scholarly journals Profile of paediatric sleep patients and polysomnography findings: Experience from an exclusive paediatric sleep clinic in India

2021 ◽  
Vol 36 ◽  
pp. 119-122
Author(s):  
K. R. Bharath Kumar Reddy
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Problems ◽  
Genetic Disorders ◽  
Neuromuscular Diseases ◽  
Infant Sleep ◽  
Restless Leg Syndrome ◽  
Abnormal Movements ◽  
Obstructive Sleep ◽  
Trained Personnel ◽  
Level 1

Objectives: The objectives of the study were to describe the profile of patients attending an exclusive paediatric sleep clinic in India. Materials and Methods: Children aged 1 month–18 years, attending an exclusive paediatric sleep clinic, were assessed using standardized questionnaires. Children underwent sleep coaching, were treated medically, or underwent polysomnography based on the decision of the paediatric pulmonologist. Level 1 polysomnography was conducted by trained personnel. Results: Of 186 children, 36.5% were for infant sleep issues, 24.7% suspected obstructive sleep apnea (OSA), 18.2% neuromuscular diseases with sleep problems, 15.6% genetic disorders with sleep problems, 4.3% parasomnias, and 0.5% abnormal movements during sleep. Of the 85 paediatric polysomnographies conducted, 9.4% were normal studies, 87% had OSA, 1.1% restless leg syndrome, and 2.3% were inadequate studies. Conclusion: Sleep disorders in children are not uncommon and paediatricians need to be aware and identify them early. More number of exclusive paediatric sleep clinics need to be established in India.

Sleep problems and obstructive sleep apnea in children with down syndrome, an overview

2016 ◽  
Vol 82 ◽  
pp. 12-15 ◽  
Author(s):  
Mieke Maris ◽  
Stijn Verhulst ◽  
Marek Wojciechowski ◽  
Paul Van de Heyning ◽  
An Boudewyns
Keyword(s):  
Obstructive Sleep Apnea ◽  
Down Syndrome ◽  
Sleep Apnea ◽  
Sleep Problems ◽  
Children With Down Syndrome ◽  
Obstructive Sleep

scholarly journals The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Chen-Cheng Yang ◽  
Kuo-Wei Lee ◽  
Kazuhiro Watanabe ◽  
Norito Kawakami
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Shift Work ◽  
Sleep Problems ◽  
Meta Analysis ◽  
Biological Clock ◽  
Specific Work ◽  
Obstructive Sleep ◽  
Meta Analyses

Abstract Background Shift work is a workschedule, since industrial era and some employees work in shift. It causes a desynchronization of the biological clock with consequences on sleep amount and quality, such as insomnia and easy fatigue. Obstructive sleep apnea (OSA) is one of the sleep problems that are getting more and more attention, but studies on the association between shift work and OSA were rare. Herein, we aimed to conduct a systematic review and meta-analysis to investigate the association between shift work and possible OSA. Methods This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We queried PubMed, Embase, and Web of Science databases using a related set of keywords. The inclusion criteria were as follows: (1) participants were adult employees hired by a company or organization; (2) exposure was shift work; and (3) outcome was possible OSA according to examination or assessment. Results We included six studies in the systematic review and five studies were selected for further meta-analysis. A random-effects model showed an association of shift work with a small, non-significant increase in possible OSA cases (pooled prevalence relative risk = 1.05; 95% CI 0.85–1.30; p = 0.65). This association occurred in both healthcare and non-healthcare workers group. Conclusion The association between shift work and possible OSA remains inconclusive and could be small if not negligible. Future studies should assess the association between specific work schedules and specific OSA definitions. Trial registration number PROSPERO ID: CRD42020156837

scholarly journals A Painful Trifecta

2019 ◽  
pp. 670-685
Author(s):  
Ralph Downey III ◽  
Reena Mehra ◽  
Sara Davin
Keyword(s):  
Chronic Pain ◽  
Obstructive Sleep Apnea ◽  
Sleep Problems ◽  
Rapid Change ◽  
Obstructive Sleep ◽  
Mild Obstructive Sleep Apnea ◽  
Severe Impairment ◽  
History Of ◽  
Delta Sleep ◽  
Dynamic Interplay

In clinical practice, the treatment of sleep disturbance in the setting of chronic pain can be challenging. In the case presented, a patient with a longstanding history of insomnia, chronic pain, and psychiatric comorbidity was recently assessed and treated for mild obstructive sleep apnea. With treatment, there was substantial clinical improvement in several areas of functioning. This helps to illustrate that addressing coexisting sleep problems can help more refractory symptoms, such as chronic pain. While severe impairment persisted, this complex patient had a rapid change in symptoms. The dynamic interplay between sleep, pain, and psychiatric disorders is discussed, as well as the finding of alpha intrusions and alpha-delta sleep on the patient’s polysomnogram. Treatment implications are addressed.

scholarly journals Neuropsychological and behavioral functioning in children with and without obstructive sleep apnea referred for tonsillectomy

