QT interval in early human malnutrition and after nutritional rehabilitation.
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Arrhythmias, Cardiac↗
Biomedical subjects
P Salzarulo
Publications and source records attributed to P Salzarulo.
Spontaneous awakening from sleep in infants.
Spontaneous awakenings from sleep were studied in a group of 20 infants whose sleep-waking patterns were recorded polygraphically for 24 h. While 10 infants were orally fed the other 10 underwent continuous feeding for various gastrointestinal diseases. Spontaneous awakening from sleep was analysed with regard to the prior sleep state, age and feeding condition. Infants awoke preferentially out of REM sleep and less often out of non-REM sleep. The feeding condition had no significant influence on the distribution of awakenings. The propensity for REM awakenings was significantly greater than would have been expected according to the REM sleep amount. This tendency was more pronounced for younger (less than or equal to 3 months) than for older (greater than or equal to 4 months) infants. REM sleep episodes which were interrupted by awakenings were significantly shorter than uninterrupted ones, since awakenings occurred predominantly shortly after REM sleep onset. It is proposed that the specific pattern of brain activity during REM sleep facilitates the transition from sleep into the waking state, particularly in the youngest infants.
Brain↗
Spontaneous non-nutritive sucking in continuously fed infants.
In order to investigate the effects of a deprivation of the nutritive sucking (NS) on the activity of non-nutritive sucking (NNS), we examined 8 infants (ages 1-13 months) continuously fed by intracaval catheter. They had no NS experience at all from birth. Eight age-matched normally fed infants served as controls. The infants were examined for a full 24-h period by polygraphic recordings and behavioural observation. The amount of NNS was computed for the whole 24-h period and separately for each behavioural state (waking, quiet sleep, paradoxical sleep and ambiguous sleep). All the continuously fed infants showed a typical pattern of NNS. There were no differences in amount of NNS between continuously fed and control infants in any behavioural state. These results suggest that NS does not contribute to the long term maintenance of the NNS activity.
Child Behavior↗
Long term continuously fed infants do not develop heart rate circadian rhythm.
Heart rate (HR) was studied separately for three behavioral states (waking, paradoxical sleep, quiet sleep) at four periods of the nycthemeron, in 8 infants continuously fed from birth. Continuously fed infants show no significant differences for each of the three behavioural states between the HR values of the four periods of the nycthemeron, while controls show a clear decrease during the night-time. Differences between term behavioral states exist both in continuously fed infants and in controls. Long term continuous nutrition does not allow for the establishment of the circadian modulation of HR.
Analysis of Variance↗
REM latency: development in the first year of life.
The development of REM latency in the first year of life was investigated in two groups of 10 infants each. While 10 infants were normal, the other 10 underwent continuous feeding for various gastrointestinal diseases. Each infant was continuously recorded polygraphically for 24 h. While younger infants (less than or equal to 3 months) manifested predominantly shorter REM latencies (less than or equal to 8 min), older infants (4-13 months) produced a mixed distribution of short and long REM latencies. The total distribution of the REM latencies appears to be bimodal with latencies either shorter than 8 min or longer than 16 min. It is only in the group of older infants that the temporal distribution of REM latencies constitutes a diurnal rhythm, with the longest latencies in the interval between 12:00 and 16:00 and the shortest between 4:00 and 8:00. In the group of older infants, REM latency also depends on the duration of prior wakefulness. Long REM latencies are significantly more often preceded by long episodes of wakefulness than are short REM latencies. The different feeding conditions had only a minor effect on REM latency.
Humans↗
Sinus pauses in early human malnutrition during waking and sleeping.
7 malnourished infants were studied before and after nutritional rehabilitation through long term polygraphic recordings during waking and sleeping. High amounts of sinus pauses (R-R interval comprised between 20 and 90% of the preceding interval) have been found in malnourished infants, mainly during quiet sleep. After the nutritional rehabilitation there is a dramatic reduction. The high amount of sinus pauses in infants suffering from severe malnutrition may reflect a disturbance of neurovegetative regulation, which is enhanced by sleep.
Arrhythmia, Sinus↗
Sleep problems in children and their relationship with early disturbances of the waking-sleeping rhythms.
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Adolescent↗
Associative relationships between pre-sleep sentence stimuli and reports of mental sleep experience.
The aim of this experiment was to study some linguistic relationships between pre-sleep verbal stimuli and contents of reports of mental experience during sleep. In 4 weekly sessions 16 subjects listened before sleep to a sentence stimulus, which was either semantically acceptable (SEM+) or not (SEM-), and were told to retain it for a recall test after awakening; they were awakened once each night during NREM or REM sleep and asked to report their mental experience during sleep. The relationships between the stimulus and the contents of the reports were classified using Clark's (1970) associative rules. Both pre-sleep sentence stimuli were frequently incorporated into contents of NREM and REM reports, without significant differences between the two types of sleep. The SEM+ sentence led prevalently to incorporations through paradigmatic associative relationships, while the SEM- sentence led to incorporations through both paradigmatic and syntagmatic relationships. It appears that all the features of the lexical constituents of the stimulus may be involved in the processing leading to incorporation.
Adult↗
Developmental trend of quiet sleep is altered by early human malnutrition and recovered by nutritional rehabilitation.
Thirteen infants malnourished from birth have been recorded with polygraphic techniques continuously for 24 h. The developmental trend of Quiet Sleep was found to be altered; infants older than 4 months had a diminution of Quiet Sleep with shorter phases. Ambiguous Sleep was increased. These findings reflect the effects of malnutrition on central nervous system development and could have implications for growth and for anabolic processes. Nutritional rehabilitation performed through an intracave catheter led to an increase of Quiet Sleep and to a decrease of Ambiguous Sleep.
