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The Development of Circadian Rhythms in Human Infants

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Sleep parameters were recorded as means for the group. Changes <strong>in</strong> sleep were related<br />

to maturation <strong>of</strong> <strong>in</strong>fant physiology as determ<strong>in</strong>ed by achievement <strong>of</strong> adult pattern <strong>of</strong><br />

core body temperature dur<strong>in</strong>g night time sleep.<br />

7.2 Description <strong>of</strong> mean sleep parameters for 35<br />

<strong>in</strong>fants<br />

On average <strong>in</strong>fants were put to bed at around 20:42 hours accord<strong>in</strong>g to sleep diary.<br />

This was confirmed by actigraphy with sleep start at 20:40 <strong>in</strong> the even<strong>in</strong>g. <strong>The</strong> latest<br />

sleep start for an <strong>in</strong>dividual baby was 00:19 by actigraphy. Mothers recorded on sleep<br />

diaries that <strong>in</strong>fants woke at a mean time <strong>of</strong> 07:20 hours. On average sleep ended at<br />

07:16 <strong>in</strong> the morn<strong>in</strong>g. <strong>The</strong> earliest sleep end for an <strong>in</strong>dividual <strong>in</strong>fant was at 03:55<br />

hours by actigraphy.<br />

On average the <strong>in</strong>fants slept for 7.18 (SD =1.20) hours per night, with m<strong>in</strong>imum<br />

duration 3.45 hours and maximum 10.52 hours. Dur<strong>in</strong>g the period from sleep onset to<br />

the end <strong>of</strong> night time sleep 2 hours 3 m<strong>in</strong>utes were spent awake (range 3 m<strong>in</strong>utes to 5<br />

hours 9 m<strong>in</strong>ute; SD = 1 hour 7 m<strong>in</strong>utes). Average sleep latency (SD) was 11 (15)<br />

m<strong>in</strong>utes (range 0 m<strong>in</strong>utes to 1 hour 23 m<strong>in</strong>utes). <strong>The</strong> <strong>in</strong>fants spent 78.3% <strong>of</strong> their time<br />

<strong>in</strong> bed actually asleep dur<strong>in</strong>g the night time period. Sleep efficiency (SD) averaged at<br />

75.3 (10.98) %. <strong>The</strong> most sleep efficient <strong>in</strong>fants had a score <strong>of</strong> 97.8% with the<br />

m<strong>in</strong>imum be<strong>in</strong>g 49.4%.<br />

<strong>The</strong> mean fragmentation <strong>in</strong>dex (SD) was 74.85 (35.42) with the score rang<strong>in</strong>g between<br />

22.3 and 201.4. <strong>The</strong> <strong>in</strong>fant mean activity score (SD) dur<strong>in</strong>g periods <strong>of</strong> wakefulness<br />

overnight was 32.69 (21.39). <strong>The</strong> m<strong>in</strong>imum activity score was 2.89 and maximum<br />

149

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