No evidence of sleep apnea in children with attention deficit hyperactivity disorder
Jacky Cooper1, Louise Tyler, I Wallace
1Peninsula Private Sleep Laboratory, Darley Road, Manly, NSW, Australia, 2095.
Insights
This study found no evidence that sleep apnea or sleep disturbances contribute to attention deficit hyperactivity disorder (ADHD) symptoms in children. Polysomnography results were normal in children with ADHD compared to controls.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Psychiatry
Background:
- Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- Sleep disturbances, including sleep apnea, are sometimes suspected as contributing factors to ADHD symptoms.
Purpose of the Study:
- To investigate whether sleep apnea or other sleep abnormalities contribute to the behavioral symptoms observed in children with ADHD.
Main Methods:
- Nocturnal polysomnography (PSG) and psychometric tests were used to compare 18 children diagnosed with ADHD and 20 age-matched controls (ages 4-16).
- PSG measured arousal indexes and apnea/hypopnea indexes.
- Psychometric tests confirmed ADHD diagnosis and normal cognitive function in controls.
Main Results:
- Both ADHD and control groups exhibited normal arousal indexes (9.8 ± 3.9/hr and 10.2 ± 3.1/hr, respectively).
- Apnea/hypopnea indexes were also normal in both groups (ADHD: 1.0 ± 2.4/hr; controls: 0.6 ± 0.9/hr).
- Sleep architecture showed no significant differences between the ADHD and control groups.
Conclusions:
- The study found no evidence of sleep abnormalities, such as sleep apnea, that could explain or contribute to the disorder in children with ADHD.
- Results suggest that sleep apnea is unlikely to be a primary cause of ADHD symptoms in this pediatric population.
Abstract:
Children with attention deficit hyperactivity disorder (ADHD) may have a component of sleep apnea causing arousal and contributing to ADHD behavior during the day. Twenty non-ADHD children between 4 and 16 years of age were compared with 18 children with ADHD with use of nocturnal polysomnography (PSG) and psychometric tests. The psychometric testing confirmed that the control group were normal and that the ADHD children fulfilled the diagnostic criteria for ADHD. The PSG showed normal arousal indexes for the ADHD group (9.8 +/- 3.9/hr) and controls (10.2 +/- 3.1/hr), and normal apnea/hypnea indexes for the ADHD group (1.0 +/- 2.4/hr) and controls (0.6 +/- 0.9/hr). The sleep architecture was not significantly different between groups. There were no sleep abnormalities in the ADHD children that could be responsible for, or contributing to, the disorder.
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