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Behavioral, neurocognitive, polysomnographic and cardiometabolic profiles associated with obstructive sleep apnea in adolescents with ADHD / Kristina PUZINO in Journal of Child Psychology and Psychiatry, 63-5 (May 2022)
[article]
Titre : Behavioral, neurocognitive, polysomnographic and cardiometabolic profiles associated with obstructive sleep apnea in adolescents with ADHD Type de document : Texte imprimé et/ou numérique Auteurs : Kristina PUZINO, Auteur ; Elizaveta BOURCHTEIN, Auteur ; Susan L. CALHOUN, Auteur ; Fan HE, Auteur ; Alexandros N. VGONTZAS, Auteur ; Duanping LIAO, Auteur ; Edward O BIXLER, Auteur ; Julio FERNANDEZ-MENDOZA, Auteur Article en page(s) : p.544-552 Langues : Anglais (eng) Mots-clés : Adolescent Attention Deficit Disorder with Hyperactivity/complications/epidemiology Cardiovascular Diseases/complications/epidemiology Child Female Humans Male Polysomnography Sleep Sleep Apnea, Obstructive/complications/diagnosis/epidemiology Adhd Osa adolescence Index. décimale : PER Périodiques Résumé : BACKGROUND: A high comorbidity between attention-deficit/hyperactivity disorder (ADHD) and obstructive sleep apnea (OSA) as well as similar impairments across neurobehavioral outcomes has been described in children. However, there is a paucity of research examining the comorbidity of these two disorders in adolescents. This study examined the association of OSA with sleep, neurobehavioral, and cardiometabolic outcomes in adolescents with ADHD from the general population. METHODS: 421 adolescents (16.9?+?2.3?years, 53.9% male) underwent 9-hr polysomnography, neurobehavioral, and physical evaluation. ADHD was ascertained by a parent-or-self-report of a lifetime diagnosis/treatment of ADHD. OSA was defined as an apnea hypopnea index of ?2 events/hour. Groups of controls (n=208), OSA-alone (n=115), ADHD-alone (n=54), and ADHD+OSA (n=44) were studied. Multivariable-adjusted general linear models tested group differences in PSG parameters, neurobehavioral, and cardiometabolic outcomes after controlling for sex, race/ethnicity, age, and/or body mass index percentile. RESULTS: The ADHD+OSA group had significantly longer sleep onset latency, shorter total sleep time, lower sleep efficiency, and higher percent of stage 1 sleep, as compared with all other groups, however, these differences were diminished by excluding adolescents on psychoactive medication. The ADHD-alone group showed significantly higher periodic limb movements than controls. The ADHD+OSA and ADHD-alone groups did not significantly differ on any measure of neurocognitive or behavioral functioning. The ADHD+OSA and OSA-alone groups showed significantly worse cardiometabolic and inflammatory biomarkers when compared to controls or the ADHD-alone, but did not significantly differ between each other. CONCLUSIONS: Adolescents with a diagnosis ADHD+OSA showed phenotypic risk factors for OSA (i.e., overweight/obesity, visceral adiposity, metabolic syndrome, and inflammation) but not worse neurobehavioral outcomes when compared with ADHD-alone. While comorbidity is possible, these data support that adolescents with a suspicion of ADHD should be screened for OSA, before a diagnosis is reached and psychoactive medication initiated. En ligne : http://dx.doi.org/10.1111/jcpp.13491 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476
in Journal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.544-552[article] Behavioral, neurocognitive, polysomnographic and cardiometabolic profiles associated with obstructive sleep apnea in adolescents with ADHD [Texte imprimé et/ou numérique] / Kristina PUZINO, Auteur ; Elizaveta BOURCHTEIN, Auteur ; Susan L. CALHOUN, Auteur ; Fan HE, Auteur ; Alexandros N. VGONTZAS, Auteur ; Duanping LIAO, Auteur ; Edward O BIXLER, Auteur ; Julio FERNANDEZ-MENDOZA, Auteur . - p.544-552.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.544-552
Mots-clés : Adolescent Attention Deficit Disorder with Hyperactivity/complications/epidemiology Cardiovascular Diseases/complications/epidemiology Child Female Humans Male Polysomnography Sleep Sleep Apnea, Obstructive/complications/diagnosis/epidemiology Adhd Osa adolescence Index. décimale : PER Périodiques Résumé : BACKGROUND: A high comorbidity between attention-deficit/hyperactivity disorder (ADHD) and obstructive sleep apnea (OSA) as well as similar impairments across neurobehavioral outcomes has been described in children. However, there is a paucity of research examining the comorbidity of these two disorders in adolescents. This study examined the association of OSA with sleep, neurobehavioral, and cardiometabolic outcomes in adolescents with ADHD from the general population. METHODS: 421 adolescents (16.9?