[Maturation of integrative sleep apparatus in children in normal and pathological condition]

G V Anisimov1, T P Kalashnikova1, Yu I Kravtsov1

  • 1Wagner Perm State Medical University, Perm, Russia.

Insights

Children with attention deficit hyperactivity disorder (ADHD) and obstructive sleep apnea syndrome (OSAS) show similar sleep changes, including delayed REM sleep. ADHD specifically alters sleep cycle count and duration.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Developmental Neuroscience

Background:

  • Attention deficit hyperactivity disorder (ADHD) and obstructive sleep apnea syndrome (OSAS) are common childhood conditions.
  • Both conditions can significantly impact neurodevelopment and behavior.
  • Understanding their distinct and overlapping effects on sleep is crucial for effective management.

Purpose of the Study:

  • To compare sleep macrostructure and sleep cycle organization in children with ADHD and OSAS.
  • To identify unique and shared polysomnographic findings in these pediatric populations.
  • To investigate sleep changes in children aged 6-9 years with ADHD and OSAS.

Main Methods:

  • Polysomnography was conducted on 40 children with ADHD, 20 children with OSAS, and 20 healthy controls.
  • Sleep macrostructure parameters were analyzed.
  • Sleep cycle organization and ultradian rhythm maturity were assessed.

Main Results:

  • Both ADHD and OSAS groups exhibited increased REM sleep latency and reduced REM sleep duration.
  • Children with ADHD showed a decreased total number of sleep cycles and an increased duration of the first cycle.
  • A novel formula for calculating sleep maturity index in children over 6 was proposed.

Conclusions:

  • Sleep architectonics present unidirectional changes in both ADHD and OSAS.
  • Findings suggest dysontogenesis, reflecting developmental disruptions, in both conditions.
  • Sleep cycle alterations in ADHD require further investigation for therapeutic implications.
Abstract

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