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Published on: September 28, 2010
Daytime dysfunction in children with restless legs syndrome
Naomichi Furudate1, Yoko Komada2, Mina Kobayashi3
1Department of Somnology, Tokyo Medical University, Tokyo, Japan; Department of Psychiatry, Tokyo Medical University, Tokyo, Japan.
Insights
Daytime dysfunction in children with Restless Legs Syndrome (RLS) is common but treatable. Iron supplementation significantly improved RLS symptoms and daily functioning in pediatric patients.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Nutritional Neuroscience
Background:
- Restless Legs Syndrome (RLS) is a neurological disorder that can significantly impact a child's quality of life.
- Daytime dysfunction, including issues with attention and behavior, is a frequently reported yet understudied symptom in pediatric RLS.
- Iron deficiency is a known contributor to RLS symptoms, particularly in children.
Purpose of the Study:
- To investigate the prevalence and characteristics of daytime dysfunction in children diagnosed with RLS.
- To evaluate the efficacy of iron supplementation as a primary treatment for RLS symptoms and associated daytime dysfunction in pediatric patients.
- To compare the daytime functioning of children with RLS to age-matched controls.
Main Methods:
- A prospective study involving 25 children with RLS and 28 controls, assessing demographics, RLS symptoms, and daytime functioning.
- Utilized validated instruments including the ADHD Rating Scale IV (ADHD-RS-IV), Pediatric Symptom Checklist (PSC), and Pediatric Quality of Life Inventory (PedsQL™).
- Serum ferritin levels were measured, and participants were treated primarily with iron supplements, with pre- and post-treatment assessments.
Main Results:
- Children with RLS exhibited significantly higher ADHD-RS-IV and PSC scores, and lower PedsQL™ scores compared to controls prior to treatment.
- A notable proportion of RLS patients presented with abnormally high scores on measures of attention and emotional distress.
- Following iron supplementation, daytime functioning in the RLS group improved to levels comparable to the control group, with a high treatment success rate.
Conclusions:
- Daytime dysfunction is a significant clinical feature in pediatric Restless Legs Syndrome.
- Iron supplementation demonstrates considerable efficacy in alleviating RLS symptoms and improving daytime functioning in children.
- This study underscores the importance of assessing and treating iron deficiency in pediatric RLS patients to enhance overall well-being.
Abstract:
We investigated daytime dysfunction in children with restless legs syndrome (RLS) and the effects of treatment primarily with iron supplements on RLS symptoms and daytime dysfunction. We recruited 25 children with RLS (male:female=6:19, mean age at study onset: 12.3 years) for this prospective study, assessing their demographics, symptomatic characteristics, serum ferritin levels, and daytime functioning using the ADHD Rating Scale IV (ADHD-RS-IV), the Pediatric Symptom Checklist (PSC), and the Pediatric Quality of Life Inventory (PedsQL™). Children with RLS were compared with 28 controls (male:female=10:18, mean age: 13.2 years) on these measures, pre- and post-treatment. Before treatment, ADHD-RS-IV (all ps<0.05) and PSC scores (p<0.05) were significantly higher and PedsQL™ scores (all ps<0.05) significantly lower in the RLS group than in the control group. Eight and one of the RLS group had abnormally high PSC and ADHD-RS-IV scores, respectively. Following treatment, participants' daytime function had improved to levels similar to those of controls. Sixteen out of twenty-three cases were successfully treated primarily with iron supplement. Some children with RLS have daytime dysfunction; however, this can be treated with iron supplements.
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