Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep

The shift from a biphasic to a monophasic sleep schedule is a fundamental milestone in early childhood. This transition, however, may result in periods of acute sleep loss as children may nap on some but not all days. Although data indicating the behavioral consequences of nap deprivation in young c...

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Main Authors: Jonathan M. Lassonde, Thomas Rusterholz, Salome Kurth, Allyson M. Schumacher, Peter Achermann, Monique K. LeBourgeois
Format: Article
Language:English
Published: Elsevier 2016-10-01
Series:Neurobiology of Sleep and Circadian Rhythms
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451994416300050
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author Jonathan M. Lassonde
Thomas Rusterholz
Salome Kurth
Allyson M. Schumacher
Peter Achermann
Monique K. LeBourgeois
author_facet Jonathan M. Lassonde
Thomas Rusterholz
Salome Kurth
Allyson M. Schumacher
Peter Achermann
Monique K. LeBourgeois
author_sort Jonathan M. Lassonde
collection DOAJ
description The shift from a biphasic to a monophasic sleep schedule is a fundamental milestone in early childhood. This transition, however, may result in periods of acute sleep loss as children may nap on some but not all days. Although data indicating the behavioral consequences of nap deprivation in young children are accumulating, little is known about changes to sleep neurophysiology following daytime sleep loss. This study addresses this gap in knowledge by examining the effects of acute nap deprivation on subsequent nighttime sleep electroencephalographic (EEG) parameters in toddlers. Healthy children (n=25; 11 males; ages 30–36 months) followed a strict sleep schedule for ≥5 days before sleep EEG recordings performed on 2 non-consecutive days: one after 13 h of prior wakefulness and another at the same clock time but preceded by a daytime nap. Total slow-wave energy (SWE) was computed as cumulative slow-wave activity (SWA; EEG power in 0.75–4.5 Hz range) over time. Nap and subsequent night SWE were added and compared to SWE of the night after a missed nap. During the night following a missed nap, children fell asleep faster (11.9±8.7 min versus 37.3±22.1 min; d=1.6, p=0.01), slept longer (10.1±0.7 h versus 9.6±0.6 h; d=0.7, p<0.01) and exhibited greater SWA (133.3±37.5% versus 93.0±4.7%; d=0.9, p<0.01) compared to a night after a daytime nap. SWE for combined nap and subsequent night sleep did not significantly differ from the night following nap deprivation (12141.1±3872.9 μV²*h versus 11,588±3270.8 μV²*h; d=0.6, p=0.12). However, compared to a night following a missed nap, children experienced greater time in bed (13.0±0.8 h versus 10.9±0.5 h; d=3.1, p<0.01) and total sleep time (11.2±0.8 h versus 10.1±0.7 h; d=1.4, p<0.01). Shorter sleep latency, longer sleep duration, and increased SWA in the night following a missed nap indicate that toddlers experience a physiologically meaningful homeostatic challenge after prolonged wakefulness. Whether toddlers fully recover from missing a daytime nap in the subsequent night necessitates further examination of daytime functioning.
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spelling doaj.art-a84131a71c9f44a7bec2d7023c0a3d232022-12-21T23:36:03ZengElsevierNeurobiology of Sleep and Circadian Rhythms2451-99442016-10-0111192610.1016/j.nbscr.2016.08.001Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleepJonathan M. Lassonde0Thomas Rusterholz1Salome Kurth2Allyson M. Schumacher3Peter Achermann4Monique K. LeBourgeois5Sleep and Development Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USASection of Chronobiology and Sleep Research, Institute of Pharmacology and Toxicology, University of Zurich, Zurich, SwitzerlandSleep and Development Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USASleep and Development Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USASection of Chronobiology and Sleep Research, Institute of Pharmacology and Toxicology, University of Zurich, Zurich, SwitzerlandSleep and Development Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USAThe shift from a biphasic to a monophasic sleep schedule is a fundamental milestone in early childhood. This transition, however, may result in periods of acute sleep loss as children may nap on some but not all days. Although data indicating the behavioral consequences of nap deprivation in young children are accumulating, little is known about changes to sleep neurophysiology following daytime sleep loss. This study addresses this gap in knowledge by examining the effects of acute nap deprivation on subsequent nighttime sleep electroencephalographic (EEG) parameters in toddlers. Healthy children (n=25; 11 males; ages 30–36 months) followed a strict sleep schedule for ≥5 days before sleep EEG recordings performed on 2 non-consecutive days: one after 13 h of prior wakefulness and another at the same clock time but preceded by a daytime nap. Total slow-wave energy (SWE) was computed as cumulative slow-wave activity (SWA; EEG power in 0.75–4.5 Hz range) over time. Nap and subsequent night SWE were added and compared to SWE of the night after a missed nap. During the night following a missed nap, children fell asleep faster (11.9±8.7 min versus 37.3±22.1 min; d=1.6, p=0.01), slept longer (10.1±0.7 h versus 9.6±0.6 h; d=0.7, p<0.01) and exhibited greater SWA (133.3±37.5% versus 93.0±4.7%; d=0.9, p<0.01) compared to a night after a daytime nap. SWE for combined nap and subsequent night sleep did not significantly differ from the night following nap deprivation (12141.1±3872.9 μV²*h versus 11,588±3270.8 μV²*h; d=0.6, p=0.12). However, compared to a night following a missed nap, children experienced greater time in bed (13.0±0.8 h versus 10.9±0.5 h; d=3.1, p<0.01) and total sleep time (11.2±0.8 h versus 10.1±0.7 h; d=1.4, p<0.01). Shorter sleep latency, longer sleep duration, and increased SWA in the night following a missed nap indicate that toddlers experience a physiologically meaningful homeostatic challenge after prolonged wakefulness. Whether toddlers fully recover from missing a daytime nap in the subsequent night necessitates further examination of daytime functioning.http://www.sciencedirect.com/science/article/pii/S2451994416300050Early childhoodSleep homeostasisNappingRecovery sleepSlow-wave energy
spellingShingle Jonathan M. Lassonde
Thomas Rusterholz
Salome Kurth
Allyson M. Schumacher
Peter Achermann
Monique K. LeBourgeois
Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep
Neurobiology of Sleep and Circadian Rhythms
Early childhood
Sleep homeostasis
Napping
Recovery sleep
Slow-wave energy
title Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep
title_full Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep
title_fullStr Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep
title_full_unstemmed Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep
title_short Sleep physiology in toddlers: Effects of missing a nap on subsequent night sleep
title_sort sleep physiology in toddlers effects of missing a nap on subsequent night sleep
topic Early childhood
Sleep homeostasis
Napping
Recovery sleep
Slow-wave energy
url http://www.sciencedirect.com/science/article/pii/S2451994416300050
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