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Normative values for sleep parameters in pre-schoolers using actigraphy




TekijätLassi Sahlberg, Helena Lapinleimu, Marko Elovainio, Hanni Rönnlund, Irina Virtanen

KustantajaELSEVIER IRELAND LTD

Julkaisuvuosi2018

JournalClinical Neurophysiology

Tietokannassa oleva lehden nimiCLINICAL NEUROPHYSIOLOGY

Lehden akronyymiCLIN NEUROPHYSIOL

Vuosikerta129

Numero9

Aloitussivu1964

Lopetussivu1970

Sivujen määrä7

ISSN1388-2457

eISSN1872-8952

DOIhttps://doi.org/10.1016/j.clinph.2018.06.027


Tiivistelmä
Objective: There are currently no reference values for actigraphy-measured sleep length and fragmentation in preschool children. We created standardized parameters using a community sample.Methods: Ninety-seven 2-to-6-year-old children (56 boys) wore an actigraph on their non-dominant wrist for seven days. The data was extracted and scored, calculating total sleep time, sleep latency, sleep efficiency, fragmentation index, circadian rhythm length, cosine peak and light/dark ratio. Subjects were divided into groups of 2-3-year-olds, 4-5-year-olds and 6-year-olds. Means and standard deviations were calculated, and reference values were created using the 2.5th and the 97.5th percentiles.Results: Reference intervals were 7 h 23 min-9 h 47 min for 24-hour total sleep time, 0.2-48.4 min for sleep latency, 69-87% for sleep efficiency, 23-53% for fragmentation index, 23 h 39 min-24 h 24 min for circadian rhythm length, 12: 37-15: 53 for the timing of the cosine peak, and 1.14-5.63 for the light-dark ratio. With increasing age, daily sleep time, sleep latency, sleep fragmentation, and napping decreased.Conclusions: We were able to create previously non-established reference values, including trends with increasing age, on actigraphy-assessed sleep in preschool children.Significance: Sleep disorders in young children are easier to evaluate against normative data. (C) 2018 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.



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