Sleep patterns in 1 to 36 month-old children

Background Better understanding about sleep patterns inIndonesian children can contribute to basic knowledge foreducating parents and health providers about good sleephygiene.Objectives To find out sleep patterns in 1􀁊36 month􀁊oldchildren.Method A descriptive, cross􀁊sectional study was held in EastJakarta on May 2009. Subjects were 1 to 36 months old childrenwho came \\lith their parents or primary caregivers. Data collectionwas performed using modified Brief Infant Sleep Questionnaire(BISQ), consisted of subjects' characteristics, sleep patterns, sleepproblems, and associating factors.Results Among 147 children, sleep problems were identified in33.3% of them. Bedtime was mostly at 8 p.m., wake up time was5 a.m. Median time needed to fall asleep was 20 minutes. Averagefrequency of night waking was twice during one night. Mediannight waking duration was 15 minutes. Median sleep duration atnight was 9 hours 20 minutes, and median nap duration was 2hours 20 minutes. Median total sleep time was 12 hours. Pronesleeping position was significantly associated \\lith sleep problems(p􀁋0.036, RR􀁋1.67, 95%CI􀁋1.66-2.64).Conclusions Prevalence of sleep problem is 33.3%, \\lith awakeningat night was being the most occurring problem. Prone sleepingposition is associated \\lith sleep problems. [Paediatr Indones.2010;50:170-5].

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Sleep Problems in Pregnancy—A Cross-Sectional Study in over 7000 Pregnant Women in Poland

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17155306 ◽

2020 ◽

Vol 17 (15) ◽

pp. 5306

Author(s):

Magdalena Smyka ◽

Katarzyna Kosińska-Kaczyńska ◽

Nicole Sochacki-Wójcicka ◽

Magdalena Zgliczyńska ◽

Mirosław Wielgoś

Keyword(s):

Pregnant Women ◽

Sleep Disorders ◽

Sleep Disturbances ◽

Sleep Problems ◽

Sleep Onset ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Physical Symptoms ◽

Sleep Patterns ◽

Cross Sectional

The aim was to characterize sleep patterns in pregnant women in Poland and to analyze the relation between sociodemographic factors, pregnancy-related physical symptoms and sleep problems. A self-composed questionnaire, containing questions in Polish language, was distributed online via web pages and Facebook groups designed for pregnant women. The questionnaire included questions regarding sociodemographic data and information on the current pregnancy and sleep patterns over the past four weeks. Exactly 7207 respondents were included to the study. 77.09% reported sleep problems: nocturnal awakening (52.77%), sleep onset insomnia (20.23%), awakening too early (18.56%) and believed their sleep was too shallow (9.82%). Sleep onset insomnia (26.38%) and frequent awakening (62.88%) were most often reported in 3rd trimester, while daytime drowsiness (86.35%) and naps impeding daytime function (27.18%) in the 1st trimester of pregnancy. The analyzed demographic, socioeconomic and psychological issues had a small but significant influence on sleep problems occurrence (aOR 0.81–1.24). Time to conceive from 6 to 12 months of trying increased the risk of developing sleep problems during pregnancy (aOR 1.31). Pregnancy ailments increased the risk of sleep disturbances (aOR 1.53–2.59). Sleep disorders are prevalent among pregnant women in Poland. The evaluation of risk factors is essential in proper screening for sleep disorders in pregnant women.

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SLEEP PATTERNS

The Professional Medical Journal ◽

10.29309/tpmj/2014.21.01.1904 ◽

2018 ◽

Vol 21 (01) ◽

pp. 148-156

Author(s):

Aftab Anjum ◽

Muhammad Aslam Bajwa ◽

Rizwan Saeed

Keyword(s):

