Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2002-9-27
pubmed:abstractText
The incidence of sudden infant death syndrome (SIDS) has dropped significantly in most countries following the development of education campaigns on the avoidance of risk factors for SIDS. However, questions have been raised about the physiological mechanism responsible for the effects of these environmental risk factors. Since 1985, a series of prospective, multicentric studies have been developed to address these questions; over 20,000 infants were recorded during one night in a sleep laboratory and among these, 40 infants eventually died of SIDS. In this review, the following methods were employed: sleep recordings and analysis, monitoring procedure, data analysis of sleep stages, cardiorespiratory and oxygen saturation, scoring of arousals, spectral analysis of the heart rate and the determination of arousal thresholds, and statistical analysis and the results including sleep apneas, arousals and heart rate and autonomic controls in both future SIDS victims and normal infants were introduced separately. In addition, the physiological effect of prenatal risk factors (maternal smoking during gestation) and postnatal risk factors (administration of sedative drugs, prone sleeping position, ambient temperature, sleeping with the face covered by a bed sheet, pacifiers and breastfeeding) in normal infants were analyzed. In conclusion, the physiological studies undertaken on the basis of epidemiological findings provide some clues about the physiological mechanisms linked with SIDS. Although the description of the mechanisms responsible for SIDS is still far from complete, it appears to involve both arousal responses and cardiac autonomic controls during sleep-wake processes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0379-0738
pubmed:author
pubmed:issnType
Print
pubmed:day
14
pubmed:volume
130 Suppl
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S8-20
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12350296-Autonomic Nervous System, pubmed-meshheading:12350296-Bedding and Linens, pubmed-meshheading:12350296-Breast Feeding, pubmed-meshheading:12350296-Female, pubmed-meshheading:12350296-Heart Rate, pubmed-meshheading:12350296-Humans, pubmed-meshheading:12350296-Hypnotics and Sedatives, pubmed-meshheading:12350296-Infant, pubmed-meshheading:12350296-Japan, pubmed-meshheading:12350296-Pacifiers, pubmed-meshheading:12350296-Polysomnography, pubmed-meshheading:12350296-Pregnancy, pubmed-meshheading:12350296-Prenatal Exposure Delayed Effects, pubmed-meshheading:12350296-Prone Position, pubmed-meshheading:12350296-Prospective Studies, pubmed-meshheading:12350296-Risk Factors, pubmed-meshheading:12350296-Sleep Apnea, Obstructive, pubmed-meshheading:12350296-Sleep Arousal Disorders, pubmed-meshheading:12350296-Smoking, pubmed-meshheading:12350296-Substance-Related Disorders, pubmed-meshheading:12350296-Sudden Infant Death, pubmed-meshheading:12350296-Temperature
pubmed:year
2002
pubmed:articleTitle
Sudden infant deaths: from epidemiology to physiology.
pubmed:affiliation
Pediatric Sleep Unit, University Children's Hospital of Brussels, Free University of Brussels, av.JJ Crocq 15, B-1020 Brussels, Belgium. akahn@ulb.ac.be
pubmed:publicationType
Journal Article