Infants accustomed to sleeping on their backs who are then placed to sleep on their stomachs or sides are at an increased risk for SIDS-greater than the increased SIDS risk of infants always placed on their stomachs or sides. The study, conducted by Kaiser Permanente in Northern and Southern California and supported by the National Institute of Child Health and Human Development (NICHD) and the National Institute on Deafness and Other Communications Disorders (NIDCD), appears in the current issue of the American Journal of Epidemiology.
The study also shows that infants sleeping on their sides are at an increased risk of SIDS. The researchers think that a large part of the risk may be due to the instability of the side sleeping position and the tendency for infants sleeping in this position to turn onto their stomachs.
The study, which was conducted in 11 counties in Northern and Southern California, is the first to examine the relationship between infant sleeping position and SIDS in a racially diverse U.S. population. The incidence of SIDS has declined over 50 percent since 1992, when the American Academy of Pediatrics recommended that infants be placed on their backs to sleep. Before the current study, evidence of the link between stomach sleeping and SIDS risk was based largely on overseas studies, where populations and cultural practices are different from those in the United States.
The researchers also collected information about bedding materials, type of mattress, room- or bed-sharing, room temperature, exposure to passive smoking, and infant sickness.
The researchers found that infants last placed on their sides for sleep were twice more likely to die of SIDS than infants last placed on their backs. In addition, the risk of SIDS was significantly increased if infants turned from their sides to their stomachs during sleep. While the reason isnt clear, the researchers think that the instability of the side position makes it more likely for babies who are placed to sleep in this position to roll over onto their stomachs.
A pattern also emerged when the researchers looked specifically at the position in which an infant was last placed to sleep, compared to their usual sleeping position. If an infant who was usually placed to sleep in the low-risk position-- on the back--was then placed to sleep in a high-risk position (the stomach or side), his or her SIDS risk was seven to eight times greater than that of an infant who was always placed to sleep on his or her back.
"The message here is every night and nap time count," said study co-author Dr. Marian Willinger of NICHD. "Parents and caregivers should place their babies on their backs every time they go to sleep. Consistency is the key."
One of the strengths of this study is that the researchers interviewed a racially- and culturally diverse group of mothers-White, African American, Hispanic, and Asian/Pacific Islander, although the small sample size limited the researchers ability to examine risk within each racial group. This study provides results from the first study of infant sleeping position in relation to SIDS risk to be collected entirely after the NICHDs "Back to Sleep" campaign was launched to inform the public about the importance of sleep position in preventing SIDS.
The NICHD and the NIDCD are part of the National Institutes of Health (NIH), the biomedical research arm of the federal government. NIH is part of the U.S. Department of Health and Human Services. The NICHD sponsors research on development, before and after birth; maternal, child, and family health; reproductive biology and population issues; and medical rehabilitation. NICHD publications, as well as information about the Institute, are available from the NICHD Web site, http://www.nichd.nih.gov, or from the NICHD Clearinghouse, 1-800-370-2943; e-mail NICHDClearinghouse@mail.nih.gov. The NIDCD supports and conducts research and research training on the normal and disordered processes of hearing, balance, smell, taste, voice, speech and language and provides health information, based upon scientific discovery, to the public. For more information about NIDCD programs: www.nidcd.nih.gov.
Marianne Glass Duffy | EurekAlert!
One gene closer to regenerative therapy for muscular disorders
01.06.2017 | Cincinnati Children's Hospital Medical Center
The gut microbiota plays a key role in treatment with classic diabetes medication
01.06.2017 | University of Gothenburg
An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.
Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...
Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.
Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...
Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.
As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...
Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.
With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...
Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine
Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...
19.06.2017 | Event News
13.06.2017 | Event News
13.06.2017 | Event News
23.06.2017 | Physics and Astronomy
23.06.2017 | Physics and Astronomy
23.06.2017 | Information Technology