2008 ◽  
Vol 14 (4) ◽  
pp. 571-581 ◽  
Author(s):  
BRUNO GIORDANI ◽  
ELISE K. HODGES ◽  
KENNETH E. GUIRE ◽  
DEBORAH L. RUZICKA ◽  
JAMES E. DILLON ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disordered Breathing ◽  
Sleep Problems ◽  
University Hospital ◽  
Control Groups ◽  
Recurrent Tonsillitis ◽  
Obstructive Sleep ◽  
And Control ◽  
Disordered Breathing

Adenotonsillectomy (AT) is among the most common pediatric surgical procedures and is performed as often for obstructive sleep apnea (OSA) as for recurrent tonsillitis. This study compared behavioral, cognitive, and sleep measures in 27 healthy control children recruited from a university hospital-based pediatric general surgery clinic with 40 children who had OSA (AT/OSA+) and 27 children who did not have OSA (AT/OSA−) scheduled for AT. Parental ratings of behavior, sleep problems, and snoring, along with specific cognitive measures (i.e., short-term attention, visuospatial problem solving, memory, arithmetic) reflected greater difficulties for AT children compared with controls. Differences between the AT/OSA− and control groups were larger and more consistent across test measures than were those between the AT/OSA+ and control groups. The fact that worse outcomes were not clearly demonstrated for the AT/OSA+ group compared with the other groups was not expected based on existing literature. This counterintuitive finding may reflect a combination of factors, including age, daytime sleepiness, features of sleep-disordered breathing too subtle to show on standard polysomnography, and academic or environmental factors not collected in this study. These results underscore the importance of applying more sophisticated methodologies to better understand the salient pathophysiology of childhood sleep-disordered breathing. (JINS, 2008,14, 571–581.)

Symptoms of obstructive sleep apnea are associated with less frequent exercise and worse subjective cognitive function across adulthood

SLEEP ◽  
2021 ◽  
Author(s):  
Miranda G Chappel-Farley ◽  
Bryce A Mander ◽  
Ariel B Neikrug ◽  
Annamarie Stehli ◽  
Bin Nan ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cognitive Function ◽  
Sleep Quality ◽  
Sleep Problems ◽  
Factor Scores ◽  
Cognitive Complaints ◽  
Exercise Frequency ◽  
Obstructive Sleep ◽  
The Relationship

Abstract Study Objectives To determine whether subjective measures of exercise and sleep are associated with cognitive complaints and whether exercise effects are mediated by sleep. Methods This study analyzed questionnaire data from adults (18-89) enrolled in a recruitment registry. The Cognitive Function Instrument (CFI) assessed cognitive complaints. Medical Outcomes Study Sleep Scale (MOS-SS) subscales and factor scores assessed sleep quality, daytime sleepiness, nighttime disturbance, and insomnia and OSA-like symptoms. Exercise frequency was defined as the weekly number of exercise sessions. Exercise frequency, MOS-SS subscales and factor scores were examined as predictors of CFI Score, adjusting for age, BMI, education, sex, cancer diagnosis, antidepressant usage, psychiatric conditions, and medical comorbidities. ANCOVA examined the relationship between sleep duration groups (short, mid-range, and long) and CFI Score, adjusting for covariates. Mediation by sleep in the exercise-CFI score relationship was tested. Results Data from 2,106 adults were analyzed. Exercise and MOS-SS subscales and factor scores were associated with CFI score. Higher Sleep Adequacy scores were associated with fewer cognitive complaints, whereas higher Sleep Somnolence, Sleep Disturbance, Sleep Problems Index I, Sleep Problems Index II, and factor scores were associated with more cognitive complaints. MOS-SS subscales and factor scores, except Sleep Disturbance and the insomnia factor score, mediated the association between exercise and cognitive complaints. Conclusions The relationship between exercise frequency and subjective cognitive performance is mediated by sleep. In particular, the mediation effect appears to be driven by symptoms possibly suggestive of obstructive sleep apnea which are negatively associated with exercise engagement, sleep quality, daytime sleepiness, and subjective cognitive performance.

Obstructive sleep apnea and head and neck neoplasms

2005 ◽  
Vol 132 (5) ◽  
pp. 794-799 ◽  
Author(s):  
Roy Rada
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Head And Neck ◽  
Head And Neck Neoplasms ◽  
Sleep Problems ◽  
Obstructive Sleep ◽  
New Research ◽  
The Relationship

OBJECTIVE: To elaborate the relationship between obstructive sleep apnea (OSA) and head and neck neoplasms (HNN). STUDY DESIGN AND SETTING: A systematic review of the MEDLINE literature. RESULTS: Thirty of 34 articles indexed under OSA and HNN were about neoplasms that presented first as OSA. Four of the articles were about treatment of HNN causing OSA and gave incidences varying from 8% to 92%. Quality of life surveys confirm that patients with malignant HNN have sleep problems. Xerostomia may contribute to these sleep problems, and the role of salivary mucins deserves consideration. CONCLUSIONS: This review of the literature raises several new research questions about the clinical and biological relationships between OSA and HNN. (Otolaryngol Head Neck Surg 2005;132:794-9.)

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