Child Development↗
Sleep states development in the first year of life assessed through 24-h recordings.
Sleep measures have been evaluated in 13 normal infants aged between 2 weeks and 11 months 3 weeks, with 24 h polygraphic records. Values over the whole 24 h period show that quiet sleep (QS) increases with age while paradoxical sleep (PS) and ambiguous sleep (AmbS) decrease; however, when the 24 h period is split into two periods (day-time, night-time) it can be seen that QS increases only during the night-time while PS and AmbS decrease only during the day-time. The QS in older subjects becomes mainly located at the beginning of the night-time period, when particularly long phases take place. The distribution during the night-time of PS (in terms of the amount and of the mean duration of the phases) does not change with age.
Age Factors↗
[Temporal organization of sleep cycles in infants over 24-hour periods].
11 infants aged between 2 weeks and 6 months were continuously recorded for 24 h using polygraphic techniques. The duration of the sleep cycles and the proportion of quiet sleep and of paradoxical sleep within each cycle have been evaluated as a function of age and time during the nychthemeron. The duration of the cycles during the day-time in the older infants is shorter than the duration of the cycles during the night-time and the duration of both day-time and night-time cycles in the young infants. No differences at any age have been found among different parts of the night-time recording. The proportion of quiet sleep and paradoxical sleep within the cycle is different as a function of age but not as a function of duration of the cycle. Age does not affect the QS/PS proportion and the duration of the cycle in the same way.
Child Development↗
Sleep related growth hormone and prolactin secretion in children during constant rate enteral nutrition.
The aim of this study was to investigate the nocturnal secretion of growth hormone and prolactin in a particular model where nutrients are delivered continuously. Six children with severe intestinal diseases undergoing total constant rate enteral nutrition for 1.5 to 8 months have been studied; all children had a normal nutritional status at the time of the recording. Sleep patterns were studied by the usual polygraphic methods from 10 p.m. to 8 a.m. Blood samples were taken every 20 min through an indwelling catheter for growth hormone and prolactin plasma level determination. Several growth hormone peaks were observed with a peak always secreted in connection with stage III-IV of the first cycle. This early peak was significantly higher than the following ones. Nocturnal patterns of prolactin secretion showed individual differences characterized by a series of episodic releases which consisted of a few long rises (4 patients) and several small fluctuations; no correlation was found with the sleep patterns; no increase in the level throughout the night was observed. Loss of the rhythmicity of alimentation does not alter the secretion of growth hormone during sleep.
Adolescent↗
Weight changes and sleep organisation in infants.
We have studied the relationship between weight changes and polygraphically recorded sleep, during a 24 hour period, of 26 infants aged between 2 and 11 months. Weight changes (in percentage within a period of 24 h) have been found to be correlated with the following sleep parameters: total amount of ambiguous sleep, percentage of time spent in cycle of the total sleep time, mean length of the cycles. We speculate that this relationship could be important when weight variations do not proceed as expected only on the basis of the clinical conditions and the caloric intake.
Body Weight↗
[Sleep onset in infants under continuous feeding from birth: 24 hour recordings (author's transl)].
The distribution in the 24 h period and the electrophysiological patterns of sleep onset have been studied in 18 infants fed continuously from birth to the age of between 1 month 2 weeks and 8 months 2 weeks. Continuous feeding modified neither the number nor the distribution of sleep onsets in the 24 h period. However, some differences with a control group did occur. The number of quiet sleep onsets in younger infants and of paradoxical sleep onsets in older infants were increased in continuously fed infants. In addition, the pattern of sleep onset in continuously fed infants bore no relation to the duration of the waking period preceding it, in contrast to the control group.
Circadian Rhythm↗
[EEG sleep activity in a phenylketonuric child of the 'new variant' type, before and after treatment with 5-HTP and L-DOPA (author's transl)].
The EEG during the sleep of a 'new variant' (having a dihyropteridine reductase deficiency) phenylketonuric child, aged 11 months, has been studied under low phenylalanine and following a substitute treatment with 5-HTP and L-DOPA. Prior to treatment, a paroxystic type of activity composed of spikes and/or polyspikes associated with sharp theta waves was chiefly observed during paradoxical sleep (PS). After a 10 day treatment with 5-HTP and L-DOPA, the EEG was not modified. However, after 6 months of this therapy, the paroxysms disappeared as well as the spindles; the quiet sleep trace was disorganized. The EEG modifications observed could be due to an evolution of the illness, if the substitute treatment was begun too late to go into effect.
Electroencephalography↗
Sleep patterns in the "new variant" phenylketonuria.
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5-Hydroxytryptophan↗
Minimizing your federal income tax.
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Economics, Nursing↗
Sleep patterns in infants under continuous feeding from birth.
Continuous parenteral or enteral feeding of infants with major gastrointestinal problems (prolonged diarrhoeas, inflammatory digestive illnesses, anatomical anomalies necessitating surgical intervention, etc.) brings about a prolonged modification in nutritional and environmental conditions. The consequence of eliminating the feeding rhythms of the waking-sleeping rhythm in 16 infants between 1 and 8 months old were studied. In most of the infants the duration of sleep was close to that given by Kleitman in normals. Slightly decreased in 4 of the infants, these durations never showed significant differences from normative values. No delay was observed in the maturation of sleep patterns. The percentage and mean length of periods of quiet sleep were practically identical for all infants but a number of them showed large amounts of ambiguous sleep. The fact that none of these values evolved with age should be stressed. Paradoxical sleep periodicity was similar to that of normal infants, while the quiet sleep-paradoxical sleep cycles were shorter. In conclusion, the absence of feeding rhythms appeared not to modify greatly the sleep maturation and organization.
Cerebral Cortex↗