Sleep and Behavior Problems in School-Aged Children

Stein, Mark A.; Mendelsohn, Janis; Obermeyer, William H.; Amromin, Julie; Benca, Ruth M.

doi:10.1542/peds.107.4.e60

Cited by 481 publications

(388 citation statements)

References 26 publications

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“…Often times, parents downplay their children's sleep problems to pediatricians in medical consultations. Stein et al 25 assessed 472 children aged between 4 to 12 years, and the parents of 10.8% of these children reported persistent problems related to sleep in the last six months; notwithstanding, less than 50% of these children's parents talked about their children's sleep during the medical consult. Smedje et al 26 have shown that, although sleep problems were common in a population of 1844 children between 5 and 7 years of age, this issue was raised in the medical consults by the parents in only 6.7% of the cases.…”

Section: Discussionmentioning

confidence: 99%

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Ramos¹,

Daltro

Gregório³

et al. 2006

Rev. Bras. Otorrinolaringol.

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Obst ructive sleep apnea and hypopnea syndrome in children (osas) has an estimated prevalence of up to 3% and can be associated with neurocognitive and behavioural abnormalities, and also cardiovascular complications. This study may help pediatricians, who are unaware of the problem, to recognize osas. Study design: series of cases. Aim: to describe the clinical characteristics and polysomnographic respiratory findings in a population of children with obstructive sleep apnea and hypopnea syndrome referred to the sleep laboratory from january 2002 up to july 2003. Methods: we studied 93 patients between 2 and 10 years of age with polysomnographic diagnosis of obstructive sleep apnea and hypopnea syndrome. Age, gender, racial group and questions about the children's health and sleep related disorders were evaluated. Apneahypopnea index, oxyhemoglobin desaturation, and arousal index were evaluated too. Results: males represented 61.3%, With a mean age of 5.2 ± 2.1 (Years-old). The complaints that most commonly lead to the exams were snoring in 24.7% And restless sleep in 24.7%. Associated medical conditions frequently reported were allergic rhinitis (98.9%) And adenoid hypertrophy (50.6%). Mild apnea was found in 66%. The mean and sd of spo2 nadir was 89.1 ± 3.5% And the mean and sd of the number of arousals was 8.4 ± 3.5/ Hour of sleep. Conclusion: the results suggest the possibility that obstructive sleep apnea and hypopnea syndrome should be suspected in children with allergic diseases and adenoid and tonsil hypertrophy with snoring and restless sleep complaints.

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Section: Discussionmentioning

confidence: 99%

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Ramos¹,

Daltro

Gregório³

et al. 2006

Rev. Bras. Otorrinolaringol.

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“…There is great interest in studying the sleep habits of children and adolescents, since they appear to be linked to somatic disorders such as respiratory diseases (Camhi et al, 2000), injuries (Valent et al, 2001), overweight or obesity (Gupta et al, 2002), psychological conditions including anxiety, depression, and aggressive behaviour (Meijer et al, 2000); alcohol or substance consumption and social and family disturbances (Vignau et al, 1997;Stein et al, 2001). Many adolescents complain about too short a sleep length, difficulties in falling asleep and waking up, and sleepiness during the daytime (Vignau et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Nutritional status, growth and sleep habits among Senegalese adolescent girls

2004

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Objective: To study the relation between sleep habits, nutritional status, growth and maturation in a group of African adolescent girls. The main hypothesis to be tested was that sleep length could be an effective way to spare energy, and thus malnourished girls sleep longer than normal girls. Design: Three repeated yearly surveys (1997)(1998)(1999)) on a subsample of girls drawn from a larger study cohort on growth at adolescence. Setting: The Niakhar district in the central part of Senegal. Subject: In total, 40 girls were initially drawn. Missing girls were replaced at each round by girls having the same characteristics and belonging to the same cohort. Intervention: At each round, data on pubertal development (breast stages and occurrence of menarche), growth and nutritional status were collected. Adolescents wore an accelerometer for three or four consecutive nights and days at each round. Results: At the beginning of the survey, girls were 13.370.5 y old. They were under international reference values in weight and height. Their mean sleep duration was 8.570.9 h. Their puberty status did not influence their sleep habits; however, they slept more in March than in June, which was related to the seasonal change in daylight. There was a significant relation between body mass index and sleep habits: thinner girls slept a longer time and more quietly than the more corpulent girls. Conclusion: The nutritional status of these girls influenced their sleep habits: this may have been either a direct causal relation or a consequence of a protective attitude on the part of the mothers towards the frailer girls. Sponsorship: The R024 'Epidémiologie et Prévention' of the IRD (France) and the Nestlé Foundation.

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“…[1][2][3][4] Community and multi-site studies have consistently reported that up to 20% to 25% of US children and adolescents experience a range of sleep problems. [5][6][7][8][9][10] Inadequate sleep takes many forms: difficulty with sleep onset, length, or circadian rhythms with resulting daytime sleepiness experienced by otherwise healthy children; disturbed sleep associated with acute and chronic illness; and primary sleep disorders.…”

mentioning

confidence: 99%

“…Atopic disorders, such as asthma and allergic rhinitis, have also been associated with increased sleep impairment. 2,23,24 The purpose of this study was to describe the prevalence and characteristics of inadequate sleep as perceived by parents of a random national sample of school-aged and adolescent children and reported as part of the 2003 National Survey of Children's Health (NSCH). We use a multi-domain conceptual approach incorporating child, family, and environmental factors.…”

mentioning

confidence: 99%

Sleepless in America: Inadequate Sleep and Relationships to Health and Well-being of Our Nation's Children

2007

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OBJECTIVE. Our goal was to identify characteristics associated with inadequate sleep for a national random sample of elementary school-aged children (6 -11 years) and adolescents (12-17 years).METHODS. Data from 68 418 participants in the 2003 National Survey of Children's Health were analyzed by using weighted bivariate and multivariate regression models. The dependent variable was report of not getting enough sleep for a child of his or her age Ն1 night of the past week. Independent variables included demographic characteristics, child health, school and other activities, and family life.RESULTS. Parents of elementary school-aged children with inadequate sleep were more likely to report that their child was having problems at school or had a father with fair or poor health. Parents of adolescents with inadequate sleep were more likely to report that their child had an atopic condition, frequent or severe headaches, a parent with less-than-excellent emotional health, or experienced frequent parental anger. Inadequate sleep in both age groups was associated with parental report that their child usually or always displayed depressive symptomatology, family disagreements involved heated arguing, or parental concern that the child was not always safe at home, at school, or in their neighborhood.CONCLUSIONS. Approximately 15 million American children are affected by inadequate sleep. Primary care providers should routinely identify and address inadequate sleep and its associated health, school, and family factors.www.pediatrics.org/cgi

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Sleep and Behavior Problems in School-Aged Children

Cited by 481 publications

References 26 publications

SAHOS em crianças: perfil clínico e respiratório polissonográfico

SAHOS em crianças: perfil clínico e respiratório polissonográfico

Nutritional status, growth and sleep habits among Senegalese adolescent girls

Sleepless in America: Inadequate Sleep and Relationships to Health and Well-being of Our Nation's Children

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