+?2.3?years, 53.9% male) underwent 9-hr polysomnography, neurobehavioral, and physical evaluation. ADHD was ascertained by a parent-or-self-report of a lifetime diagnosis/treatment of ADHD. OSA was defined as an apnea hypopnea index of ?2 events/hour. Groups of controls (n=208), OSA-alone (n=115), ADHD-alone (n=54), and ADHD+OSA (n=44) were studied. Multivariable-adjusted general linear models tested group differences in PSG parameters, neurobehavioral, and cardiometabolic outcomes after controlling for sex, race/ethnicity, age, and/or body mass index percentile. RESULTS: The ADHD+OSA group had significantly longer sleep onset latency, shorter total sleep time, lower sleep efficiency, and higher percent of stage 1 sleep, as compared with all other groups, however, these differences were diminished by excluding adolescents on psychoactive medication. The ADHD-alone group showed significantly higher periodic limb movements than controls. The ADHD+OSA and ADHD-alone groups did not significantly differ on any measure of neurocognitive or behavioral functioning. The ADHD+OSA and OSA-alone groups showed significantly worse cardiometabolic and inflammatory biomarkers when compared to controls or the ADHD-alone, but did not significantly differ between each other. CONCLUSIONS: Adolescents with a diagnosis ADHD+OSA showed phenotypic risk factors for OSA (i.e., overweight/obesity, visceral adiposity, metabolic syndrome, and inflammation) but not worse neurobehavioral outcomes when compared with ADHD-alone. While comorbidity is possible, these data support that adolescents with a suspicion of ADHD should be screened for OSA, before a diagnosis is reached and psychoactive medication initiated. En ligne : http://dx.doi.org/10.1111/jcpp.13491 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 Methods for assessing sleep in children with autism spectrum disorders: A review / Danelle HODGE in Research in Autism Spectrum Disorders, 6-4 (October-December 2012)
[article]
Titre : Methods for assessing sleep in children with autism spectrum disorders: A review Type de document : Texte imprimé et/ou numérique Auteurs : Danelle HODGE, Auteur ; Andrea M. N. PARNELL, Auteur ; Charles D. HOFFMAN, Auteur ; Dwight P. SWEENEY, Auteur Année de publication : 2012 Article en page(s) : p.1337-1344 Langues : Anglais (eng) Mots-clés : Autism Sleep Polysomnography Actigraphy Videosomnography Index. décimale : PER Périodiques Résumé : A literature review completed by Bauer and Blunden (2008) determined that compared to objective measures, subjective assessments of sleep for typically developing children (e.g., parental reports) were of limited utility. No comparable literature review has been undertaken to determine whether subjective measures are appropriate for assessing sleep in children with autism spectrum disorders (ASD). Such a review is necessary as children with ASD have more sleep problems than typically developing children and children's sleep difficulties can negatively affect the child and other family members. It is, therefore, important to have measures of sleep for children with ASD that can reliably detect sleep problems and track improvements in sleep. This literature review described frequently used measures of children's sleep and evaluated their utility for assessing sleep in children with ASD. It was determined that, with the exception of sleep latency, parents’ reports of children's sleep are not consistently associated with objective measures of children's sleep. This was true for single-item parent-reports and for a widely used multi-item parent-report measure of children's sleep. Limitations of objective sleep measures (e.g., polysomnography, actigraphy), including the inability of children with ASD to tolerate such methods, are described. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.05.009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=165
in Research in Autism Spectrum Disorders > 6-4 (October-December 2012) . - p.1337-1344[article] Methods for assessing sleep in children with autism spectrum disorders: A review [Texte imprimé et/ou numérique] / Danelle HODGE, Auteur ; Andrea M. N. PARNELL, Auteur ; Charles D. HOFFMAN, Auteur ; Dwight P. SWEENEY, Auteur . - 2012 . - p.1337-1344.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 6-4 (October-December 2012) . - p.1337-1344
