Study objectivesTo determine the prevalence of sleep complaints in adults in Colombia at different altitudes.DesignCross-sectional, population-based and observational study.SettingUrban areas in three cities (Bogotá, Bucaramanga, Santa Marta) located between 15 and 2640 masl. Subjects Over 18 years old.InterventionsEpworth sleepiness scale (ESS), Pittsburgh sleep quality index (PSQI), Berlin questionnaire, STOP-Bang questionnaire and diagnostic criteria for restless leg syndrome (IRLSSG).Measurements and resultsThe overall prevalence of sleep complaints was 59.6% (CI 95%: 57.3; 61.8%). According to the Pittsburgh scale, 45.3% (CI 95%: 43.0; 47.5) required medical assistance. The Berlin questionnaire indicated that 19.0% (CI 95%: 17.3; 20.8%) had a high risk of sleep apnea (OSA) compared to 26.9% (CI 95%: 24.9; 29.0%) according to STOP-Bang. Among the subjects, 13.7% (CI 95%: 12.3; 15.3%) had excessive daytime sleepiness and 37.7% (CI 95%: 35.5; 39.8%) had a restless leg syndrome. When comparing cities, significant differences in the overall frequency of subjects requiring care were found between Santa Marta (higher frequency) and the other two cities. Differences in sleep problem frequency (Pittsburgh) were observed between Bogota (higher frequency) and Bucaramanga and also between Santa Marta (higher frequency) and the other two cities. The high risk of OSA (STOP-Bang) was different between Bogota (higher frequency) and Bucaramanga and also between Santa Marta (high frequency) and Bucaramanga.ConclusionsWe observed a high prevalence of sleep complaints with significant differences among the cities, indicating a need to pay a greater attention to these problems.

No abstract

El déficit de atención e hiperactividad (TDAH) es uno de los trastornos del comportamiento más frecuentes en pediatría, que genera conductas maladaptativas inconsistentes con la edad y el desarrollo del niño. Recientemente ha despertado gran interés la alta coexistencia de este con trastornos de sueño, al igual que una posible causa bidireccional entre las alteraciones de la arquitectura del sueño y los síntomas principales del TDAH. El objetivo de esta revisión es encontrar la asociación entre el TDAH y los trastornos del sueño en la población pediátrica, evaluando a profundidad los documentos, con el fin de encontrar nivel de evidencia, para ampliar a futuro la intervención sobre el TDAH y optimizar la calidad de vida de estos pacientes, a corto y largo plazos. Se realizó la búsqueda en Pubmed, Cochrane y Fabumed, escogiendo estudios en niños, con menos de 10 años de publicación, en inglés o español, con acceso completo. Se escogieron 52 estudios basándose en su calidad y nivel de evidencia.