Pediatric Sleep Disorders and Special Educational Need at 8 Years: A Population-Based Cohort Study

Bonuck, Karen; Rao, Trupti; Xu, Linzhi

doi:10.1542/peds.2012-0392

Cited by 25 publications

(17 citation statements)

References 63 publications

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“…Previous research also suggests that early childhood SDB may increase risks for adverse neurobehavioral outcomes that become apparent only years later. (60, 61) If morbidity such as obesity and attention deficit/hyperactivity disorder is in fact promoted by exposures to inadequate sleep early in life, new more sensitive and effective approaches for identification of those consequential yet remediable exposures will be required. These considerations highlight the challenges inherent with young patients, on rapid developmental trajectories in which outcomes can remain occult until later ages, yet have potential for lifelong effects on human health.…”

Section: Discussionmentioning

confidence: 99%

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

Bonuck¹,

Chervin²,

Howe³

2015

The Journal of Pediatrics

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Objectives To examine independent associations between sleep-disordered breathing (SDB), sleep duration from birth through 6.75 years, and body mass index (BMI) through 15 years of age in a population-based cohort. Study design The Avon Longitudinal Study of Parents and Children (ALSPAC) collected parent questionnaire data on child sleep duration and sleep disordered breathing (SDB) symptoms from birth through 6.75 years and child BMI from ALSPAC research clinics (n=1,899). For SDB, logistic regression models-- minimal, confounder, and confounder + sleep duration adjusted-- examined associations with BMI at 7, 10, and 15 years. For short sleep duration (≤ 10th centile), comparable SDB-adjusted models examined associations with BMI at 15 years. Results Children with the worst SDB symptoms vs. asymptomatic children, had increased odds of overweight at 7 (OR=2.08, 95% CI= 1.04-4.17), 10 (OR= 1.79, 95% CI= 1.02-3.16), and 15 years (OR= 2.25, 95% CI= 1.27-3.97) in models adjusted for sleep duration. Similarly, short sleep duration at ≈5-6 years was associated with overweight at 15 years, independent of SDB. Children with short sleep duration at 4.75 years were more likely to be overweight at 15 years in minimally (OR= 2.21, 95% CI= 1.52-3.20), confounder (OR= 1.99, 95% CI= 1.34-2.96), and SDB-adjusted (OR= 2.04, 95% CI= 1.36=3.04) models. Conclusion Both SDB and short sleep duration significantly and independently increase children’s odds of becoming overweight. Findings underscore the potential importance of early identification and remediation of SDB, along with insufficient sleep, as strategies for reducing childhood obesity.

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Section: Discussionmentioning

confidence: 99%

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

Bonuck¹,

Chervin²,

Howe³

2015

The Journal of Pediatrics

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“…69,70 In 1 longitudinal study, a history of SDB or behavioral sleep disorders in the first 5 years of life significantly increased the likelihood of children needing special education at age 8, even after controlling for many confounders. 71 These data highlight the need to identify children with SDB who perform poorly at school. 72 It is not uncommon for SDB to go untreated because SDB symptoms are underreported by parents at general practice visits, 73 and although the condition may resolve with increasing age as airway size increases relative to the size of the adenoids and tonsils, 74 it can also persist into adolescence and adulthood.…”

Section: Figurementioning

confidence: 99%

Sleep Disordered Breathing and Academic Performance: A Meta-analysis

et al. 2015

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Variable definitions of both academic performance and SDB likely contributed to the heterogeneity among published investigations. Clear links between SDB and poorer academic performance in school-age children are demonstrated. ES statistics were in the small to medium range, but nevertheless the findings serve to highlight to parents, teachers, and clinicians that SDB in children may contribute to academic difficulties some children face.

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“…Secondary prevention for mild BSPs could be accomplished by training a range of health professionals to deliver brief, behavioral interventions. (16) Positive effects are found when such interventions are delivered to parents by nurses and psychology trainees, (9, 17) via the internet,(18-20) and via written materials. (21) Behavioral interventions are most effective in younger (vs. older) children,(21) perhaps because they target parent-child interactions that contribute to the problem.…”

Section: Introductionmentioning

confidence: 99%

Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

et al. 2017

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Objectives Behavioral sleep problems (BSPs) are prevalent and consequential in young children. There is a need for screening tools that identify BSPs- which are often rooted in the parent-young child relationship- and typically respond to behavior management. Such a tool would increase capacity to identify and treat BSPs. We sought to validate a short-form version of the widely used Children's Sleep Habits Questionnaire (SF-CSHQ) that omitted items that would not be responsive to behavioral strategies. Methods The original 33-item CSHQ elicits parent report of “behaviorally-based” and “medically-based” sleep items (e.g., parasomnias and sleep disordered breathing). We conducted analyses to develop a SF-CSHQ that excludes its “medically-based” items, to determine a) the SF-CSHQ threshold score corresponding to the full CSHQ clinical cut-off score (≥ 41), and b) preliminary validity of this SF-CSHQ. Data were re-analyzed from the original data that established the CSHQ's psychometric properties in 4-10 year olds, and a second dataset that established its validity in 24-66 month olds. Results In both datasets, a threshold score of 30 had correlations of 0.90-0.94 with the original cut-off. This 23-item SF-CSHQ cut-off functioned as well as the full CSHQ cut-off in discriminating between children with vs. without a parent-reported behavioral sleep problem, and with vs. without prolonged sleep latency (per actigraphy). Conclusion We established preliminary validity of modified version of the widely used CSHQ. This SF-CSHQ may be useful for widening screening and first-line guidance for behavioral sleep problems in young children, among professionals who are not sleep medicine specialists.

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Pediatric Sleep Disorders and Special Educational Need at 8 Years: A Population-Based Cohort Study

Cited by 25 publications

References 63 publications

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

Sleep Disordered Breathing and Academic Performance: A Meta-analysis

Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

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