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

Karen Spruyt1, Danielle L Raubuck2, Katie Grogan2, David Gozal1, Mark A Stein21Department of Pediatrics and Comer Children&rsquo;s Hospital, Pritzker School of Medicine, University of Chicago, Chicago, IL; 2Institute for Juvenile Research, Hyperactivity and Learning Problems Clinic, Universi...

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Autores principales:	Spruyt K, Raubuck DL, Grogan K, Gozal D, Stein MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/f137c6c3f1564f1aa551a0138c14bea8
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spelling	oai:doaj.org-article:f137c6c3f1564f1aa551a0138c14bea82021-12-02T08:21:55ZVariable sleep schedules and outcomes in children with psychopathological problems: preliminary observations1179-1608https://doaj.org/article/f137c6c3f1564f1aa551a0138c14bea82012-02-01T00:00:00Zhttp://www.dovepress.com/variable-sleep-schedules-and-outcomes-in-children-with-psychopathologi-a9308https://doaj.org/toc/1179-1608Karen Spruyt1, Danielle L Raubuck2, Katie Grogan2, David Gozal1, Mark A Stein21Department of Pediatrics and Comer Children&rsquo;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, ILBackground: 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 &plusmn; 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, actigraphySpruyt KRaubuck DLGrogan KGozal DStein MADove Medical PressarticlePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2012, Iss default, Pp 9-17 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Spruyt K Raubuck DL Grogan K Gozal D Stein MA Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
description	Karen Spruyt1, Danielle L Raubuck2, Katie Grogan2, David Gozal1, Mark A Stein21Department of Pediatrics and Comer Children&rsquo;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, ILBackground: 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 &plusmn; 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
format	article
author	Spruyt K Raubuck DL Grogan K Gozal D Stein MA
author_facet	Spruyt K Raubuck DL Grogan K Gozal D Stein MA
author_sort	Spruyt K
title	Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
title_short	Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
title_full	Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
title_fullStr	Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
title_full_unstemmed	Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
title_sort	variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/f137c6c3f1564f1aa551a0138c14bea8
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Variable sleep schedules and outcomes in children with psychopathological problems: preliminary observations

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