Neurocognitive dysfunction in children with sleep disorders

Leila Kheirandish1, David Gozal

  • 1Child and Youth Project and Division of Paediatric Sleep Medicine, Department of Paediatrics, University of Louisville School of Medicine, Louisville, KY 40202, USA.

Developmental Science
|June 13, 2006
PubMed

Insights

Respiratory sleep disturbances in children are linked to neurocognitive deficits, including memory and attention problems, and behavioral issues. Effective treatment may reverse these effects.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Cognitive Neuroscience

Background:

  • Sleep disturbances are known to cause neurocognitive decrements in adults, which are often reversible with treatment.
  • The impact of respiratory sleep disturbances on children's neurocognitive function is an emerging area of research.
  • Conditions like sleep apnea cause episodic hypoxia and sleep fragmentation.

Purpose of the Study:

  • To critically review the current literature on the neurocognitive consequences of respiratory sleep disturbances in children.
  • To examine the association between sleep fragmentation, episodic hypoxia, and neurocognitive deficits in pediatric populations.
  • To discuss findings in relation to relevant animal models.

Main Methods:

  • Literature review of studies investigating respiratory sleep disturbances and neurocognitive function in children.
  • Analysis of research linking episodic hypoxia and sleep fragmentation to specific cognitive and behavioral outcomes.
  • Integration of findings from human studies with data from animal models.

Main Results:

  • Respiratory sleep disturbances in children are associated with reduced memory, attention, and intelligence.
  • These sleep issues are also linked to problematic behaviors, hyperactivity, and mood disturbances.
  • Evidence suggests a causal relationship between the physiological characteristics of the disease and observed deficits.

Conclusions:

  • Pediatric respiratory sleep disturbances have significant negative impacts on neurocognitive development and behavior.
  • The findings highlight the importance of identifying and treating these conditions in children.
  • Further research, including animal models, can elucidate underlying mechanisms and inform therapeutic strategies.

Related Concept Videos

REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Narcolepsy01:07

Narcolepsy

Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...