The Importance of Sleep For Down Syndrome

Medically reviewed by
 Dr. Nayantara Santhi

Dr. Nayantara Santhi

Dr. Nayantara Santhi holds an academic position at Northumbria University. After completing her Ph.D. at Northeastern University (Boston, MA), she joined the Division of Sleep Medicine at Harvard Medical School as a post-doctoral fellow to research how sleep and circadian rhythmicity influence our cognitive functioning.

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Last Updated On November 24th, 2023
The Importance of Sleep For Down Syndrome

Key Takeaways

  • Importance of Sleep: Sleep is crucial for individuals with Down syndrome, but they often face unique challenges in maintaining a regular sleep schedule due to difficulties falling asleep, staying asleep, and various sleep disorders.
  • Difficulty of Getting Good Sleep: Sleep disturbances are prevalent in individuals with Down syndrome and can lead to negative physical and mental health effects. These disturbances may include reduced REM sleep, excessive daytime sleepiness, and issues like obstructive sleep apnea.
  • How to Get Better Sleep: Strategies to improve sleep include establishing consistent bedtime routines, creating a comfortable sleep environment, avoiding caffeine and screens before bedtime, and encouraging physical activity during the day. Diagnosing and treating specific sleep disorders, such as sleep-disordered breathing, is essential for improving sleep quality and overall well-being.

Sleep is an essential part of life, but for those with Down syndrome, it can be a challenge. With its challenges come unique opportunities to find ways to help them get the restful sleep they need. This article will explore the importance of sleep for those with Down syndrome and how to ensure they get the rest they need.

Getting a good night’s rest isn’t always easy for many people with Down syndrome. From difficulty settling down at night and staying asleep during the night to the many sleep disorders such as obstructive sleep apnea, it can be challenging to maintain a regular sleep schedule. But those with it must get enough rest to function correctly during the day. Not only does sleep affect their physical health, but their mental health as well.

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“Sleep disturbances in children with Down syndrome are extremely prevalent,” says Dr. Nayantara Santhi. “Unlike typically developing individuals, sleep disorders in children with down’s syndrome commonly last into adolescence and adulthood.”

“They decreased rapid eye movement sleep (REM) and decreased sleep efficiency and also exhibit excessive daytime sleepiness, fragmented sleep, early morning awakenings, and sleep maintenance insomnia. Given the importance of sleep for overall physical and cognitive health, good sleep health practice is especially important for individuals with Down syndrome.”

However, several strategies can help improve sleeping habits. From ensuring a consistent bedtime routine to creating an environment conducive to restful sleep, some steps can be taken to ensure that individuals with Down syndrome can get the restful sleep they need and deserve, even when dealing with obstructive sleep apnea or other sleep disorders.

With simple changes and a commitment from caregivers, everyone with Down syndrome can enjoy improved rest and quality of life.

What Is Down Syndrome?

Down syndrome is a genetic condition Verified Source National Library of Medicine (NIH) World’s largest medical library, making biomedical data and information more accessible. View source affecting thousands of people worldwide. An extra copy of chromosome 21 Verified Source National Library of Medicine (NIH) World’s largest medical library, making biomedical data and information more accessible. View source causes it, and it causes physical and cognitive delays. They can experience developmental delays in motor skills, speech, and language. They may also need help learning new things.

The effects of Down syndrome can range Verified Source Medline Plus Online resource offered by the National Library of Medicine and part of the National Institutes of Health. View source from mild to severe, depending on the person. Typically, Down syndrome affects their physical features Verified Source Centers for Disease Control and Prevention (CDC) The United States’ health protection agency that defends against dangers to health and safety. View source and mental abilities.

But despite these challenges, they can lead full and meaningful lives with the proper support. With access to good healthcare, education, and social support networks, they can learn to manage their condition and reach their full potential.

Causes Of Poor Sleep in Down Syndrome

Sleep disturbances are an all-too-common issue for those with this condition. Poor sleep can severely affect physical and mental health in turn, so we must understand why people with Down syndrome have trouble sleeping. One of the primary culprits of sleep disturbances is sleep onset and difficulty transitioning between sleep stages. This can lead to poor or disturbed sleep or periods of night waking that prevent deep and restful sleep.

Additionally, some people with Down Syndrome may also suffer from comorbid medical conditions and sleep disorders contributing to poor sleep quality. For example, obstructive sleep apnea (a condition that causes breathing interruptions during sleep) is prevalent in this population compared to typically developing children.

Living with these issues may also mean having more difficulty calming down before bedtime due to sensory issues or overstimulation. Bedtime routines and calming activities like reading or taking a warm bath can be beneficial in helping someone relax and unwind before bedtime. Still, these activities will look different for everyone who has this condition.

