Sleep disturbances and their impact in pediatric cystic fibrosis
Aarti Shakkottai1, Louise M O'Brien2, Samya Z Nasr3
1Sleep Disorders Center and Department of Neurology, Michigan Medicine, Ann Arbor, MI, USA; Pediatric Pulmonology, Department of Pediatrics and Communicable Diseases, Michigan Medicine, Ann Arbor, MI, USA.
Insights
Children with cystic fibrosis (CF) often experience poor sleep quality, including reduced sleep efficiency and frequent arousals. This review explores the impact of these sleep disturbances on CF health outcomes.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Cystic Fibrosis Research
Background:
- Cystic fibrosis (CF) is a multi-system genetic disorder leading to chronic respiratory infections, cough, and malabsorption.
- Patients with CF frequently report poor sleep quality, but objective data and clinical implications are limited.
- Existing research indicates reduced sleep efficiency and frequent arousals in CF patients, alongside sleep-related gas exchange abnormalities.
Purpose of the Study:
- To review current knowledge on sleep disturbances in children with cystic fibrosis.
- To explore the clinical implications of sleep abnormalities in pediatric CF patients.
- To highlight emerging evidence on the relationship between sleep problems and CF-specific outcomes.
Main Methods:
- Literature review synthesizing existing studies on sleep in pediatric cystic fibrosis.
- Analysis of objective sleep data, including sleep efficiency and arousals.
- Examination of polysomnography findings and gas exchange during sleep.
Main Results:
- Children with CF exhibit objectively measured poor sleep efficiency and frequent arousals.
- Abnormalities in gas exchange during sleep are present in this population.
- The impact of these sleep issues on health and quality of life is not well understood.
Conclusions:
- Sleep disturbances are a significant issue for children with cystic fibrosis.
- Further research is needed to understand the impact of sleep problems on lung function and other disease-specific outcomes.
- Clinical practice should consider addressing sleep quality in the management of pediatric CF patients.
Abstract:
Cystic fibrosis is a chronic, life-shortening illness that affects multiple systems and results in frequent respiratory infections, chronic cough, fat malabsorption and malnutrition. Poor sleep is often reported by patients with cystic fibrosis. Although objective data to explain these complaints have been limited, they do show poor sleep efficiency and frequent arousals. Abnormalities in gas exchange are also observed during sleep in patients with cystic fibrosis. The potential impact of these abnormalities in sleep on health and quality of life remains largely unstudied. This review summarizes what is known about sleep in children with cystic fibrosis, and implications for clinical practice. This report also highlights new evidence on the impact of sleep problems on disease-specific outcomes such as lung function, and identifies areas that need further exploration.
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