Biomedical subjects

C S Tuffnell

Publications and source records attributed to C S Tuffnell.

5 recordsLinked to original sources

PubMed1996

Higher rectal temperatures in co-sleeping infants.

The effect on deep body temperature of infants co-sleeping (with either or both parents) is investigated in this case control study. Overnight continuous recordings of rectal temperature were made from 34 babies co-sleeping with one or both parents throughout the night and 34 infants matched for age, feeding regimen, parental smoking, thermal environment, sleeping position, and sex who slept alone. The co-sleeping infants had significantly higher rectal temperatures from two hours after bedtime, when the initial fall in sleeping body temperature was complete. The mean rectal temperature of co-sleeping infants between two and eight hours was 0.1 degree C higher than that of infants sleeping alone (p < 0.04). Given the very small variance in rectal temperature this probably reflects a considerable physiological difference between the two groups.

Analysis of Variance↗

PubMed1995

Prone sleeping infants have a reduced ability to lose heat.

The heat loss coefficients of a group of infants have been calculated and compared to see if there is a difference in the ability to lose heat between prone and non-prone sleeping infants. For a group of 43 infants aged 4-29 weeks, a simple mathematical model of exponential cooling in a body has been fitted to the fall in rectal temperature which occurs in infants at bedtime. One of the parameters yielded by the fitting process is the coefficient of thermal heat loss. After validation against the estimated heat loss from supine sleeping infants, the heat loss coefficient was compared at different sleep positions and gender. The mean heat loss coefficient, measured from the non-prone sleeping infants (0.269 W/degrees C, S.D. 0.197) agreed well with the value calculated for supine sleepers with the same tog levels (0.4 W/degrees C). Prone sleeping infants were found to have a considerably smaller heat loss coefficient which was approximately 60% of the value for non-prone sleeping infants (P = 0.000097). Female infants were found to have a heat loss coefficient that was approximately 70% of that of male infants but this gender difference was only significant (P = 0.025) for non-prone sleeping infants. These results suggest that infants sleeping in the prone position may be unable to lose heat as rapidly as those infants sleeping non-prone.

Body Temperature Regulation↗

PubMed1995

Factors affecting rectal temperature in infancy.

The recordings of 1197 overnight rectal temperatures from infants of up to 24 weeks of age have been analysed with respect to 12 variables, including a number of risk factors for sudden infant death syndrome. Multivariable regression was used to identify if parental smoking, bottle feeding, sleeping position, and birth weight affect the overnight rectal temperature of infants. The rectal temperature, averaged over the period from three to five hours after the infants were put to bed, correlated well (R = 0.36) with the collected variables. An increase in the infant's age, birth weight, and the supine sleeping position all decreased the night time rectal temperatures. However, an increase in the night time room temperature, weight, and the combination of bottle feeding and parental smoking produced an increase in rectal temperature. The individual effects of bottle feeding and parental smoking were not significant. The results show that some of the major risk factors have the effect of raising the rectal temperature of sleeping infants.

Birth Weight↗

PubMed1992

HomeLog: long-term recording of infant temperature, respiratory and cardiac signals in the home environment.

There is increasing evidence that overheating is a contributing factor for some cot deaths. The authors' hypothesis is that infant thermoregulation is closely related to respiratory control. HomeLog is a system built to investigate the developing thermal, respiratory and cardiac behaviour of infants in the home environment over several weeks. HomeLog is based on a modified laptop computer. Signals recorded include body temperature (from rectal and various skin sites), ambient temperature, thoracic impedance, abdominal movement and electrocardiogram (ECG). Continuous night-time recordings have been made for up to 6 weeks from infants between 1 and 4 months of age, in their own cots, in their own homes. Various time and frequency domain analyses of the breathing and temperature data have been developed. Analysis of breath rate variability and of body temperature fluctuations has confirmed sleep/wake changes. In addition, a periodic oscillation of body temperature every 1-2 h has been found, which closely matches oscillations of breath rate variability.

Apnea↗

PubMed1992

Oscillations of body temperature at night.

There is increasing evidence that overheating is a contributing factor for some cot deaths. One hypothesis is that infant thermoregulation is closely related to respiratory control. To test this hypothesis it was necessary to determine the normal pattern of body temperature in the developing infant. A system has been designed and built to record continuously temperature signals from ambient, rectal, and various skin site sensors. Overnight studies were performed on 30 infants aged between 2 and 26 weeks in a hospital ward. Various time and frequency domain analyses of the temperature data have been developed. Analysis of body temperature rhythms has confirmed patterns during sleep which mature with age. In addition a periodic oscillation of body temperature has been found with a cycle of approximately one hour. This oscillation may reflect sleep state and its further study may give an insight into control of infant thermoregulation and the integration of this control with that of breathing and the cardiovascular system.

Age Factors↗