It’s essential to recognize the unique challenges people with Down Syndrome face when it comes to getting a good night’s rest and avoiding poor or disturbed sleep. With a little extra knowledge and care, we can support them in finding solutions that work best for them for resolving sleep difficulties. Understanding an individual’s unique needs and preferences can help foster better sleeping hygiene and habits and improve the overall quality of life.

REM Sleep in People with Down Syndrome

REM (Rapid Eye Movement) sleep issues are common for people with Down syndrome. Studies have shown that people with Down syndrome experience a lower amount of slow-wave sleep and REM sleep than most people due to their unique sleep disorders from physical and neurological traits such as sleep apnea.

Getting enough slow-wave sleep from non-REM stages and REM sleep can help people with Down syndrome regulate their emotions, promote better learning, and improve memory and problem-solving skills. It can also help keep their bodies in better physical shape, as it is associated with increased muscle tone and improved posture.

Those with Down syndrome, therefore, need to avoid sleep deprivation or oversleeping.

Obstructive Sleep Apnea in People with Down Syndrome

Obstructive sleep apnea (OSA) Verified Source Johns Hopkins Medicine University focused on medical research that produces thoroughly reviewed health articles. View source is a common sleep disorder in people with Down syndrome. It occurs when the airway is partially or completely blocked during sleep, leading to repetitive night waking and decreased oxygen levels.

People with Down syndrome are at higher risk for obstructive sleep apnea due to physical characteristics such as smaller airways, increased neck circumference, and decreased muscle tone in the upper airway. Symptoms of obstructive sleep apnea or other sleep-related sleep disturbance problems in people with Down syndrome include loud snoring, observed pauses in breathing during sleep, excessive daytime sleepiness, and behavioral issues.

Treatment for obstructive sleep apnea in people with Down syndrome typically involves lifestyle changes, such as weight loss and positional therapy, and continuous positive airway pressure (CPAP) therapy. A CPAP machine essentially keeps oxygenated air flowing through the sleepers’ windpipe.

Surgery for sleep apnea may sometimes be necessary to remove excess tissue or to enlarge the airway.

Why Sleep Is Important

Good sleep is essential for overall health and well-being, especially for people with Down syndrome. Getting enough sleep without sleep disturbances can make a huge difference in their daily lives. With that said, let’s take a closer look at some of the key benefits of getting enough rest for those with Down syndrome.

A good night’s sleep can help to improve concentration and focus. People with Down syndrome often have difficulty concentrating on tasks, so having regular sleep patterns that allow them to get the rest they need can be beneficial. In addition, better sleep can improve physical health. Those with Down syndrome can benefit from increased energy levels when they have had sufficient rest.

Finally, adequate rest also has positive effects on mood and behavior. Regularly getting proper sleep helps reduce stress levels and keep emotions more balanced. This means that people with Down syndrome are less likely to become frustrated or irritated due to fatigue or overstimulation.

Regular periods of restful sleep can also improve cognitive function, allowing those with Down syndrome to know how best to handle difficult situations that may arise throughout the day.

In short, numerous advantages are associated with attaining sufficient amounts of restful sleep for people with Down syndrome from aiding in cognitive performance to improving physical health and emotional stability. Therefore, individuals living with this condition (and their caregivers) should prioritize healthy sleeping habits and ensure they get the right kind of rest each night.

Diagnosis of Sleep Problems in Down Syndrome

When diagnosing sleep problems with Down Syndrome, it is important first to understand the causes and how they can affect your loved one. Knowing the underlying causes of poor sleep habits will help you better understand how to diagnose sleep problems best.

Diagnosing sleep disorders in Down Syndrome involves assessing the individual’s current sleep habits, such as total hours slept per night and quality of sleep. It is also worth considering other factors contributing to the symptoms, such as medical history, medications, lifestyle changes, and mental health conditions. Your doctor or specialist may recommend further tests such as polysomnography Verified Source Medline Plus Online resource offered by the National Library of Medicine and part of the National Institutes of Health. View source or actigraphy. Both are non-invasive technologies used to track and monitor a person’s sleep patterns.

To accurately diagnose any sleep issues in Down Syndrome, your loved one’s medical team will likely consider all these factors and apply them to their clinical experience and expertise to provide an effective diagnosis for your loved one. This is why it is so vital for you to make sure that you have access to a multidisciplinary healthcare team who can provide specialized care tailored specifically to your loved one’s unique set of needs.

Treating Sleep Problems in Down Syndrome

When treating sleep problems in those with Down syndrome, some special considerations must be taken into account. These considerations need to be carefully evaluated and addressed to ensure the best possible outcome.

