Back to Browse Journals » Nature and Science of Sleep » Volume 4

Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations

Authors Spruyt K, Raubuck DL, Grogan K, Gozal D, Stein MA

Published Date February 2012 Volume 2012:4 Pages 9—17

DOI http://dx.doi.org/10.2147/NSS.S29299

Received 18 December 2011, Accepted 19 January 2012, Published 21 February 2012

Karen Spruyt1, Danielle L Raubuck2, Katie Grogan2, David Gozal1, Mark A Stein2
1Department of Pediatrics and Comer Children’s Hospital, Pritzker School of Medicine, University of Chicago, Chicago, IL; 2Institute for Juvenile Research, Hyperactivity and Learning Problems Clinic, University of Illinois at Chicago, Chicago, IL

Background: Night-to-night variability in sleep of children with attention deficit hyperactivity disorder (ADHD) may be a mediator of behavioral phenotype. We examined the potential association between alertness, sleep, and eating behaviors in children with ADHD and comorbid problems.
Methods: Sleep was monitored by actigraphy for 7 days. Questionnaires were used to assess sleep complaints, habits and food patterns by parental report, and sleep complaints and sleepiness by child report.
Results: The group comprised 18 children, including 15 boys, aged 9.4 ± 1.7 years, 88.9% Caucasian, who took one or multiple medications. Children slept on average for 6 hours and 58 minutes with a variability of 1 hour 3 minutes relative to the mean, and their sleepiness scores were highly variable from day to day. Most children had a normal body mass index (BMI). Sleepiness and BMI were associated with sleep schedules and food patterns, such that they accounted for 76% of variance, predominantly by the association of BMI with mean wake after sleep onset and by bedtime sleepiness, with wake after sleep onset variability. Similarly, 97% of variance was shared with eating behaviors, such as desserts and snacks, and fast food meals were associated with morning sleepiness.
Conclusion: Disrupted sleep and sleepiness appears to favor unhealthy food patterns and may place children with ADHD at increased risk for obesity.

Keywords: sleep, child, attention deficit hyperactivity disorder, actigraphy

Download Article [PDF] View Full Text [HTML] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Virtual reality simulator for vitreoretinal surgery using integrated OCT data

Kozak I, Banerjee P, Luo J, Luciano C

Clinical Ophthalmology 2014, 8:669-672

Published Date: 31 March 2014

Two-year clinical outcomes after coronary drug-eluting stent placement in Chinese men and women: a multicenter, prospective registry study

Shrestha R, Gami S, Xu J, Xie DJ, Liu ZZ, Xu T, Ye F, Din SQ, Qian XS, Yang S, Liu YQ, Li F, Zhang AP, Chen SL

Patient Preference and Adherence 2013, 7:667-674

Published Date: 8 July 2013

Vitamin D deficiency: A potential risk factor for Clostridium difficile infection

Youssef D, Grant WB, Peiris AN

Risk Management and Healthcare Policy 2012, 5:115-116

Published Date: 8 October 2012

Tramadol/paracetamol fixed-dose combination in the treatment of moderate to severe pain

Pergolizzi Jr JV, van de Laar M, Langford R, Mellinghoff H-U, Morón Merchante I, Nalamachu S, O'Brien J, Perrot S, Raffa RB

Journal of Pain Research 2012, 5:327-346

Published Date: 29 August 2012

Tolerability of NGX-4010, a capsaicin 8% patch for peripheral neuropathic pain

Peppin JF, Majors K, Webster LR, Simpson DM, Tobias JK, Vanhove GF

Journal of Pain Research 2011, 4:385-392

Published Date: 14 November 2011

Understanding and meeting injection device needs in multiple sclerosis: a survey of patient attitudes and practices

Verdun di Cantogno E, Russell S, Snow T

Patient Preference and Adherence 2011, 5:173-180

Published Date: 28 March 2011

Traditional open-bay versus single-family room neonatal intensive care unit: a comparison of selected nutrition outcomes

Christina Erickson, Kendra Kattelmann, Jessica Remington, et al

Research and Reports in Neonatology 2011, 1:15-20

Published Date: 24 March 2011

Use of triamcinolone during vitrectomy surgery to visualize membranes and vitreous

Steven M Couch, Sophie J Bakri

Clinical Ophthalmology 2008, 2:891-896

Published Date: 24 September 2008