Common sleep disorders in children: assessment and treatment

Thabet, Farah; Tabarki, Brahim

doi:10.17712/nsj.2023.2.20220111

Cited by 2 publications

(2 citation statements)

References 46 publications

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“…However, a standardized model of parental support and counseling is lacking. Different parent training programs have been proposed, including individual or group courses, online or printed materials, direct explanations during the clinic (as in our study) and demonstration of relaxation techniques with heterogeneous modalities and results [1][2][3][4][5][21][22][23][24][25][26][27][28]51].…”

Section: Discussionmentioning

confidence: 99%

“…However, the distinction between pathological and physiological manifestations and parental reassurance remain challenging in some infants [21][22][23][24][25][26]. Sleep disturbances are also commonly reported in infants, affecting at least 10% of the general population and consisting mostly of night awakenings and short sleep durations [27,28].…”

Section: Introductionmentioning

confidence: 99%

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Study on Nocturnal Infant Crying Evaluation (NICE) and Reflux Disease (RED)

Carabelli,

Binotto,

Armano

et al. 2024

Children

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Background: Nocturnal infant crying is often empirically treated with acid suppressants. The aim of this study was to evaluate the prevalence and characteristics of gastroesophageal reflux (GER) in infants with unexplained persistent crying. Methods: We enrolled all infants (0–12 months) referred for suspected GER disease who underwent esophageal impedance–pH monitoring (MII-pH) for unexplained persistent crying not improved by parental reassurance, dietary modification or alginate. Gastrointestinal malformation/surgery, neurological impairment and infections were exclusion criteria. Demographic and anthropometric parameters, GER symptoms and questionnaires (I-GERQ-R) and MII-pH data were recorded and analyzed. Normal MII-pH was defined when acid exposure was <3%, symptom index was <50% and symptom association probability was <95%. Acid exposure >5% and >10% was also considered. Statistical analysis was performed using Chi-Square and univariate and multivariable regression analysis. Results: We included 50 infants (median age 3.5 months) who fulfilled the study criteria: 30 (60%) had normal MII-pH. I-GERQ-R score was abnormal in 33 (66%) infants, and 21/33 (64%) had normal MII-pH (p = 0.47). In the 26 (52%) infants with nocturnal crying, MII-pH was normal in 16 (54%) (p = 0.82). Associated regurgitation (>3 or >10 episodes/die) did not predict abnormal MII-pH (p = 0.74, p = 0.82, respectively). Univariate and multivariable regression analysis did not identify any clinical variable significantly associated with abnormal MII-pH. Conclusions: Infants with persistent unexplained and nocturnal crying should not be empirically treated with acid inhibitors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Study on Nocturnal Infant Crying Evaluation (NICE) and Reflux Disease (RED)

Carabelli,

Binotto,

Armano

et al. 2024

Children

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Evaluation of Sleep Disorders in Allergic Diseases in Childhood

Metbulut

2024

Türkiye Çocuk Hast Derg

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Objective: Sleep is a vital component of human life that serves many critical roles in physical and mental health, and well-being. There were few studies on children, diagnosed with allergic diseases, especially preschool children. The aim of our study mas to evaluate sleep disorders in children with allergic diseases. Material and Methods: This retrospective study was conducted in Dr. Burhan Nalbantoğlu Hospital Child Immunology and Allergy outpatient clinic between January 1 and March 20, 2024, patients included who were diagnosed with allergic rhinitis, asthma and/or atopic dermatitis.The ‘Sleep Disturbance Scale for children (SDSC) was applied to the parents by the researcher during the outpatient clinic visit. Results: In this study, 145 patients were involved. Five (3.4%) patients had clinically significant SDSC score. There was a statistically significant difference in the Children’s Sleep Disturbance Scale mean score between having and not having symptoms of allergic diseases. Patients diagnosed wheezy child tended to have higher mean score of SHY. Among patients having symptoms of allergic diseases, there was statistically significant difference in the SDSC mean score between having nose congestion, cough, and activity limitation and not having these symptoms. Patients using oral antihistaminic treatment tended to have higher total mean scores of SDSC. Conclusion: In this study, out of 145 patients, 5 (3.4%) patients had clinically significant SDSC score. Patients having symptom of allergic diseases tended to have higher total mean score of childrens’ sleep disturbance scale. Patients diagnosed wheezy child tended to have higher mean score of SHY. Patients having nose congestion, cough, and activity limitation tended to have higher total mean score of SDSC.

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Common sleep disorders in children: assessment and treatment

Cited by 2 publications

References 46 publications

Study on Nocturnal Infant Crying Evaluation (NICE) and Reflux Disease (RED)

Study on Nocturnal Infant Crying Evaluation (NICE) and Reflux Disease (RED)

Evaluation of Sleep Disorders in Allergic Diseases in Childhood

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