Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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A study on the effects of sleep position and of body weight on motor development

수면 자세가 운동발달에 미치는 영향

  • Park, Kyong Yun (Department of Pediatrics, Presbyterian Medical Center) ;
  • Kang, Ji Ung (Department of Pediatrics, Presbyterian Medical Center) ;
  • Jang, Young Taek (Department of Pediatrics, Presbyterian Medical Center)
  • Received : 2005.11.17
  • Accepted : 2006.01.06
  • Published : 2006.04.15
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Abstract

Purpose : This study investigated how gross motor and fine motor development are influenced by sleep position. Methods : From December, 2003 to September, 2005, for a year and 9 months, 800 children aged from 3 months to 16 months, who visited the Presbyterian Medical Center, Chonju, Korea were surveyed for motor development scale, sleep position and body weight. Results : The sleep position came in order : 79.3 percent of supine position, 10.0 percent prone position and 10.7 percent side position. Gross motor scale and fine motor scale were not connected with sex. The prone position indicated remarkable increase on gross motor scale from 5-6 months, but stayed the same after 7 months. Fine motor scale was not related to age and sleep position. Gross motor scale and fine motor scale were higher on group weighing more than under average weight group. Conclusion : This study showed that prone position did not influence gross motor scale after 7 months, affecting children of 5-6 months only. Hence, It is not recommended to use the prone position for a baby's fast gross motor development.

목 적 : 엎어 재우기, 똑바로 누워 재우기, 옆으로 재우기 등 수면 자세에 따라서 조대운동발달과 미세운동발달이 차이가 나는지 살펴보기 위해서 연구를 시작하였다. 방 법 : 2003월 12월부터 2005년 9월까지 1년 9개월 동안, 전주예수병원 소아과를 방문하는 3개월부터 16개월 사이의 소아 800명을 대상으로 운동발달검사, 수면 자세, 몸무게를 조사하여 연구하였다. 결 과 : 똑바로 누워 재우기가 79.3%, 엎어 재우기가 10.0%, 옆으로 재우기가 10.7%로, 똑바로 누워 재우기가 가장 많았다. 남아와 여아의 조대운동발달 지수는 각각 $109.5{\pm}16.3$, $108.1{\pm}17.3$이었으며, 미세운동발달 지수는 각각 $102.3{\pm}17.1$, $100.7{\pm}16.9$로 성별에 따른 발달의 차이는 없었다. 똑바로 누워 재우기, 엎어 재우기, 옆으로 재우기에 따른 조대운동발달 지수는 5개월에 $98.2{\pm}16.8$, $126.2{\pm}10.9$, $117.2{\pm}6.6$, 6개월에 $101.2{\pm}13.0$, $115.2{\pm}18.0$, $95.7{\pm}20.2$로 각각 엎어 재우기에서 의의 있게 높았다. 7개월에서 16개월까지는 차이가 없었다. 똑바로 누워 재우기, 엎어 재우기, 옆으로 재우기에 따른 미세운동발달 지수는 차이가 없었다. 연령별 평균 미만의 몸무게 군과 연령별 평균 이상의 몸무게 군에서, 조대운동발달 지수는 각각 $106.3{\pm}16.3$, $109.9{\pm}16.8$이고, 미세운동발달 지수는 각각 $99.4{\pm}16.2$, $102.5{\pm}17.2$로 연령별 평균 이상의 몸무게 군에서 조대운동발달 지수와 운동발달 지수가 의의 있게 높았다. 결 론 : 엎어 재웠을 경우 5개월과 6개월에서 조대운동발달 지수가 높았으나, 7개월부터는 차이가 없었다. 따라서 운동발달을 빠르게 하기 위해서 엎어 재우는 것은 의미가 없는 것으로 판단된다.

