Association of poor sleep with behavior and quality of life in children and adolescents with cystic fibrosis

Cavanaugh, Keith; Read, Lisa; Dreyfus, Jill; Johnson, Mahrya; McNamara, John J.

doi:10.1007/s41105-015-0044-4

Cited by 12 publications

(17 citation statements)

References 23 publications

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“…Poor mood is another consequence of inadequate sleep among children with CF (32). Subjective complaints of insomnia, and more objective measures of poor sleep, such as a lower sleep efficiency and a longer time spent in WASO, have all been associated with inattentiveness, hyperactivity and a greater frequency of anxiety and depressive symptoms (28, 29, 32, 77).…”

Section: Impact Of Sleep Disturbancesmentioning

confidence: 99%

Sleep disturbances and their impact in pediatric cystic fibrosis

Shakkottai

O’Brien

Nasr

et al. 2018

Sleep Medicine Reviews

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Cystic fibrosis is a chronic, life-shortening illness that affects multiple systems and results in frequent respiratory infections, chronic cough, fat malabsorption and malnutrition. Poor sleep is often reported by patients with cystic fibrosis. Although objective data to explain these complaints have been limited, they do show poor sleep efficiency and frequent arousals. Abnormalities in gas exchange are also observed during sleep in patients with cystic fibrosis. The potential impact of these abnormalities in sleep on health and quality of life remains largely unstudied. This review summarizes what is known about sleep in children with cystic fibrosis, and implications for clinical practice. This report also highlights new evidence on the impact of sleep problems on disease-specific outcomes such as lung function, and identifies areas that need further exploration.

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Section: Impact Of Sleep Disturbancesmentioning

confidence: 99%

Sleep disturbances and their impact in pediatric cystic fibrosis

Shakkottai

O’Brien

Nasr

et al. 2018

Sleep Medicine Reviews

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“…Because of this advantage, such devices are often preferred to detect unpredicted sleep fall. Devices of this kind have undergone significant improvement in the past few decades to improve and expand their utility ( 11 – 14 ). In the current era of wearable devices, activity sensors have become increasingly economical and new devices have been developed ( 15 , 16 ), including the MTN-210 (Kissei Comtec, Nagano, Japan).…”

Section: Introductionmentioning

confidence: 99%

Comparisons of Portable Sleep Monitors of Different Modalities: Potential as Naturalistic Sleep Recorders

et al. 2016

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BackgroundHumans spend more than one-fourth of their life sleeping, and sleep quality has been significantly linked to health. However, the objective examination of ambulatory sleep quality remains a challenge, since sleep is a state of unconsciousness, which limits the reliability of self-reports. Therefore, a non-invasive, continuous, and objective method for the recording and analysis of naturalistic sleep is required.ObjectivePortable sleep recording devices provide a suitable solution for the ambulatory analysis of sleep quality. In this study, the performance of two activity-based sleep monitors (Actiwatch and MTN-210) and a single-channel electroencephalography (EEG)-based sleep monitor (SleepScope) were compared in order to examine their reliability for the assessment of sleep quality.MethodsTwenty healthy adults were recruited for this study. First, data from daily activity recorded by Actiwatch and MTN-210 were compared to determine whether MTN-210, a more affordable device, could yield data similar to Actiwatch, the de facto standard. In addition, sleep detection ability was examined using data obtained by polysomnography as reference. One simple analysis included comparing the sleep/wake detection ability of Actiwatch, MTN-210, and SleepScope. Furthermore, the fidelity of sleep stage determination was examined using SleepScope in finer time resolution.ResultsThe results indicate that MTN-210 demonstrates an activity pattern comparable to that of Actiwatch, although their sensitivity preferences were not identical. Moreover, MTN-210 provides assessment of sleep duration comparable to that of the wrist-worn Actiwatch when MTN-210 was attached to the body. SleepScope featured superior overall sleep detection performance among the three methods tested. Furthermore, SleepScope was able to provide information regarding sleep architecture, although systemic bias was found.ConclusionThe present results suggest that single-channel EEG-based sleep monitors are the superior option for the examination of naturalistic sleep. The current results pave a possible future use for reliable portable sleep assessment methods in an ambulatory rather than a laboratory setting.

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“…The prevalence of sleep difficulties is well documented in the CF population [8, 11–19] with possible etiologies including nocturnal hypoxemia preventing REM sleep [12, 13] and nocturnal cough.…”

Section: Discussionmentioning

confidence: 99%

“…Although recent advances in diagnosis and treatment have led to increases in lifespan, CF remains one of the most difficult chronic conditions to manage [3, 4] and patients with CF suffer from declining health-related quality of life as the disease progresses [5, 6]. Studies have shown that children with CF experience symptoms of pain, sleep disturbance, anxiety, and depression [7–19]. …”

Section: Introductionmentioning

confidence: 99%

“…Cavanaugh et al measured sleep quality in fifty subjects with CF (age 6–19 years) using actigraphy. Forty-two participants (84%) experienced poor sleep which was associated with worsening attention and attitude functioning [19]. In addition, there may be an association between decline in pulmonary function and sleep disruption [22] ultimately impacting quality of life for individuals with CF [14].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Yoga Therapy in Children with Cystic Fibrosis Decreases Immediate Anxiety and Joint Pain

McNamara¹,

Johnson

Read

et al. 2016

Evidence-Based Complementary and Alternative Medicine

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This study was designed to determine whether yoga might alleviate symptoms of pain, sleep disturbance, anxiety, and depression in children with cystic fibrosis (CF). CF is the most common genetic, life-limiting chronic disease among Caucasian populations. It primarily affects the lungs but also many other secretory organs and consequently leads to significant morbidities. Research has shown that children with CF have significantly increased depression, anxiety, and pain compared to their healthy counterparts. Subjects participated in six one-on-one sessions over a 10-week period with a certified instructor who designed each yoga practice based on a preestablished list of 30 yoga asanas. Questionnaires evaluating pain, sleep disturbance, sustained anxiety, immediate anxiety, and depression were administered. Differences between premeasures and postmeasures were evaluated using a two-sided test. Twenty subjects were assessed (12 females/8 males), median age of 11 (7–20) years. Mean immediate anxiety scores decreased (before session to after session 29 to 23.6, respectively, p < 0.001). Joint pain improved (3.25 to 3.65, p = 0.028). CFQ-R emotion subscale improved from 79.2 to 85 (p = 0.073), and the respiratory subscale improved from 66.7 to 79.2 (p = 0.076). Other results were less notable. We conclude that yoga may reduce immediate anxiety and joint pain in patients with CF.

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Association of poor sleep with behavior and quality of life in children and adolescents with cystic fibrosis

Cited by 12 publications

References 23 publications

Sleep disturbances and their impact in pediatric cystic fibrosis

Sleep disturbances and their impact in pediatric cystic fibrosis

Comparisons of Portable Sleep Monitors of Different Modalities: Potential as Naturalistic Sleep Recorders

Yoga Therapy in Children with Cystic Fibrosis Decreases Immediate Anxiety and Joint Pain

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