Sleep characteristics in milk-intolerant infants

Sleep. 1988 Jun;11(3):291-7. doi: 10.1093/sleep/11.3.291.

Abstract

We have shown that there is a relation between allergy to cow's milk and chronic sleeplessness in infants. In the present report we describe the sleep characteristics of children with allergy-related sleep disruption. We compared the polygraphic characteristics of nine infants studied before and after the exclusion of milk from the diet. The infants had a mean age of 18.3 +/- 13.3 and 25.4 +/- 12.7 weeks at the first and the second recording, respectively. Diagnosis of allergy was based on clinical observation. Sleep normalized after milk was withdrawn, deteriorated after a challenge with milk, and normalized again on a second trial of milk elimination. Before the change in diet, the infants' polygraphic recording showed frequent arousals (8-22), short sleep cycles, and a large amount of NREM1 sleep. Gastroesophageal reflux and sleep apnea were not responsible for the sleep fragmentation. After milk was excluded from the diet for 7 weeks, the infants showed striking changes in sleep quality. There was a significant decrease in number of arousals (-41.7%) and an increase in total sleep time (+22.7%) and in NREM2 and 3 sleep (+387.9%). NREM1 sleep decreased significantly (-42.1%). During the second recordings, these sleep values could not be distinguished from those of 40 age-matched controls studied in the same laboratory environments. We do not know if the observed modifications in sleep could reflect immunologic changes within the central nervous system.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arousal / physiology
  • Gastric Acidity Determination
  • Humans
  • Infant
  • Lactose Intolerance / diet therapy
  • Lactose Intolerance / physiopathology*
  • Monitoring, Physiologic
  • Sleep Initiation and Maintenance Disorders / physiopathology
  • Sleep Stages / physiology*
  • Sleep Wake Disorders / physiopathology*
  • Sleep, REM / physiology
  • Wakefulness / physiology