College Students ◽

Medical Students ◽

Life Style ◽

Sleep Problems ◽

Sleep Time ◽

Sleep Patterns ◽

Cross Sectional ◽

Sleeping Pills ◽

Night Awakening ◽

Academic Demands

Background: College students experience a number of sleep problems, which1impact academic performance, health, and mood . University students are exposed to pressuresdue to academic demands. Objectives: To determine the prevalence of sleep disorders amongcollege students and look into their sleep patterns and life style. Design: A cross-sectional study.Material & Method: Sample was comprised of 141 medical and non-medical students. Placeand Period of Study: The study was conducted at University of Lahore and period spanned fromDec 2010 to April 2011. Results: The age ranged 18 to 26, with 42.6 to 57.4 Male-female ratios.Both groups were almost similar in use of sleeping pills (medical: 97.2, non-medical: 82.2%).They differed in percentages for studying academic books, listening MP 3 player and late nightparties/hangouts, wherein medical students outnumbered non-medical students almost by half.Both groups differed in their usual time to sleep, medical students who sleep later than 12 pm washigher (66.2%), compared to 46.6% non-medical. In taking day naps (medical: 70.6%, nonmedical:37.0%), awakening due to noise often (medical: 41.2%, non-medical: 30.1%),nightmares during sleep often (medical: 23.5%, non-medical: 19.5%) and sometimes (medical:44.1%, non-medical: 30.1%), difficulty in falling sleep sometimes (medical: 50.0%, non-medical:32.9%), feel sleepiness in the class often (medical: 45.6%, non-medical: 28.8%), feel tired orsleepiness during the day (medical: 36.7%, non-medical: 23.4%). Both groups also differregarding worry about “sleep disturbance to some extent”. (medical:51.4%, nonmedical:35.6%).Conclusions: Our study found that medical students had more disturbed sleeppatterns than the comparing group including delaying sleep time at night, awakening due tonoise, experiencing nightmares, difficulty in falling sleep, feeling sleepiness in the class andduring the day

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AB0139 RHEUMATOID ARTHRITIS AND SLEEP QUALITY

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3310 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1097.1-1097

Author(s):

S. Rekik ◽

L. Ben Ammar ◽

S. Boussaid ◽

S. Jemmali ◽

E. Cheour ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Sleep Quality ◽

Sleep Problem ◽

Sleep Problems ◽

Symptomatic Treatment ◽

Cross Sectional Study ◽

Cross Sectional ◽

The Mean ◽

The Impact

Background:Consequences of rheumatoid arthritis (RA) are many and varied: physical, psycho-affective and financial.Objectives:The objective of our study is to evaluate the impact of RA on sleep quality.Methods:We conducted a cross-sectional study including 49 RA patients. An evaluation of sleep quality using the MOS-Sleep Scale was performed.Results:The mean age of patients was 54.1 years, with a female predominance (89.8%). The mean duration of RA was 11.43 ± 7.32 years with a mean time to diagnosis of 2.35 years. Rheumatoid factor was positive in 77.6% of cases. A atlanto-axial dislocation was found in 4.1% of cases and coxitis in 8.2% of cases. All patients were on symptomatic treatment, 57.1% of whom were on corticosteroid therapy. 83.67% of patients were on cs-DMARDs and 14.2% were on biologics. At inclusion, sleep was optimal in 63.2% of cases and the mean Sleep Problem Index was 26.19 ± 22.77.The index of sleep problems was higher in older subjects and in those with long diagnostic delays. The presence of co-morbidities and atlanto-axial dislocation and/or coxitis was associated with impaired sleep quality. Also, VAS pain and EGP were associated with an increase in the sleep problem index. In the multivariate study, EGP, the presence of co-morbidities and atlanto-axial dislocation and/or coxitis were the independent factors affecting sleep quality.Conclusion:The impact of RA on the patient’s quality of life and especially the quality of sleep is confirmed by several studies in the literature. A global management of the patient is necessary in order to adapt well to his disease.Disclosure of Interests:None declared

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Sleep Quality of Second Trimester Pregnant Women

KnE Life Sciences ◽

10.18502/kls.v4i13.5251 ◽

2019 ◽

Author(s):

Elsa Naviati ◽

Anggorowati Anggorowati ◽

FatikhuYatuni Asmara

Keyword(s):

