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:

Vulvar cancer: epidemiology, clinical presentation, and management options

Alkatout I, Schubert M, Garbrecht N, Weigel MT, Jonat W, Mundhenke C, G√ľnther V

International Journal of Women's Health 2015, 7:305-313

Published Date: 20 March 2015

Treatment of primary osteoporosis in men

Giusti A, Bianchi G

Clinical Interventions in Aging 2015, 10:105-115

Published Date: 30 December 2014

The periodicity of sleep duration – an infradian rhythm in spontaneous living

Wong SN, Halaki M, Chow CM

Nature and Science of Sleep 2013, 5:1-6

Published Date: 18 January 2013

Geroprotectors as a novel therapeutic strategy for COPD, an accelerating aging disease

Ito K, Colley T, Mercado N

International Journal of Chronic Obstructive Pulmonary Disease 2012, 7:641-652

Published Date: 21 September 2012

Lebrikizumab in the personalized management of asthma

Thomson NC, Patel M, Smith AD

Biologics: Targets and Therapy 2012, 6:329-335

Published Date: 14 September 2012

Sleep patterns and the risk for ADHD: a review

Cassoff J, Wiebe ST, Gruber R

Nature and Science of Sleep 2012, 4:73-80

Published Date: 29 May 2012

Corrigendum: Softec HD hydrophilic acrylic intraocular lens: biocompatibility and precision

Espandar L, Sikder S, Moshirfar M

Clinical Ophthalmology 2011, 5:159-160

Published Date: 6 February 2011

Tinidazole in the treatment of bacterial vaginosis

Nicola R Armstrong, Janet D Wilson

International Journal of Women's Health 2009, 1:59-65

Published Date: 25 June 2009