A nationwide, cross‐sectional survey on unusual sleep postures and sleep‐disordered breathing‐related symptoms in people with Down syndrome

Kuroda, Hideo; Sawatari, Hiroyuki; Ando, Shin Ichi; Ohkusa, Toshifumi; Rahmawati, Anita; Ono, Junji; Nishizaka, Mari K.; Hashiguchi, Nobuko; Matsuoka, Fumio; Chishaki, Akiko

doi:10.1111/jir.12379

Cited by 9 publications

(10 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Parental reports of uncommon or abnormal sleeping positions, such as sleeping bent forward at the waist in a sitting position, should raise suspicion of an underlying sleep disorder. 19 , 20 Clinical examination findings in OSA involve factors that may result in upper airway airflow limitation. Each patient should be evaluated for adenotonsillar hypertrophy, relative macroglossia, enlarged or swollen nasal turbinates, poor muscle tone, and elevated BMI.…”

Section: Evaluation and Diagnosismentioning

confidence: 99%

Obstructive sleep apnea in patients with Down syndrome: current perspectives

Simpson

Oyekan

Ehsan

et al. 2018

NSS

View full text Add to dashboard Cite

For individuals with Down syndrome (DS), obstructive sleep apnea (OSA) is a complex disorder with significant clinical consequences. OSA is seen frequently in DS, and when present, it tends to be more severe. This increased prevalence is likely related to common anatomic abnormalities and a greater risk of additional comorbidities such as hypotonia and obesity. Because signs and symptoms do not often correlate with disease, all children and adults with DS should receive routine screening for OSA. Similar to the general population, polysomnography remains the gold standard for diagnosis. Because individuals with DS may be more susceptible to cardiovascular and neurocognitive sequelae, early diagnosis and treatment of OSA is becoming increasingly important. Treatment options generally involve upper airway surgery (primarily adenotonsillectomy) and continuous positive airway pressure (CPAP); however, various adjunctive therapies including intranasal steroids, palatal expansion, and oropharyngeal exercises are also available. Residual disease status post adenotonsillectomy is common, and further evaluation (eg, drug-induced sleep endoscopy [DISE]) is often needed. More advanced and directed airway surgery can be performed if additional sites of obstruction are observed. Novel therapies including hypoglossal nerve stimulation are emerging as effective treatments for refractory OSA. Due to the diversity among individuals with DS, personalized treatment plans should be developed. Within this arena, opportunities for research remain abundant and should include areas involving patient risk factors, alternative diagnostic methods, and outcome analysis.

show abstract

Section: Evaluation and Diagnosismentioning

confidence: 99%

Obstructive sleep apnea in patients with Down syndrome: current perspectives

Simpson

Oyekan

Ehsan

et al. 2018

NSS

View full text Add to dashboard Cite

show abstract

“…Particularly, parents in Asian countries, where co‐sleeping is common, may know more about their child's sleep habits than do parents in Western countries (Kuroda et al . ).…”

Section: Discussionmentioning

confidence: 97%

“…This coincides with previous studies of children with DS with an unusual sleep posture, compared with control samples, who reported a higher number of changes in position during sleep, night waking and an increased sleep duration (Kuroda et al . ; Nisbet et al . ; Ono et al .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sleep problems in Korean children with Down syndrome and parental quality of life

Choi

Jung

Riper

et al. 2019

J intellect Disabil Res

View full text Add to dashboard Cite

Background Sleep problems are common among children with Down syndrome (DS), and they can have a serious impact on children with DS as well as their parents and other family members. Specific aims of this study were to evaluate parent‐reported sleep problems in children with DS and to examine the relationship between the sleep behaviour of children with DS and their parents' quality of life (QOL). Method A cross‐sectional survey was conducted in September and October of 2017. Parents of children with DS were recruited from an online self‐support community for parents of children with DS in South Korea. The mean age of the parents and children with DS was 40.40 years (SD = 5.09) and 7.89 years (SD = 3.03), respectively. Children's sleep problems and parents' QOL were assessed using the Children's Sleep Habits Questionnaire and the abbreviated version of the World Health Organization Quality of Life scale, respectively. Results Results revealed that 83% of the parents reported that their child with DS experienced sleep problems. Children with DS had significantly more bedtime resistance, night waking, parasomnias and sleep‐disordered breathing than did typically developing children. In addition, their Children's Sleep Habits Questionnaire scores were higher than those of typically developing children. Moreover, being older, being male and having more severe developmental delays were significant risk factors for sleep problems among children with DS. Furthermore, sleep problems in children with DS negatively affected parents' QOL. Conclusions Sleep problems negatively affect children with DS as well as their parents; therefore, health care providers should be aware of these issues and help parents manage sleep problems proactively.

show abstract

“…A previous study reported that unusual sleep postures (USPs), such as sitting and leaning forward, were frequently observed in patients with DS [ 14 ]. Positional therapies are known to be effective in obstructive sleep apnea (OSA) [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of sleep-disordered breathing in children with down syndrome - A comparison with typically developing children

et al. 2022

View full text Add to dashboard Cite

A nationwide, cross‐sectional survey on unusual sleep postures and sleep‐disordered breathing‐related symptoms in people with Down syndrome

Abstract: Our study shows that there is a close relationship between unusual sleep postures and SDB-RSs. We recommend that all people with DS with unusual sleep postures should be checked for the presence of SDB.

Cited by 9 publications

References 48 publications

Obstructive sleep apnea in patients with Down syndrome: current perspectives

Obstructive sleep apnea in patients with Down syndrome: current perspectives

Sleep problems in Korean children with Down syndrome and parental quality of life

Characteristics of sleep-disordered breathing in children with down syndrome - A comparison with typically developing children

Contact Info

Product

Resources

About