Sleep Quality ◽

Pregnant Women ◽

Sleep Problem ◽

Sleep Problems ◽

Early Adulthood ◽

Cross Sectional Study ◽

Poor Sleep ◽

Second Trimester ◽

Cross Sectional ◽

Good Shape

Background: Most women experience sleep problem during pregnancy. Poor sleep can adversely affect health, also impacts critically toward the mother as well as the fetus.Accordingtothepreviousstudies,most of the results state that the sleep problem increases along with the gestational age. Yet, there search which focuses on sleep quality in the second trimester of pregnancy is limited. Objectives: The purpose of studyistodescribesleepqualityofsecondtrimesterpregnantwomenintheSemarang City. Methods: Cross sectional study was conducted in 4 Public Health Centers of Semarang City with purposive sampling in mothers with 20-24 weeks of pregnancy. Number of respondents is 73 pregnant women. Inclusion criteria are pregnant women with 20-24 week of pregnancy, live together with husband, don’t have any chronic illness. The instrument backed up using Sleep Condition Indicator (SCI). Results was divided into 4 criteria namely severe sleep problems, some sleep problems, good shape sleep and great shape sleep. Data analysis was using a computer program. Results:The result of the study shows that those 73 pregnant women are grouped into several categories, most of them are senior high school (64,38%), second pregnancy (37.8%), Islamic religion (98.63%), household care work (71,23%) and early adulthood (63,01%). Furthermore, it shows that most of pregnant women have a good shape sleep (52,05%), while the pregnant women who have some sleep problem are 16,44%. Conclusion: Although the result shows that the percentage of pregnant women who has sleep problem is not as high as the ones who do not, this should not be taken for granted since this problem will inﬂuence both the mother’s and the fetus’ health conditions.For further research, it is needed to ﬁnd the causes of poor sleep quality on pregnant women to solve this problem and to prevent disease which is caused by it.

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Sleep pattern, sleep problems and comorbidities among resident doctors at a tertiary care institution in India: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20175165 ◽

2017 ◽

Vol 4 (12) ◽

pp. 4477 ◽

Cited By ~ 1

Author(s):

Siddalingaiah H.S. ◽

Chandrakala D. ◽

Amarjeet Singh

Keyword(s):

Sleep Problems ◽

Tertiary Care ◽

Sleep Time ◽

Cross Sectional Study ◽

Sleep Apnoea ◽

Sleep Pattern ◽

Sectional Study ◽

Cross Sectional ◽

Obstructive Sleep ◽

Study Results

Background: Sleep problems are a major concern in population working under stress such as resident doctors. Sleep has many health benefits; sleep problems are linked with short and long term adverse health outcomes. Aim was to study sleep pattern, problems and comorbidities among resident doctors. Methods: A cross-sectional study design with a pre-validated sleep assessment proforma was used to collect information on socio-demographics, sleep pattern, sleep problems and comorbidities from 428 resident doctors found eligible for the study. Results: 350 subjects returned the filled proforma (82% response rate). Mean daily sleep hours were 6.21 (SD, 1.39) and work hours 12.77 (SD, 3.63). Sleep time was night in 64.6%, day in 12%, and both in 23.4%. Monthly average of 5.8 night shifts and 2.03 duty offs were found. Visual analogue scale (0-10) mean scores for sleepiness and tiredness were 4.41 (SD, 2.55; 95% CI, 4.14-4.68; P<0.01) and 4.73 (SD, 2.62; 95% CI, 4.45-5.00; P<0.01) respectively. Presence of different symptoms related to sleep problems ranged from 7 to 26% and various problems interfering with sleep ranged from 10 to 25%. Comorbidities such as allergy (29.4%), jerky legs (24.3%), sinus infections (22.8%), restless leg syndrome (16.3%), snoring (8.3%), asthma/lung diseases (5.8%), chronic diseases (3.4%), severe snoring disturbing others (1.8%), and obstructive sleep apnoea (0.9%) were present. Conclusions: Sleep problems were highly prevalent among resident doctors. The resident doctors were sleep-deprived, overworked, tired, excessively sleepy, and had significant presence of factors affecting circadian rhythm and sleep fragmentation. Various comorbidities were also present with varying prevalence.