Keywords

References

  1. Cho SJ, Lee KH, Jang YT. A study of the misinformed methods of child care. J Korean Pediatr Soc 2002;45:24-36
  2. American Academy of Pediatrics. Task force on infant positioning and SIDS. Positioning and SIDS. Pediatrics 1992; 89:1120-6
  3. American Academy of Pediatrics. Task force on infant positioning and SIDS. Positioning and SIDS. Pediatrics 1996; 98:1216-8
  4. American Academy of Pediatrics. Task force on infant sleep position and sudden infant death syndrome. Changing concepts of sudden infant death syndrome : Implications for infant sleeping environment and sleep position. Pediatrics 2000;105:650-6 https://doi.org/10.1542/peds.105.3.650
  5. Davis BE, Moon RY, Sachs HC, Ottolini MC. Effects of sleep position on infant motor development. Pediatrics 1998; 102:1135-40 https://doi.org/10.1542/peds.102.5.1135
  6. Dewey C, Fleming P, Golding J, the ALSPAC study team. Does the supine sleeping position have any adverse effects on the child? II. Development in the first 18 months. Pediatrics 1998;101:E5. Available from : URL : http://www. pediatrics.org/cgi/cotnent/full/101/1/e5.
  7. Ahn HS. Standardization of growth of children in Korea. Textbook of Pediatrics. 8th ed. Seoul : Daehan Publishing Co, 2004:1296
  8. Blasco PA. Pitfalls in develomental diagnosis. Pediatr Clin North Am 1991;38:1425-38 https://doi.org/10.1016/S0031-3955(16)38228-1
  9. Lee JY, Min SA, Yu SH, Jang YT. A study of the effects and risk of baby walkers on motor development in human infant. J Korean Pediatr Soc 2003;46:122-7
  10. Chung SJ, Sung IK, Kim HJ, Woo YJ, Lee MH, Shin SM. Developmental test in children. J Korean Pediatr Soc 2002; 45:817-21
  11. The Korean Pediatric Society. Subcommission on establishment and standardization of Korean development test. Seoul : Kwangmoon Co, 2002:52-5
  12. Moon RY, Patel KM, McDermott Sheafer SJ. Sudden infant death syndrome in child care settings. Pediatrics 2000;106: 295-300 https://doi.org/10.1542/peds.106.2.295
  13. Paluszynska DA, Harris KA, Thach BT. Influence of sleep position experience on ability of prone-sleeping infants to escape from asphyxiating microenvironments by changing head position. Pediatrics 2004;114:1634-9 https://doi.org/10.1542/peds.2004-0754
  14. Jantz JW, Blosser CD, Fruechting LA. A motor milestone change noted with a change in sleep position. Arch Pediatr Adolesc Med 1997;151:565-8 https://doi.org/10.1001/archpedi.1997.02170430031006
  15. Fung KP, Lau SP. Denver developmental screening test : Cultural variables. J Pediatr 1985;106:343
  16. Salls JS, Silverman LN, Gatty CM. The relationship of infant sleep and play position to motor milestone achievement. Am J Occup Ther 2002;56:577-80 https://doi.org/10.5014/ajot.56.5.577
  17. Francis-Williams J, Yule W. The bayley infant scales of mental and motor development : An exploratory study with an English sample. Dev Med Child Neurol 1967;9:391-401 https://doi.org/10.1111/j.1469-8749.1967.tb02291.x
  18. Hunt CE, Puczynski MS. Does supine sleeping cause asymmetric heads- Pediatrics 1996;98:127-9
  19. Meyers WF, Herbst JJ. Effectiveness of positioning therapy for gastroesophageal reflux. Pediatrics 1982;69:768-72
  20. Ewer AK, James ME, Tobin JM. Prone and left lateral positioning reduce gastro-oesophageal reflux in preterm infants. Arch Dis Child Fetal Neonatal ed 1999;81:201-5 https://doi.org/10.1136/fn.81.3.F201
  21. Tobin JM, McCloud P, Cameron DJ. Posture and gastroesophageal reflux : A case for left lateral positioning. Arch Dis Child 1997;76:254-8 https://doi.org/10.1136/adc.76.3.254
  22. Hein HA, Pettit SF. Back to sleep : Good advice for parents but not for hospital? Pediatrics 2001;107:537-9 https://doi.org/10.1542/peds.107.3.537
  23. Hunt L, Fleming P, Golding J, the ALSPAC study team. Does the supine sleeping position have any adverse effects on the child? : I. Health in the first 6 months. Pediatrics 1997;100:E11. Available from : URL : http://www.pediatrics. org/cgi/content/full/100/1/e11
  24. Adams MM, Kugener B, Mirmiran M, Ariagno RL. Survey of sleeping position after hospital discharge in healthy preterm infants. J Perinatol 1998;18:168-72
  25. Dwyer T, Ponsonby AL, Couper D, Cochrane J. Short-term morbidity and infant mortality among infants who slept supine at 1 month of age--a follow-up report. Pediatr Perinat Epidemiol 1999;13:302-15 https://doi.org/10.1046/j.1365-3016.1999.00194.x