Influence of intra- and extrauterine factors on infant sleep in the first 6 months of life

Zandoná, Bianca; Matos, Salete de; Bernardi, Juliana Rombaldi; Goldani, Marcelo Zubarán; Kieling, Renata R.; Silva, Clécio Homrich da

doi:10.1016/j.jped.2020.01.007

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…As reported in Zandoná et al’s interesting article, 1 prenatal medical factors such as smoking, hypertension, diabetes, and intrauterine growth restriction bore no relation with infant sleep during this early time period. In contrast, extrauterine factors such as breastfeeding, family income, mothers’ education, and depressive symptoms did show some linkages.…”

mentioning

confidence: 77%

“…Let me first turn to measurement concerns. Infant sleep in Zandoná et al 1 was assessed using four questions from the Child Sleep Questionnaire: (1) What is the total duration of your child’s sleep during the day? ; (2) What is the total duration of your child’s sleep at night?…”

Section: Measuring Infant Sleepmentioning

confidence: 99%

“…In addition to focusing on intrauterine factors, Zandoná et al 1 examined several environmental influences on infant sleep in the first six months. I was pleased to see this, because the study of environmental influences on infant development and infant sleep has been developing rapidly in the past decade.…”

Section: Environmental Mechanisms Predictive Of Infant Sleepmentioning

confidence: 99%

“…Similarly, while Zandoná et al 1 found that higher levels of maternal depressive symptoms were associated with longer infant sleep latencies, the mechanisms linking mothers’ depressive symptoms with infant sleep were not explored. An important question to be asked first is, what is the direction of influence here?…”

Section: Environmental Mechanisms Predictive Of Infant Sleepmentioning

confidence: 99%

See 3 more Smart Citations

Determinants of infant sleep: a call for precise measurement and mechanisms of influence

Teti

2021

Jornal de Pediatria

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mentioning

confidence: 77%

Section: Measuring Infant Sleepmentioning

confidence: 99%

Section: Environmental Mechanisms Predictive Of Infant Sleepmentioning

confidence: 99%

Section: Environmental Mechanisms Predictive Of Infant Sleepmentioning

confidence: 99%

See 2 more Smart Citations

Determinants of infant sleep: a call for precise measurement and mechanisms of influence

Teti

2021

Jornal de Pediatria

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“…Matching criteria included subjects’ sex and chronological age at both assessment timepoints at ages 3 and 6 months (maximum difference of equal or less than ± 10 days at each timepoint). Inclusion criteria were healthy infants aged 0–5.5 months at baseline, born at term (37–42 weeks of gestation), and being mainly breastfed at time of inclusion (at least 50% of daily nutrition intake) to match with the control group [ 25 ]. Only vaginal birth was allowed in the control cohort, whereas no restrictions regarding birth mode were applied in the propranolol group.…”

Section: Methodsmentioning

confidence: 99%

Sleep behavior of infants with infantile hemangioma treated with propranolol—a cohort study

et al. 2021

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Sleep problems are frequently reported in infants treated with propranolol for infantile hemangiomas, possibly serving as a marker for a negative impact on central nervous system function. In this cohort study, we objectively investigate the sleep behavior of infants with infantile hemangiomas on propranolol compared to a healthy, untreated control group. Sleep of propranolol-treated infants and controls was investigated using ankle actigraphy and a 24-h diary for 7–10 days at ages 3 and 6 months. The main outcome measures were the Number of Nighttime Awakenings and Sleep Efficiency. The main secondary outcome measures included 24-hour Total Sleep, daytime sleep behavior, and parent-rated infant sleep quality and behavioral development based on the Brief Infant Sleep Questionnaire (BISQ) and the age-appropriate Ages-and-Stages Questionnaire (ASQ), respectively. Fifty-four term-born infants were included in each cohort. No group difference in any investigated parameter was seen at age 3 months. At age 6 months, the propranolol group exhibited a decrease in Sleep Efficiency and a trend towards an increased Number of Nighttime Awakenings compared to the control group. Treated infants at 6 months also had shorter daytime waking periods. 24-hour Total Sleep was unaffected by propranolol. No negative impact of propranolol on subjective sleep quality and behavioral development was noted.Conclusion: Propranolol exerts a measurable yet mild impact on objectively assessed infants’ sleep measures. Behavioral developmental scores were unaffected. Our results support propranolol as first-line therapy for complicated infantile hemangiomas. What is Known:• Sleep disorders are frequently reported in infants with infantile hemangiomas treated with propranolol and often lead to treatment discontinuation.• Investigations of the sleep pattern in this patient group using objective measures are lacking. What is New:• The sleep pattern of propranolol-treated infants is assessed using actigraphy and a 24-h sleep diary and compared to healthy, untreated controls.• Propranolol leads to a decreased sleep efficiency at night and an increased demand of daytime sleep, yet effects are mild overall.

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Sleep disturbances are associated with feeding practices and age in preterm infants

Silveira,

Serra-Negra,

Prado

et al. 2023

Sleep Medicine

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Influence of intra- and extrauterine factors on infant sleep in the first 6 months of life

Cited by 6 publications

References 28 publications

Determinants of infant sleep: a call for precise measurement and mechanisms of influence

Determinants of infant sleep: a call for precise measurement and mechanisms of influence

Sleep behavior of infants with infantile hemangioma treated with propranolol—a cohort study

Sleep disturbances are associated with feeding practices and age in preterm infants

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