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Published on: October 2, 2019
Actigraphic assessment of sleep disorders in children with chronic fatigue syndrome
Junko Ohinata1, Nao Suzuki, Akiko Araki
1Department of Pediatrics, Asahikawa Medical College, Japan. ohina5p@asahikawa-med.ac.jp
Insights
Children with chronic fatigue syndrome (CFS) experience significant sleep disturbances, including longer sleep times and reduced activity. Actigraphy revealed disrupted sleep-wake rhythms and patterns in these children, aiding in diagnosis.
Area of Science:
- Pediatric Sleep Medicine
- Chronobiology
- Neurology
Background:
- Children with chronic fatigue syndrome (CFS) frequently experience sleep disorders.
- These sleep issues contribute to various physiological and psychological problems.
- Understanding sleep characteristics is crucial for developing effective therapeutic strategies for pediatric CFS.
Purpose of the Study:
- To investigate sleep/wake rhythm and physical activity patterns in children with CFS.
- To clarify the specific sleep problems associated with pediatric CFS using actigraphy.
Main Methods:
- Actigraphic recordings were conducted for 1-2 weeks in 12 children diagnosed with CFS.
- Sleep data from CFS children were compared to those of healthy, age-matched controls.
Main Results:
- CFS children exhibited longer total sleep times and lower physical activity compared to controls.
- Two main sleep patterns were identified: irregular sleep type and delayed sleep phase type.
- The irregular sleep type showed impaired daily sleep/wake rhythms and disrupted sleep.
Conclusions:
- Actigraphy effectively identified distinct sleep pattern characteristics in children with CFS.
- The study highlights the utility of actigraphy in detecting sleep/wake problems in pediatric CFS.
- Findings support actigraphy as a valuable tool for assessing sleep disturbances in children with CFS.
Unlabelled:
Children with chronic fatigue syndrome (CFS) often suffer from sleep disorders, which cause many physiological and psychological problems. Understanding sleep characteristics in children with CFS is important for establishing a therapeutic strategy. We conducted an actigraphic study to clarify the problems in sleep/wake rhythm and physical activity in children with CFS.
Methods:
Actigraphic recordings were performed for 1-2 weeks in 12 CFS children. The obtained data were compared with those of healthy age-matched children used as the control.
Results:
Sleep patterns were divided into two groups based on subjects' sleep logs: irregular sleep type and delayed sleep phase type. Compared to the control group, total sleep time was longer and physical activity was lower in both groups of CFS. Continuous sleep for more than 10h was not uncommon in CFS. In the irregular sleep type, impaired daily sleep/wake rhythms and disrupted sleep were observed.
Conclusion:
Using actigraphy, we could identify several characteristics of the sleep patterns in CFS children. Actigraphic analysis proved to be useful in detecting sleep/wake problems in children with CFS.
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