Mots-clés : Autism Sleep Polysomnography Actigraphy Videosomnography Index. décimale : PER Périodiques Résumé : A literature review completed by Bauer and Blunden (2008) determined that compared to objective measures, subjective assessments of sleep for typically developing children (e.g., parental reports) were of limited utility. No comparable literature review has been undertaken to determine whether subjective measures are appropriate for assessing sleep in children with autism spectrum disorders (ASD). Such a review is necessary as children with ASD have more sleep problems than typically developing children and children's sleep difficulties can negatively affect the child and other family members. It is, therefore, important to have measures of sleep for children with ASD that can reliably detect sleep problems and track improvements in sleep. This literature review described frequently used measures of children's sleep and evaluated their utility for assessing sleep in children with ASD. It was determined that, with the exception of sleep latency, parents’ reports of children's sleep are not consistently associated with objective measures of children's sleep. This was true for single-item parent-reports and for a widely used multi-item parent-report measure of children's sleep. Limitations of objective sleep measures (e.g., polysomnography, actigraphy), including the inability of children with ASD to tolerate such methods, are described. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.05.009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=165 Relation of Melatonin to Sleep Architecture in Children with Autism / Roberta M. LEU in Journal of Autism and Developmental Disorders, 41-4 (April 2011)
[article]
Titre : Relation of Melatonin to Sleep Architecture in Children with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Roberta M. LEU, Auteur ; Liya BEYDERMAN, Auteur ; Emmanuel J. BOTZOLAKIS, Auteur ; Kyla SURDYKA, Auteur ; Lily WANG, Auteur ; Beth A. MALOW, Auteur Année de publication : 2011 Article en page(s) : p.427-433 Langues : Anglais (eng) Mots-clés : 6-Sulfatoxymelatonin 6-SM Sleep stages Children’s Sleep Habits Questionnaire Parental Concerns Questionnaire Polysomnography Index. décimale : PER Périodiques Résumé : Children with autism often suffer from sleep disturbances, and compared to age-matched controls, have decreased melatonin levels, as indicated by urine levels of the primary melatonin metabolite, 6-sulfatoxymelatonin (6-SM). We therefore investigated the relationship between 6-SM levels and sleep architecture in children with autism spectrum disorders (ASD). Twenty-three children, aged 4–10 years, completed two nights of polysomnography and one overnight urine collection for measurement of urinary 6-SM excretion rate. Parents completed the Children’s Sleep Habits Questionnaire. We found that higher urinary 6-SM excretion rates were associated with increased N3 sleep, decreased N2 sleep, and decreased daytime sleepiness. The results warrant further examination to examine the effects of supplemental melatonin on sleep architecture and daytime sleepiness. En ligne : http://dx.doi.org/10.1007/s10803-010-1072-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=119
in Journal of Autism and Developmental Disorders > 41-4 (April 2011) . - p.427-433[article] Relation of Melatonin to Sleep Architecture in Children with Autism [Texte imprimé et/ou numérique] / Roberta M. LEU, Auteur ; Liya BEYDERMAN, Auteur ; Emmanuel J. BOTZOLAKIS, Auteur ; Kyla SURDYKA, Auteur ; Lily WANG, Auteur ; Beth A. MALOW, Auteur . - 2011 . - p.427-433.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 41-4 (April 2011) . - p.427-433
Mots-clés : 6-Sulfatoxymelatonin 6-SM Sleep stages Children’s Sleep Habits Questionnaire Parental Concerns Questionnaire Polysomnography Index. décimale : PER Périodiques Résumé : Children with autism often suffer from sleep disturbances, and compared to age-matched controls, have decreased melatonin levels, as indicated by urine levels of the primary melatonin metabolite, 6-sulfatoxymelatonin (6-SM). We therefore investigated the relationship between 6-SM levels and sleep architecture in children with autism spectrum disorders (ASD). Twenty-three children, aged 4–10 years, completed two nights of polysomnography and one overnight urine collection for measurement of urinary 6-SM excretion rate. Parents completed the Children’s Sleep Habits Questionnaire. We found that higher urinary 6-SM excretion rates were associated with increased N3 sleep, decreased N2 sleep, and decreased daytime sleepiness. The results warrant further examination to examine the effects of supplemental melatonin on sleep architecture and daytime sleepiness. En ligne : http://dx.doi.org/10.1007/s10803-010-1072-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=119 Sleep and Alertness in Children with ADHD / Michel LECENDREUX in Journal of Child Psychology and Psychiatry, 41-6 (September 2000)
