Sleep Not Harmed by Caffeine for Apnea of Prematurity
(HealthDay News) — Caffeine administered for treatment of apnea in premature infants does not appear to have long-term detrimental effects on sleep during childhood, according to research published online August 29 in the American Journal of Respiratory and Critical Care Medicine.
Carole L. Marcus, MBBCh, of the University of Pennsylvania in Philadelphia, and colleagues assessed sleep and breathing during sleep in 201 children, aged 5–12 years, who had participated as neonates in a randomized trial of caffeine vs. placebo for apnea of prematurity.
The researchers found no difference between the caffeine and placebo groups for actigraphic total sleep time (adjusted mean difference of −6.7; 95% confidence interval [CI], −15.3–2.0 minutes; P=0.13) or apnea hypopnea index (adjusted rate ratio for caffeine/placebo of 0.89; 95% CI, 0.55–1.43; P=0.63). Children who had received neonatal caffeine therapy had longer polysomnographic total recording time and total sleep time, but sleep efficiency did not differ between the groups. For the caffeine group compared with the placebo group, rates of obstructive sleep apnea (8.2% vs. 11.0%, respectively) and elevated periodic limb movements of sleep (17.5% vs. 11.0%, respectively) were high but did not differ significantly between the groups.
"In our prospective follow-up study of 201 premature infants who participated as infants in the randomized, double-blind, placebo-controlled Caffeine for Apnea of Prematurity study, we found no evidence of long-term detrimental effects of caffeine treatment on sleep duration or sleep apnea during childhood," one of the authors said in a statement.
Two of the authors report financial ties to the biomedical industry.