Sleep Style Affects Kids' Sleep Apnea
More Respiratory Problems Seen When Toddlers Slept on Their Backs
Nov. 21, 2005 -- Toddlers with sleep apnea may experience more respiratory
problems while sleeping on their backs, compared with other body positions.
That's the finding of a small study of toddlers with sleep apnea. A larger
study may be needed to check the results, the researchers note.
Meanwhile, they're not making new recommendations about sleep positions. The
study by Kevin Pereira, MD, and colleagues appears in the Archives of
Otolaryngology -- Head & Neck Surgery.
Half a million American children have obstructive sleep apnea, note Pereira
Pereira works at the University of Texas Health Science Center at Houston.
He's on staff in the center's department of otolaryngology -- head and neck
Sleep Apnea Study
Data came from 60 children aged 3 years or younger with obstructive sleep
apnea, a serious medical problem in which breathing is interrupted during
The children had been seen at a sleep disorders center in Houston and later
had their tonsils and adenoids removed.
At the sleep center, the children's sleep positions were tracked. More
respiratory problems were seen when the children slept on their backs, the
Toddlers Sleep Differently
Other work has shown that adults with sleep apnea breathe better when
they're not sleeping on their backs. Past studies of children have had mixed
results and rarely included very young children, the researchers note.
"Our observations suggest that toddlers have sleep characteristics that
are different from those of older children," they write.
"Sleep studies may have to take these age-group differences into
consideration before declaring the findings adequate for interpretation,"
Few Infants Studied
Very few kids in Pereira's study were infants. So the researchers aren't
countering advice to put infants to sleep on their backs.
"We cannot comment on the relevance of our findings to the practice of
putting infants to sleep on their backs to avoid sudden infant death
syndrome," Pereira's team writes.
Sudden infant death syndrome, or SIDS, is the sudden and unexplained death
of an infant under 1 year of age. Its cause isn't known.
Put infants to sleep on their backs to reduce SIDS risk, recommends the
American Academy of Pediatrics.
Check with your baby's doctor if you have any questions or concerns about
your baby's sleep positions or breathing.