scholarly journals Sleep disorders in childhood

2019 ◽  
Vol 12 (2) ◽  
pp. 5-13
Author(s):  
Alexandra-Maria Kazala ◽  
Vasiliki Karagianni ◽  
George Grammatikas

Sleep disorders have reached epidemic rates in the modern world. It is important to note that they can affect children as well as adults. Sleep is of the utmost importance for the maintenance of body homeostasis. Many disease processes affecting sleep have been associated with numerous symptoms, including cognitive impairment, fatigue as well as a wide range of behavioral, hormonal and metabolic derangements. Sleep disorders in childhood can be classified by age of incidence (in infants, toddlers, school-age children or adolescents) and by the exact nature of the symptoms. They are classified in insomnias, hypersomnias, parasomnias, circadian rhythm disorders and respiratory disorders which affect sleep. Parasomnias are the most common sleep disorders in toddlers, with night terrors, nightmares and sleepwalking being the most common. Respiratory disorders are the most important in older children, especially obstructive sleep apnea syndrome. All sleep disorders are clinically manifested with symptoms of sleep deprivation. Their management always involves improvement of sleep hygiene, though in some cases (such as obstructive sleep apnea) specific medical treatment is also available and warranted. A three-way relationship of trust, compassion and cooperation between child, family and healthcare professional is a prerequisite for the effective management of childhood sleep disorders. Nursing staff are the main factor cultivating that relationship in the context of inpatient care.

2015 ◽  
Vol 13 (2) ◽  
pp. 25-32
Author(s):  
Natal'ya V. Strueva ◽  
Galina A. Mel'nichenko ◽  
Mikhail G. Poluektov ◽  
Larisa V. Savel'eva

The aim of this study was to investigate the relationship between the dynamics of body weight and sleep disorders in the treatment of obesity.Materials and methods. The study included 200 obese patients: 83 men and 117 women.Results. Complaints about problems sleeping (snoring, hypersomnia, insomnia, etc.) were present in 78% of obese patients. 89 patients were under the observation of an endocrinologist for 7 ± 1 months, they were divided into three matched by age, sex and BMI groups: patients with obstructive sleep apnea syndrome (OSAS) (n = 42), the second – with the syndrome of insomnia (n = 19), the third (control group) – patients without sleep disorders (n = 24). After treatment of obesity the weight loss in patients with insomnia syndrome was -2.5 [-4; 0]kg, in patients with OSAS -7 [-18; -2] kg, in patients without sleep disorders -6.5 [-12; -2.25] kg. Clinically significant weight reduction was reached in 25 (59.5%) patients with OSAS; 3 (16%) – with insomnia syndrome; 15 (62.5%) – without sleep disorders.Conclusion. Thus, the insomnia syndrome essentially influences the obesity treatment results – most of patients with this sleep disorder (81.2%) do not achieve clinically significant weight loss. The presence and severity of breathing disorders during sleep do not prevent weight loss. However, with the regular use of CPAP-therapy in patients with OSAS has a tendency of greater reduction of body weight. 


SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A321-A321
Author(s):  
IE Tapia ◽  
JM Spergel ◽  
RM Bradford ◽  
MA Cornaglia ◽  
L Karamessinis ◽  
...  

Author(s):  
Manlio Santilli ◽  
Eugenio Manciocchi ◽  
Gianmaria D’Addazio ◽  
Erica Di Maria ◽  
Michele D’Attilio ◽  
...  

Obstructive sleep apnea syndrome (OSAS) is a sleep breathing disorder that often remains undiagnosed and untreated. OSAS prevalence is increasing exponentially. Starting on the dentist’s role as an epidemiological and diagnostic “sentinel”, the purpose of this study was to assess the prevalence of OSAS. The clinical diaries of 4659 patients were reviewed through a single-center retrospective analytic study. Descriptive statistical analysis was performed. Only 0.26% of patients reported to suffer from sleep apnea and were then diagnosed with OSAS. It was found that, out of 4487 patients, 678 suffered from hypertension (14.80%), 188 from gastro-esophageal-reflux-disease (GERD = 4.10%) and 484 from gastritis (10.78%). These results could be related to a difficult diagnosis of OSAS and to the absence of a dedicated section on sleep disorders in medical records. Therefore, the introduction of a question dedicated to sleep disorders, the administration of questionnaires (such as the STOP-BANG questionnaire) for early diagnosis, a multidisciplinary approach and pneumological examination could support the dentist in identifying patients at risk of OSAS.


GYNECOLOGY ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 31-36
Author(s):  
Natalia V. Semenova ◽  
Irina M. Madaeva ◽  
Lyubov I. Kolesnikova

ethnic groups. Materials and methods.The objects of the study were menopausal women of Russian and Buryat ethnic groups (n=466), who were divided into a control group (without sleep disturbances) and main subgroups (with insomnia and comorbidity of insomnia with obstructive sleep apnea syndrome). All women underwent clinical and anamnestic examination, genotyping for3111T/C Clock gene polymorphism, determination of the circadian profile of melatonin secretion, parameters of lipid metabolism and the system lipid peroxidation antioxidant protection. Results.In Caucasians with sleep disorders, a higher prevalence of the3111T/T genotype and theClockgene3111Tallele was revealed as compared to the control (p0.05). Perimenopausal Caucasians showed a shift in the peak of melatonin secretion to the morning hours; in Mongoloids, both peri- and postmenopausal women, a decrease in melatonin total levels was revealed. Dyslipoproteinemia is characteristic of both races patients who have comorbidity of insomnia and obstructive sleep apnea syndrome, and it is more pronounced in postmenopausal Caucasians. Oxidative stress in sleep disorders is more pronounced in Mongoloids. The medical technologies directions for correction of sleep disorders are proposed: the use of melatonin drugs in the evening and light therapy in the early morning hours in Caucasians who are carriers of the3111T Clockgene allele; melatonin drugs to increase its total level in Mongoloids; personalized prescription of antioxidant therapy in all patients; specific therapy to eliminate breathing disorders during sleep in those who have obstructive sleep apnea syndrome. Conclusions.Presence of insomnia, chronobiological rhythms of melatonin secretion, lipid peroxidation processes in sleep disorders are ethnospecific.


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