Music exposure and maturation of late preterm sleep-wake cycles: a randomised crossover trial.

Autor: Stokes A; Department of Pediatrics, Division of Neonatology, University of Maryland School of Medicine, Baltimore, MD, USA.; Neonatology Associates Ltd, Pediatrix Medical Group, Phoenix Children's Hospital, St Joseph Hospital and Medical Center, Phoenix, AZ, USA., Agthe AG; Department of Pediatrics, Division of Neonatology, University of Maryland School of Medicine, Baltimore, MD, USA.; Department of Pediatrics, Division of Neonatology, Vanderbilt University School of Medicine, Nashville, TN, USA., El Metwally D; Department of Pediatrics, Division of Neonatology, University of Maryland School of Medicine, Baltimore, MD, USA.; Department of Pediatrics, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2018 Apr; Vol. 107 (4), pp. 582-586. Date of Electronic Publication: 2017 Oct 11.
DOI: 10.1111/apa.14079
Abstrakt: Aim: To determine the effect of music on sleep-wake cycle (SWC) patterns in late preterm neonates.
Methods: In a masked crossover study, infants between 32 and 36 6/7 weeks gestation were randomised to music exposure either during the first six or last six hours of a 12-hour observation period. SWC characteristics were determined by continuous amplitude-integrated electroencephalography (aEEG) read by two coders masked to exposure sequence. Analysis was performed in paired comparisons. ANOVA was used to assess the effects of music exposure, period and crossover on SWC outcomes: (i) Burdjalov Scores (BS) during active sleep (AS) (ii) per cent and duration of quiet sleep (QS).
Results: Thirty infants were studied. A total of 222 QS cycles (median seven per patient; range five to 12) were analysed. Music exposure was associated with higher BS (F = 10.60, p = 0.0019) in AS and decreased interruptions during QS. The advanced postconceptual age (PCA) SWC pattern during AS was equivalent to a one-week mean. Number, duration and ratio of QS cycles did not change with music exposure.
Conclusion: Music exposure elicits an increasing PCA pattern in AS and fewer interruptions in QS. Music may benefit sleep in late preterm infants.
(©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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