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Sleep Disturbance and Total Sleep Time in Persons Living with HIV: A Cross-Sectional Study

AIDS and Behavior ◽

10.1007/s10461-018-2179-1 ◽

2018 ◽

Vol 22 (9) ◽

pp. 2877-2887 ◽

Cited By ~ 10

Author(s):

Brice Faraut ◽

Alexandre Malmartel ◽

Jade Ghosn ◽

Martin Duracinsky ◽

Damien Leger ◽

...

Keyword(s):

Sleep Disturbance ◽

Total Sleep Time ◽

Sleep Time ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Persons Living With Hiv ◽

Living With Hiv

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Pattern of Sleep in Infants and Toddlers Visiting at a Teaching Hospital in Lalitpur

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v35i1.12093 ◽

2015 ◽

Vol 35 (1) ◽

pp. 24-30 ◽

Cited By ~ 1

Author(s):

D Shrestha ◽

AK Dhakal ◽

A Shakya ◽

SC Shah ◽

H Shakya ◽

...

Keyword(s):

Sleep Problem ◽

Sleep Problems ◽

Total Duration ◽

Cross Sectional Study ◽

Study Data ◽

Infants And Toddlers ◽

Cross Sectional ◽

Sleep Parameters ◽

Health And Development ◽

Nepalese Children

Introduction: Sleep is an integral part in a child’s health and development. During different stages of development, there are aberrations in normal physiology of sleep which make children more susceptible to various types of sleep problems. This study was conducted to identify sleep pattern and sleep problems in Nepalese children using Nepali translation of Brief Infant Sleep Questionnaire (BISQ) screening tool.Materials and Methods: This was a descriptive cross-sectional study. Data were collected from parents of children aged 6 to 36 months attending paediatric out-patient clinic for general health check-up from July 2013 to December 2013. Nepali translation of the BISQ was used as a screening tool for sleep problems in this study.Results: The study included 553 children (52.4% boys). Mothers completed the questionnaire in 92% of children. Mean total duration of sleep in 24 hours was 11.7 ±1.7 hours. Respondents reported sleep problem in 16.9% of children whereas 20.3% of children had sleep problems according to BISQ criteria. As per this criteria, 2.7% of children had total sleep duration less than 9 hours, 5.9% of children had total night awakening duration of more than one hour, 13.9% of children had night waking >3 times. These BISQ sleep parameters differed significantly in children with and without sleep problems (p<0.001). In addition, children with sleep problem took longer time to sleep than children without sleep problems (p<0.001).Conclusion: Sleep problems are common in Nepalese infants and toddlers according to the BISQ. Screening for sleep problems is highly recommended during health care visits given the prevalence of sleep problems identified by this study to reduce their potential adverse impact.J Nepal Paediatr Soc 2015;35(1):24-30

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Sleep and its Association With Pain and Depression in Nursing Home Patients With Advanced Dementia – a Cross-Sectional Study

Frontiers in Psychology ◽

10.3389/fpsyg.2021.633959 ◽

2021 ◽

Vol 12 ◽

Author(s):

Kjersti Marie Blytt ◽

Elisabeth Flo-Groeneboom ◽

Ane Erdal ◽

Bjørn Bjorvatn ◽

Bettina S. Husebo

Keyword(s):

