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Perform the same activities every night 30 to 60 minutes before bedtime. Activities should be relaxing, like a bath, and signal that bedtime is near, like lowering the bedroom temperature, turning down the lights, and using a calming voice. Reserve the bedroom for sleep only. Remove electronics from the bedroom. While it can be more challenging for individuals with Down syndrome to exercise, it can help them maintain a healthy body weight. Work with a physical therapist to understand exercise options for your child.

As for diet, avoid junk foods, caffeine, and alcohol which can be stimulating and wreak havoc on sleep. Reward systems like a star chart can help reduce bedtime anxiety and create positive emotions surrounding sleep. If your child needs naptime , limit them to 30 minutes and schedule them for earlier versus later in the day so they have sufficient time to get tired again by bedtime. All Rights Reserved. They also tend to exhibit these physical features: Facial features Bodily features A face with flattened appearance, especially in regards to the bridge of the nose Smaller ears Eyes that slant upwards and have an almond shape, with tiny white spots on the iris A tongue that sticks out of the mouth Shorter neck Overall shorter height Smaller hands, with a single palmar crease and pinky fingers that curve toward the thumb Smaller feet Poor muscle tone Loose joints How does Down syndrome affect sleep?

Sleep disorders and Down syndrome. Sleep apnea and Down syndrome Sleep apnea affects between 2 to 5 percent of children. What causes Down syndrome?

Sleep Disorders and Sleep Problems in Childhood

Sleep solutions for Down syndrome. Sleep products for Down syndrome Various sleep products and assistive bedding devices help children and adults with Down syndrome achieve more restful sleep. Mattresses Urinary incontinence is common among individuals with Down syndrome.

White noise machines and smartphone apps White noise machines are often used as a sleep aid for insomnia. Sleep tips for Down syndrome In addition to the products above, parents and caregivers may find the following tips useful in helping their loved one with Down syndrome achieve better quality sleep. Establish a bedtime routine. Make the bedroom cool, dark, and free of distractions. Manage diet and exercise. Use positive reinforcement to encourage healthy sleep habits.

Additional resources. Non-profit organizations The National Association for Down Syndrome is the oldest association in the country and provides resources as well as a local support group directory for parents and caregivers of children or individuals with Down syndrome. The National Down Syndrome Congress offers resources for medical professionals, caregivers, and family members of loved ones with Down syndrome, as well as a local support group directory. The National Down Syndrome Society is an advocacy organization that runs the Buddy Walk program and offers a toll-free hotline for parents and caregivers in need of assistance.

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An American Academy of Sleep Medicine review. Hypersensitivity of melatonin suppression in response to light in patients with delayed sleep phase syndrome. Chronobiol Int. Bright light resets the human circadian pacemaker independent of the timing of the sleep-wake cycle.

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J Child Neurol. Further studies on periodic limb movement disorder and restless legs syndrome in children with attention-deficit hyperactivity disorder. Mov Disord. Associations between symptoms of inattention, hyperactivity, restless legs, and periodic leg movements. Some children with growing pains may actually have restless legs syndrome. Walters AS. Is there a subpopulation of children with growing pains who really have restless legs syndrome? A review of the literature.

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Sleep and Children - UCLA Sleep Disorders Center - Los Angeles, CA

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Variation in tonsil size in 4- to year-old schoolchildren. J Otolaryngol. Snoring, sleep disturbance, and behaviour in 4—5 year olds. Arch Dis Child. Sleep-disordered breathing, behavior, and cognition in children before and after adenotonsillectomy. Longitudinal study of moderate weight change and sleep-disordered breathing. Palatine tonsil size and its correlation with subjective tonsil size in patients with sleep-disordered breathing.

Obstructive Sleep Apnea

Otolaryngol Head Neck Surg. Outcome of adenotonsillectomy for obstructive sleep apnea syndrome in children. Ann Otol Rhinol Laryngol. Mitchell RB. Adenotonsillectomy for obstructive sleep apnea in children: outcome evaluated by pre- and postoperative polysomnography. Pediatric obstructive sleep apnea in obese and normal-weight children: impact of adenotonsillectomy on quality-of-life and behavior. Dev Neuropsychol. Mitchell RB, Kelly J.


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Quality of life after adenotonsillectomy for SDB in children. Kuhle S, Urschitz MS. Anti-inflammatory medications for obstructive sleep apnea in children. Cochrane Database Syst Rev. Remulla A, Guilleminault C. Somnambulism sleepwalking. Expert Opin Pharmacother.