[article]
Titre : Sleep and Alertness in Children with ADHD Type de document : Texte imprimé et/ou numérique Auteurs : Michel LECENDREUX, Auteur ; Eric KONOFAL, Auteur ; Manuel P. BOUVARD, Auteur ; Bruno FALISSARD, Auteur ; Marie-Christine MOUREN-SIMEONI, Auteur Année de publication : 2000 Article en page(s) : p.803-812 Langues : Anglais (eng) Mots-clés : Attention-deficit hyperactivity disorder child sleep polysomnography alertness Index. décimale : PER Périodiques Résumé : Objective: To evaluate sleep and alertness and to investigate the presence of possible underlying sleep/wake disorders in children with attention-deficit/hyperactivity disorder (ADHD). Method: After 3 nights of adaptation in a room reserved for sleep studies in the department of child psychiatry, children underwent polysomnography (PSG) followed by the Multiple Sleep Latency Test (MSLT) and reaction time tests (RT) during the daytime. Thirty boys diagnosed as having ADHD (DSM-IV), aged between 5 and 10 years, and 22 ageand sex-matched controls participated in the study. All children were medication-free and showed no clinical signs of sleep and alertness problems. Results: No significant differences in sleep variables were found between boys with ADHD and controls. The mean latency period was shorter in children with ADHD. Significant differences were found for MSLT 1, 2 and 3 (p < .05). Mean reaction time was longer in children with ADHD, with significant differences in all tests (p < .05). Number and duration of sleep onsets measured by the MSLT correlated significantly with the hyperactivity-impulsivity and inattentive-passivity ndices of the CTRS and CPRS. Conclusion: Children with ADHD were more sleepy during the day, as shown by the MSLT, and they had longer reaction times. These differences are not due to alteration in the quality of nocturnal sleep. The number of daytime sleep onsets and the rapidity of sleep-onsets measured as MSLT were found to be pertinent physiological indices to discriminate between ADHD subtypes. These results suggest that children with ADHD have a deficit in alertness. Whether this deficit is primary or not requires further studies. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125
in Journal of Child Psychology and Psychiatry > 41-6 (September 2000) . - p.803-812[article] Sleep and Alertness in Children with ADHD [Texte imprimé et/ou numérique] / Michel LECENDREUX, Auteur ; Eric KONOFAL, Auteur ; Manuel P. BOUVARD, Auteur ; Bruno FALISSARD, Auteur ; Marie-Christine MOUREN-SIMEONI, Auteur . - 2000 . - p.803-812.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 41-6 (September 2000) . - p.803-812
Mots-clés : Attention-deficit hyperactivity disorder child sleep polysomnography alertness Index. décimale : PER Périodiques Résumé : Objective: To evaluate sleep and alertness and to investigate the presence of possible underlying sleep/wake disorders in children with attention-deficit/hyperactivity disorder (ADHD). Method: After 3 nights of adaptation in a room reserved for sleep studies in the department of child psychiatry, children underwent polysomnography (PSG) followed by the Multiple Sleep Latency Test (MSLT) and reaction time tests (RT) during the daytime. Thirty boys diagnosed as having ADHD (DSM-IV), aged between 5 and 10 years, and 22 ageand sex-matched controls participated in the study. All children were medication-free and showed no clinical signs of sleep and alertness problems. Results: No significant differences in sleep variables were found between boys with ADHD and controls. The mean latency period was shorter in children with ADHD. Significant differences were found for MSLT 1, 2 and 3 (p < .05). Mean reaction time was longer in children with ADHD, with significant differences in all tests (p < .05). Number and duration of sleep onsets measured by the MSLT correlated significantly with the hyperactivity-impulsivity and inattentive-passivity ndices of the CTRS and CPRS. Conclusion: Children with ADHD were more sleepy during the day, as shown by the MSLT, and they had longer reaction times. These differences are not due to alteration in the quality of nocturnal sleep. The number of daytime sleep onsets and the rapidity of sleep-onsets measured as MSLT were found to be pertinent physiological indices to discriminate between ADHD subtypes. These results suggest that children with ADHD have a deficit in alertness. Whether this deficit is primary or not requires further studies. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125