Nursing Home ◽

Total Sleep Time ◽

Sleep Onset ◽

Severe Depression ◽

Sleep Time ◽

Cross Sectional Study ◽

Sleep Efficiency ◽

Sectional Study ◽

Severe Dementia ◽

Cross Sectional

Objective: Previous research suggests a positive association between pain, depression and sleep. In this study, we investigate how sleep correlates with varying levels of pain and depression in nursing home (NH) patients with dementia.Materials and methods: Cross-sectional study (n = 141) with sleep-related data, derived from two multicenter studies conducted in Norway. We included NH patients with dementia according to the Mini-Mental State Examination (MMSE ≤ 20) from the COSMOS trial (n = 46) and the DEP.PAIN.DEM trial (n = 95) whose sleep was objectively measured with actigraphy. In the COSMOS trial, NH patients were included if they were ≥65 years of age and with life expectancy >6 months. In the DEP.PAIN.DEM trial, patients were included if they were ≥60 years and if they had depression according to the Cornell Scale for Depression in Dementia (CSDD ≥ 8). In both studies, pain was assessed with the Mobilization-Observation-Behavior-Intensity-Dementia-2 Pain Scale (MOBID-2), and depression with CSDD. Sleep parameters were total sleep time (TST), sleep efficiency (SE), sleep onset latency (SOL), wake after sleep onset (WASO), early morning awakening (EMA), daytime total sleep time (DTS) and time in bed (TiB). We registered use of sedatives, analgesics, opioids and antidepressants from patient health records and adjusted for these medications in the analyses.Results: Mean age was 86.2 years and 76.3% were female. Hierarchical regressions showed that pain was associated with higher TST and SE (p < 0.05), less WASO (p < 0.01) and more DTS (p < 0.01). More severe dementia was associated with more WASO (p < 0.05) and TiB (p < 0.01). More severe depression was associated with less TST (p < 0.05), less DTS (p < 0.01) and less TiB (p < 0.01). Use of sedative medications was associated with less TiB (p < 0.05).Conclusion: When sleep was measured with actigraphy, NH patients with dementia and pain slept more than patients without pain, in terms of higher total sleep time. Furthermore, their sleep efficiency was higher, indicating that the patients had more sleep within the time they spent in bed. Patients with more severe dementia spent more time awake during the time spent in bed. Furthermore, people with more severe depression slept less at daytime and had less total sleep time Controlling for concomitant medication use did not affect the obtained results.

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Epilepsy and Sleep in the ATR-X Syndrome

Neuropediatrics ◽

10.1055/s-0041-1740551 ◽

2021 ◽

Author(s):

Petra van Mierlo ◽

Hilde Braakman ◽

Nele Vandenbussche ◽

Helenius Jurgen Schelhaas ◽

Sigrid Pillen

Keyword(s):

Clinical Diagnosis ◽

Sleep Problems ◽

Total Sleep Time ◽

Sleep Time ◽

Sleep Efficiency ◽

Sleep Diary ◽

Cross Sectional ◽

Eeg Abnormalities ◽

Epileptic Discharges ◽

Eeg Recordings

Abstract Background This study explores the prevalence, clinical characteristics, and treatment of epilepsy and sleep disorders in α thalassemia mental retardation (ATR-X) syndrome. Design In this cross-sectional study, 37 participants with ATR-X syndrome aged 1.8 to 44 years were studied using a customized epilepsy questionnaire, review of electroencephalography (EEG) findings, the modified Sleep Questionnaire of Simonds and Parraga and 2-week sleep diary. Results Eleven participants had a clinical diagnosis of generalized epilepsy (29.7%). Seizure types were generalized tonic-clonic seizures, absences, and myoclonia. Interictal EEG recordings in participants with GTCS showed no epileptic discharges in 78%. Similarly, EEG recordings during myoclonia and absences often demonstrated no epileptic discharges. Sleep problems (difficulty falling or maintaining sleep, and early awakening) were reported in 70%. Participants with reported sleep problems went to bed earlier (p = 0.027) and had a lower sleep efficiency (p < 0.01) than participants without sleep problems, but as a group they both had a sufficient total sleep time (9 hours and 52 minutes vs. 10 hours and 55 minutes). Sixteen participants (43.2) used medication to improve sleep (predominantly melatonin n = 10), being effective in only two. Conclusion One-third of participants with ATR-X syndrome had a clinical diagnosis of epilepsy, but the absence of EEG abnormalities in suspected epileptic seizures questions this diagnosis in these patients. EEG recording during seizure like symptoms is warranted before making an epilepsy diagnosis. Seventy percent experienced sleep problems, although total sleep time was normal in most participants. Long bedtimes might have a negative influence on sleep efficiency.

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