Cargando…

Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants

The purpose of this study was to determine the effects of body position (prone, supine and lateral) together with sleep status (wake and sleep) on the cardiorespiratory stability of near-term infants. A total of 53 infants (gestational age at birth 33.2 ± 3.5 weeks; birth weight 1,682 ± 521 g; gesta...

Descripción completa

Detalles Bibliográficos
Autores principales: Oishi, Yoshihisa, Ohta, Hidenobu, Hirose, Takako, Nakaya, Sachiko, Tsuchiya, Keiji, Nakagawa, Machiko, Kusakawa, Isao, Sato, Toshihiro, Obonai, Toshimasa, Nishida, Hiroshi, Yoda, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995963/
https://www.ncbi.nlm.nih.gov/pubmed/29891999
http://dx.doi.org/10.1038/s41598-018-27212-8
_version_ 1783330719855017984
author Oishi, Yoshihisa
Ohta, Hidenobu
Hirose, Takako
Nakaya, Sachiko
Tsuchiya, Keiji
Nakagawa, Machiko
Kusakawa, Isao
Sato, Toshihiro
Obonai, Toshimasa
Nishida, Hiroshi
Yoda, Hitoshi
author_facet Oishi, Yoshihisa
Ohta, Hidenobu
Hirose, Takako
Nakaya, Sachiko
Tsuchiya, Keiji
Nakagawa, Machiko
Kusakawa, Isao
Sato, Toshihiro
Obonai, Toshimasa
Nishida, Hiroshi
Yoda, Hitoshi
author_sort Oishi, Yoshihisa
collection PubMed
description The purpose of this study was to determine the effects of body position (prone, supine and lateral) together with sleep status (wake and sleep) on the cardiorespiratory stability of near-term infants. A total of 53 infants (gestational age at birth 33.2 ± 3.5 weeks; birth weight 1,682 ± 521 g; gestational age at recording 38.6 ± 2.1 weeks; weight at recording: 2,273 ± 393 g) were monitored for 24 hours for clinically significant apnea (>15 seconds), bradycardia (<100 bpm), and oxygen desaturation (SpO(2) < 90%) in alternating body positions (prone, supine and lateral) by cardiorespiratory monitors and 3-orthogonal-axis accelerometers. Sleep status of the infants was also continuously monitored by actigraphs. No apnea was observed. During wake, severe bradycardia was most frequently observed in the lateral position while, during sleep, severe bradycardia was most frequently observed in the supine position. Desaturation was most frequently observed in the supine and lateral positions during both wake and sleep. Our study suggests that the cardiorespiratory stability of infants is significantly compromised by both body position and sleep status. During both wake and sleep, prone position induces the most stable cardiorespiratory functions of near-term infants.
format Online
Article
Text
id pubmed-5995963
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-59959632018-06-21 Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants Oishi, Yoshihisa Ohta, Hidenobu Hirose, Takako Nakaya, Sachiko Tsuchiya, Keiji Nakagawa, Machiko Kusakawa, Isao Sato, Toshihiro Obonai, Toshimasa Nishida, Hiroshi Yoda, Hitoshi Sci Rep Article The purpose of this study was to determine the effects of body position (prone, supine and lateral) together with sleep status (wake and sleep) on the cardiorespiratory stability of near-term infants. A total of 53 infants (gestational age at birth 33.2 ± 3.5 weeks; birth weight 1,682 ± 521 g; gestational age at recording 38.6 ± 2.1 weeks; weight at recording: 2,273 ± 393 g) were monitored for 24 hours for clinically significant apnea (>15 seconds), bradycardia (<100 bpm), and oxygen desaturation (SpO(2) < 90%) in alternating body positions (prone, supine and lateral) by cardiorespiratory monitors and 3-orthogonal-axis accelerometers. Sleep status of the infants was also continuously monitored by actigraphs. No apnea was observed. During wake, severe bradycardia was most frequently observed in the lateral position while, during sleep, severe bradycardia was most frequently observed in the supine position. Desaturation was most frequently observed in the supine and lateral positions during both wake and sleep. Our study suggests that the cardiorespiratory stability of infants is significantly compromised by both body position and sleep status. During both wake and sleep, prone position induces the most stable cardiorespiratory functions of near-term infants. Nature Publishing Group UK 2018-06-11 /pmc/articles/PMC5995963/ /pubmed/29891999 http://dx.doi.org/10.1038/s41598-018-27212-8 Text en © The Author(s) 2018 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Oishi, Yoshihisa
Ohta, Hidenobu
Hirose, Takako
Nakaya, Sachiko
Tsuchiya, Keiji
Nakagawa, Machiko
Kusakawa, Isao
Sato, Toshihiro
Obonai, Toshimasa
Nishida, Hiroshi
Yoda, Hitoshi
Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
title Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
title_full Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
title_fullStr Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
title_full_unstemmed Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
title_short Combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
title_sort combined effects of body position and sleep status on the cardiorespiratory stability of near-term infants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995963/
https://www.ncbi.nlm.nih.gov/pubmed/29891999
http://dx.doi.org/10.1038/s41598-018-27212-8
work_keys_str_mv AT oishiyoshihisa combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT ohtahidenobu combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT hirosetakako combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT nakayasachiko combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT tsuchiyakeiji combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT nakagawamachiko combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT kusakawaisao combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT satotoshihiro combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT obonaitoshimasa combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT nishidahiroshi combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants
AT yodahitoshi combinedeffectsofbodypositionandsleepstatusonthecardiorespiratorystabilityofnearterminfants