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Development of nap neurophysiology: preliminary insights into sleep regulation in early childhood
Authors:Salome Kurth  Jonathan M. Lassonde  Lauren A. Pierpoint  Thomas Rusterholz  Oskar G. Jenni  Ian J. McClain  Monique K. LeBourgeois
Affiliation:1. Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA;2. Division of Pulmonology, University Hospital Zurich, Zurich, Switzerland;3. Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland;4. Child Development Center, University Children's Hospital Zurich, Zurich, Switzerland;5. Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland;6. Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USAShared last authorship.
Abstract:Although all young children nap, the neurophysiological features and associated developmental trajectories of daytime sleep remain largely unknown. Longitudinal studies of napping physiology are fundamental to understanding sleep regulation during early childhood, a sensitive period in brain and behaviour development and a time when children transition from a biphasic to a monophasic sleep–wakefulness pattern. We investigated daytime sleep in eight healthy children with sleep electroencephalography (EEG) assessments at three longitudinal points: 2 years (2.5–3.0 years), 3 years (3.5–4.0 years) and 5 years (5.5–6.0 years). At each age, we measured nap EEG during three randomized conditions: after 4 h (morning nap), 7 h (afternoon nap) and 10 h (evening nap) duration of prior wakefulness. Developmental changes in sleep were most prevalent in the afternoon nap (e.g. decrease in sleep duration by 30 min from 2 to 3 years and by 20 min from 3 to 5 years). In contrast, nap sleep architecture (% of sleep stages) remained unchanged across age. Maturational changes in non‐rapid eye movement sleep EEG power were pronounced in the slow wave activity (SWA, 0.75–4.5 Hz), theta (4.75–7.75 Hz) and sigma (10–15 Hz) frequency ranges. These findings indicate that the primary marker of sleep depth, SWA, is less apparent in daytime naps as children mature. Moreover, our fundamental data provide insight into associations between sleep regulation and functional modifications in the central nervous system during early childhood.
Keywords:brain development  EEG power spectra  napping  sleep electroencephalography  sleep homeostasis  slow wave activity
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