The balance of the autonomic nervous system is normal in colicky infants

Citation
J. Kirjavainen et al., The balance of the autonomic nervous system is normal in colicky infants, ACT PAEDIAT, 90(3), 2001, pp. 250-254
Citations number
28
Categorie Soggetti
Pediatrics,"Medical Research General Topics
Journal title
ACTA PAEDIATRICA
ISSN journal
08035253 → ACNP
Volume
90
Issue
3
Year of publication
2001
Pages
250 - 254
Database
ISI
SICI code
0803-5253(200103)90:3<250:TBOTAN>2.0.ZU;2-H
Abstract
Excessively crying, hard-to-soothe infants are described as colicky. The se lf-limiting course of infantile colic during early infancy suggests an etio logy of transient developmental dysmaturation. It has been proposed that em otional characteristics such as temperament and self-soothing ability are c orrelated with the balance of the autonomic nervous system, Heart rate vari ability (HRV) analysis was used for evaluating the balance of the autonomic nervous system in colicky and control infants during and after the colicky period. HRV analysis was carried out on 12 colicky infants and 14 control infants at the age of 2 mo, and repeated on 10 colicky and 11 normal infant s at the age of 7 mo. Measurements were performed during polygraphically co nfirmed slew-wave sleep (sleep stages 3 and 4). Three HRV frequency bands w ere defined, including a high (0.2-1.0 Hz), middle (0.12-0.2 Hz) and low (0 .025-0.12 Hz) frequency variability. There were no differences between the study groups in any of the three HRV frequency bands analyzed. The high fre quency variability increased significantly with age in both study groups (p = 0.009). Conclusion: The findings suggest that imbalance between the parasympathetic and the sympathetic nervous system is not associated with infantile colic and that, in accordance with previous findings, control of HRV shift in a p arasympathetic direction with increasing age during the first year of life.