered breathing, snoring, sleep ecology, sleep patterns

Identifiers

Local EPrints ID: 431133
URI: http://eprints.soton.ac.uk/id/eprint/431133
ISSN: 1389-9457
PURE UUID: 1cecb322-e9c9-4c94-9ab8-ff5169e086c7
ORCID for Hazel Evans: ORCID iD orcid.org/0000-0001-9366-556X
ORCID for Catherine Hill: ORCID iD orcid.org/0000-0003-2372-5904

Catalogue record

Date deposited: 24 May 2019 16:30
Last modified: 16 Mar 2024 07:52

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Contributors

Author: Soonyiu Yau
Author: Ruth Pickering
Author: Paul Gringras
Author: Heather Elphick
Author: Hazel Evans ORCID iD
Author: Michael Farquhar
Author: Jane Martin
Author: Anna Joyce
Author: Janine Reynolds
Author: Ruth Kingshott
Author: Jodi Mindell
Author: Catherine Hill ORCID iD

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