Bach Véronique, Abbiss Chris R, Libert Jean-Pierre, McCabe Susan M
Peritox, UMR_I 01, University of Picardy Jules Verne, Amiens, France.
School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Front Psychiatry. 2020 Sep 18;11:494528. doi: 10.3389/fpsyt.2020.494528. eCollection 2020.
The tight association between sleep, body temperature regulation, and patterns of skin temperature change highlights the necessity for accurate and valid assessment of skin temperatures during sleep. With increased interest in this functional relationship in infants and children, it is important to identify where to best measure proximal skin temperature and whether it is possible to reduce the number of sites of measures, in order to limit the experimental effects in natural settings. Thus, the aim of this study was to determine the most suitable single skin temperature sites for representation of average proximal skin temperature during sleep of school aged children.
Statistical analyses were applied to skin temperature data of 22 children, aged 6 to 12 years, measured over four consecutive school nights in their home settings, to compare single site measures of abdomen, back, neck, forehead and subclavicular skin temperatures (local temperatures) with average proximal skin temperatures.
Abdomen and forehead skin temperatures were significantly different (respectively higher and lower) to the other local proximal temperatures and to average proximal skin temperatures. Moreover, the time pattern of forehead temperature was very different from that of the other local temperatures.
Local forehead and abdomen skin temperatures are least suitable as single site representations of average proximal skin temperatures in school aged children when considering both the level and the time course pattern of the temperature across the night. Conversely, back and neck temperatures provide most fitting representation of average proximal skin temperatures.
睡眠、体温调节与皮肤温度变化模式之间的紧密关联凸显了在睡眠期间准确有效评估皮肤温度的必要性。随着对婴幼儿和儿童这种功能关系的兴趣增加,确定最佳测量近端皮肤温度的位置以及是否有可能减少测量部位的数量,以限制自然环境中的实验影响变得很重要。因此,本研究的目的是确定学龄儿童睡眠期间最适合代表平均近端皮肤温度的单一皮肤温度测量部位。
对22名6至12岁儿童在家中连续四个上学夜晚测量的皮肤温度数据进行统计分析,以比较腹部、背部、颈部、前额和锁骨下皮肤温度(局部温度)的单部位测量值与平均近端皮肤温度。
腹部和前额皮肤温度与其他局部近端温度以及平均近端皮肤温度有显著差异(分别更高和更低)。此外,前额温度的时间模式与其他局部温度非常不同。
考虑到夜间温度的水平和时间进程模式,局部前额和腹部皮肤温度最不适合作为学龄儿童平均近端皮肤温度的单部位代表。相反,背部和颈部温度最能代表平均近端皮肤温度。