First and foremost, it’s important to note that every person is different; therefore, what works for one person may not work for another. This means a personalized treatment plan needs to be created based on each individual’s age, health status, lifestyle, etc.

Additionally, certain medications or treatments may interact negatively with other medical issues and sleep disorders, such as sleep apnea, in an individual with Down syndrome. For example, certain antidepressants can worsen irritability and aggression in people with this condition.

It’s also important to consider the family environment when creating a treatment plan for someone with Down syndrome. Parents must understand how their child is affected by sleep deprivation and create a supportive atmosphere at home that encourages good sleeping habits. Keeping a consistent bedtime routine and ensuring the bedroom is optimized for sleep, being dark and quiet can help promote better sleep quality.

It is important to consider all of these considerations to ensure your child gets the best care possible when treating their sleep problems associated with Down syndrome. Working with your healthcare provider can ensure that you create a personalized plan tailored to your loved one’s needs.

Strategies to Improve Sleep

Sleep is critical to health and well-being, which applies just as much to people with Down Syndrome. But many of those living with the condition struggle to get the sleep they need because of breathing-related sleep disturbance issues, such as shortness of breath when lying down, and other sleep problems. But some strategies can help improve sleep and ensure everyone gets the rest they deserve.

First off, it’s important to cultivate good habits throughout the day. This means avoiding naps during the day, setting regular bedtimes and wake-up times, engaging in calming activities before bed, such as taking a warm bath or reading a book, and exercising regularly for better sleep. All these things can help create healthy patterns for better sleep.

Furthermore, ensuring the bedroom is comfortable, and inviting can also be helpful. This means ensuring that noise levels are low, the room isn’t too hot or cold, curtains block out light from outside if necessary, and any distractions like TVs or computers are kept out of the bedroom.

By following these tips, people with Down syndrome can take steps towards improving their sleep quality, leaving them feeling more energized and ready to tackle whatever comes their way!

Common Sleep Aids for Down Syndrome

The first step to finding the right sleep aid for your loved one is understanding the root cause of their struggles with sleeping. For many people with Down Syndrome, difficulties with sleeping patterns or insomnia can be linked to insufficient physical activity during the day or to environmental factors such as noise and light levels. Once you have identified the cause, there are various ways you can help them get back on track.

Establishing and maintaining healthy habits such as going to bed at the same time each night and avoiding caffeine close to bedtime are essential factors in improving overall sleep quality. It’s also important that your loved one has a comfortable bedding setup and is in an environment conducive to falling asleep quickly. See our guides to setting up a relaxing and healthy bedroom for better sleep:

Sleep aids certainly aren’t a cure-all solution, but they can provide relief and improved quality of life for those who struggle with sleeping issues associated with Down Syndrome. With a bit of trial and error, you should find the best combination that works for your family member’s particular needs.

Sleep Hygiene and Routines for Down Syndrome

Sleep is essential to everyone’s life, especially for those with Down Syndrome. Poor sleep can cause various negative effects, from daytime drowsiness to difficulty focusing or concentrating. Establishing healthy sleep hygiene and routines ensures your loved one with Down syndrome gets the best quality sleep possible.

Creating a regular sleep schedule for someone with Down Syndrome will help their body develop circadian rhythms that regulate wake-sleep cycles. This means going to bed and waking up at the same time every day; it may be helpful to start by setting a bedtime 10-15 minutes earlier each night until you find the ideal one. It’s important to stick to the established routine throughout the week, on weekends, and even during holidays or vacations.

Creating a comfortable sleeping environment is also essential for good quality restful sleep:

Also, developing calming routines before heading off to bed, such as reading books or drinking a cup of tea for sleep can help signal to your loved one that it’s time for bed.

Having a good night’s rest is something we all need to function well during our day-to-day activities. So ensuring your loved one with Down syndrome gets enough rest each night through healthy sleep hygiene practices will give them the energy they need each day.

How Good Sleep Impacts Health in People with Down Syndrome

A good sleep routine is essential to the overall health of individuals with Down syndrome. While it can be difficult to establish a regular sleep schedule, numerous benefits come with sticking to one. From improved moods and mental clarity to better physical health and energy, sound sleep has an undeniable positive impact on those with Down syndrome.

Establishing a regular bedtime and wake time is beneficial for individuals with Down syndrome. You can use a sleep calculator to figure out the ideal bedtime by counting back from when a person needs to wake up. When people have consistent routines, their bodies become accustomed to their new habits, making it easier for them to fall asleep at night and wake up rested in the morning.

Additionally, having a consistent bedtime encourages children and adults to adopt healthier sleeping habits, such as avoiding caffeine late at night or reducing screen time before bedtime.