New Baby, No Sleep: Tips to Ease the Transition

Anders TF, Keener M. Developmental course of nighttime sleep-wake patterns in full-term and premature infants during the first year of life. Night waking, sleep-wake organization, and self-soothing in the first year of life. The impact of school daily schedule on adolescent sleep. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.

Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Next: Joint Pain and Swelling. Mar 1, Issue. Common Sleep Disorders in Children. Author disclosure: No relevant financial affiliations. The eight-year survey period contained deaths in children younger than two years. Approximately one fourth of the deaths were due to overlying of the child by someone else sleeping in the bed.

Three fourths of the deaths were caused by entrapment in the bed structure leading to suffocation or strangulation. Because of the prevalence of disordered sleep behavior among families with young children, questions about sleep should be incorporated into every well-child visit Table 3. Physicians should use these moments as a time to let parents know that the development of healthy sleep patterns is as important as good nutritional and dental habits. If the parent indicates a problem, with reluctance to go to bed, frequent wakings, early arisings, etc. Will your child play quietly in bed if he or she is awake before others come to get him or her?

Is the environment in your child's room conducive to sleep e. When parents acknowledge a problem, physicians should take a thorough history and determine which strategies the parents have adopted to deal with the problem. Medical causes such as chronic illness, respiratory problems, seizures, recurrent ear infections and the role of medications should be explored. Asking the parents to keep a sleep diary for a week can be helpful.

Parents should be guided to develop clear goals for creating consistent bedtime rituals and patterns of nighttime intervention. They must be given the opportunity to express their misgivings so that they are not sent out with a treatment plan they are unwilling to follow. The physician should offer his or her support or that of the office staff by telephone or through subsequent follow-up office visits. Already a member or subscriber? Log in. Thiedke attended medical school and completed a residency in family practice at the Medical University of South Carolina.

Address correspondence to C. Carolyn Thiedke, M. Box , Sullivans Island, SC e-mail: thiedkcc musc. Reprints are not available from the author. Ferber R. Moore T, Ucko C. Night waking in early infancy: Part I. Arch Dis Child. Adair RH, Bauchner H. Sleep problems in childhood. Curr Probl Pediatr. The use of scheduled awakenings to eliminate childhood sleepwalking. J Pediatr Psychol. Wan J, Greenfield S. Enuresis and common voiding abnormalities. Pediatr Clin North Am. Sheldon SH. Evaluating sleep in infants and children.

Philadelphia: Lippincott-Raven, High prevalence of allergic sensitization in children with habitual snoring and obstructive sleep apnea. Gozal D. Sleep-disordered breathing and school performance in children. Sleep and daytime behavior in children with obstructive sleep apnea and behavioral disorders. Effect of adenotonsillectomy on nocturnal hypoxaemia, sleep disturbance, and symptoms in snoring children.

Use of nasal continuous positive airway pressure as treatment of childhood obstructive sleep apnea. J Pediatr. Kotagal S, Goulding PM. The laboratory assessment of daytime sleepiness in childhood. J Clin Neurophys. Sleeping through the night: a developmental perspective. Normal sleep in neonates and children. In: Ferber R, Kryger M, eds. Principles and practice of sleep medicine in the child. Philadelphia: Saunders, — The bedtime pass: an approach to bedtime crying and leaving the room. Arch Pediatr Adolesc Med. Bramble D. Rapid-acting treatment for a common sleep problem.

Dev Med Child Neurol. Sears W. The baby book. New York: Little, Brown, Thevenin T. The family bed. Wayne, N. Madansky D, Edelbrock C. Cosleeping in a community sample of 2- and 3-year old children. Cosleeping in urban families with young children in the United States. Review of hazards associated with children placed in adult beds. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.

This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp.

Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Common Infections in Older Adults. Jan 15, Issue. Sleep Disorders and Sleep Problems in Childhood. What is the usual routine in your household between dinner and bedtime? What is your routine in the 30 to 60 minutes before bedtime?

What happens when the lights are turned off? When your child cries, how do you respond? How quickly? Does your child get a bottle or get nursed at bedtime? Does your child get a bottle or get nursed in the middle of the night? How many times a night does your child awaken? How do you or your partner respond?

How long does it take your child to go back to sleep? What time does your child get out of bed to start the day?