Sleeping Through the Night: The Consolidation of Self-regulated Sleep Across the First Year of Life
Sleeping Through the Night: The Consolidation of Self-regulated Sleep Across the First Year of Life
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DOI：
10.1542/peds.2010-0976
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发表时间：
2010-11-01
期刊：
影响因子：
8
通讯作者：
Blampied, Neville M.
中科院分区：
文献类型：
--
作者：
Henderson, Jacqueline M. T.;France, Karyn G.;Blampied, Neville M.
目的：调查婴儿第一年自我调节夜间睡眠的巩固情况，以确定婴儿第一次整夜睡眠的时间为 24:00 至 05:00（标准 1）、8 小时（标准 2）或 22:00 至 06:00（家庭一致性标准 3）。 方法：这是一项重复测量的前瞻性纵向研究。 75 名正常发育婴儿的父母在 12 个月内每月完成 6 天的睡眠日记。通过使用视频睡眠图评估家长报告的准确性。结果：自我调节睡眠时间平均增加最多（504 分钟）发生在 1 至 4 个月期间。标准 1 在 2 个月时、标准 2 在 3 个月时和标准 3 在 4 个月时，生存函数下降最快（表明满足标准的概率最大）。对于标准 3，满足标准 1 和 2 的概率为 50%，发生在 3 个月和 5 个月。风险函数确定 2 个月（标准 1 和 2）和 3 个月（标准 3）是最有可能睡整夜的年龄。 12 个月时，11 名婴儿不符合标准 1 或 2，而 21 名婴儿未能满足标准 3。结论：婴儿睡眠调节最快的巩固发生在前 4 个月。无论采用何种标准，大多数婴儿在 2 个月和 3 个月大时都会睡整夜。最有发展意义和社会意义的睡眠标准是从 22: 00 到 0: 600 小时。 5 个月大时，超过一半的婴儿与父母同时睡觉。儿科 2010；126：e1081-e1087
OBJECTIVE: To investigate the consolidation of infants' self-regulated nocturnal sleep over the first year, to determine when infants first sleep through the night from 24:00 to 05:00 hours (criterion 1), for 8 hours (criterion 2), or between 22:00 and 06:00 hours (the family-congruent criterion 3).METHODS: This was a prospective longitudinal study with repeated measures. Parents of 75 typically developing infants completed sleep diaries for 6 days each month for 12 months. Accuracy of parent reports were assessed by using videosomnography.RESULTS: The largest mean increase (504 minutes) in self-regulated sleep length occurred from 1 to 4 months. The survival function decreased most rapidly (indicating greatest probability of meeting criteria) for criterion 1 at 2 months, criterion 2 at 3 months, and criterion 3 at 4 months. A 50% probability of meeting criteria 1 and 2 occurred at 3 months and at 5 months for criterion 3. The hazard function identified 2 months (criteria 1 and 2) and 3 months (criterion 3) as the most likely ages for sleeping through the night. At 12 months, 11 infants did not meet criteria 1 or 2, whereas 21 failed to meet criterion 3.CONCLUSIONS: The most rapid consolidation in infant sleep regulation occurs in the first 4 months. Most infants are sleeping through the night at 2 and 3 months, regardless of the criterion used. The most developmentally and socially valid criterion for sleeping through is from 22: 00 to 0: 600 hours. At 5 months, more than half of infants are sleeping concurrently with their parents. Pediatrics 2010;126:e1081-e1087