Good sleep can also have long-term effects on those with Down syndrome. Studies have shown Verified Source National Library of Medicine (NIH) World’s largest medical library, making biomedical data and information more accessible. View source  that getting adequate rest helps regulate hormones and metabolism, which impacts overall health. Furthermore, good quality sleep increases concentration levels during the day, which makes learning easier for children with Down syndrome. Healthy sleeping patterns can even improve social interactions between individuals with this condition and their peers.

Sleep hygiene is essential in maintaining physical and mental well-being for those with Down syndrome. Establishing regular nighttime routines while avoiding screens close to bedtime can promote better quality sleep over time, resulting in improved overall functioning during the day.

FAQs

What sleep disorders might children with Down syndrome have?

Children with Down syndrome are at an increased risk for sleep disorders such as sleep-disordered breathing, insomnia, and restless leg syndrome. Sleep-disordered breathing can include snoring, obstructive sleep apnea, and upper airway resistance syndrome. Such sleep disorders can cause fatigue, difficulty concentrating, and decreased quality of life.

Insomnia is characterized by sleep onset difficulties or staying asleep and can lead to excessive daytime sleepiness. Restless leg syndrome causes discomfort or an urge to move the legs while trying to fall asleep, leading to sleep disruption. It’s important to have a child with Down syndrome evaluated by a doctor or sleep specialist if any sleep issues are suspected, as early diagnosis and treatment can improve sleep quality and overall health.

Do people with Down syndrome have sleep issues?

People with Down syndrome are at an increased risk for sleep issues and sleep disorders. Common sleep problems include sleep-disordered breathing, insomnia, and restless leg syndrome. Sleep-disordered breathing can cause snoring, obstructive sleep apnea, and upper airway resistance syndrome, leading to fatigue and difficulty concentrating.

Insomnia can cause sleep onset difficulties or staying asleep, leading to excessive daytime sleepiness. Restless leg syndrome can cause sleep disturbances and discomfort or an urge to move the legs while trying to fall asleep, causing fragmented sleep.

How can I help someone with Down syndrome to sleep?

To help someone with Down syndrome sleep, create a consistent sleep schedule, establish a relaxing sleep environment, encourage physical activity during the day, manage behaviors that may disrupt sleep such as eating before bed and over-napping, and offer support and comfort. Consult a doctor or sleep specialist for additional guidance, especially if they appear to have sleep apnea or other sleep disturbance issues.

What is a good bedtime routine for a child with Down syndrome?

Your child’s body and brain will begin “shutting down” for the night 20 to 30 minutes before bedtime if you follow a consistent bedtime routine with them. This includes putting on pajamas, brushing teeth and face, reading, and other activities. Your youngster will have a much simpler time drifting off to sleep if you consistently maintain this routine.

How can you help a baby with Down syndrome sleep?

To help a baby with Down syndrome sleep, parents should establish a consistent sleep routine with set bedtimes and nap times, create a calm and comfortable sleep environment with proper temperature control and minimal noise and light, encourage physical activity during the day, use a pacifier or soothing techniques such as rocking or singing, and offer support and comfort. Consult a pediatrician or sleep specialist if needed.

Conclusion

In conclusion, sleep is an essential factor in the overall health of those with Down syndrome. It’s important to recognize that people with Down syndrome often face unique challenges when getting a good night’s rest. With proper assessment, treatment, and supportive care, individuals with Down syndrome can make strides toward achieving better sleep health.

The most common challenge is difficulty falling asleep or staying asleep. It’s important to understand the unique needs of people with Down Syndrome when creating a sleep routine since they may need more time to wind down before bedtime than others to get quality rest.

Additionally, parents and caregivers should be aware that certain medications used to treat some common medical conditions associated with Down Syndrome may cause insomnia and should be monitored closely if this is the case.

Everyone’s sleep needs are different, so it is important for those living with Down syndrome to find what works best for them. To ensure the best outcomes for loved ones with Down Syndrome, prioritize their sleep health and create individualized plans to help them achieve quality rest.

Overall, getting enough quality sleep is essential for optimal physical and mental well-being. By understanding the unique needs of those with Down Syndrome and providing support through evidence-based interventions, you can help ensure they get the rest they need to live their happiest and healthiest lives.


About the author

Eric Ridenour is a health and wellness writer with a strong focus on sleep and nutrition. With a background in health science and psychology, Eric has a deep understanding of the connection between sleep and overall well-being. His expertise has been sought by various businesses and individuals, and his work has been featured in reputable publications such as Thrive Global, Drug Report, and Authority Magazine. Eric's commitment to promoting better sleep and comprehensive wellness is evident in his writing and consultations. He is a published author working on his second book.

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