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Common Childhood Sleep Problems and Disorders
Theresa Ngan Ho Leung1,2, Kin Lok Wong2, Anthony Kam Chuen Chan1,3
1Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Insights
Common sleep problems in children are prevalent, affecting well-being. Early identification and intervention through regular health visits are crucial for preventing long-term issues.
Area of Science:
- Pediatric Sleep Medicine
- Child and Adolescent Health
- Primary Care Pediatrics
Background:
- Sleep insufficiency and disturbances significantly impact children's physical, cognitive, and emotional health.
- Prevalence of sleep problems in children ranges from 15-70%, as reported by parents.
- Sleep habits and duration exhibit wide variations influenced by cultural backgrounds.
Approach:
- A narrative review of English literature from January 2000 to October 2021 was conducted.
- Searches were performed on PubMed and Google Scholar using keywords related to sleep problems/disorders in children and adolescents.
- Relevant findings and cross-references from selected articles were compiled.
Key Points:
- Common pediatric sleep complaints include difficulty initiating/maintaining sleep, abnormal behaviors/movements, snoring, abnormal breathing, and excessive daytime sleepiness.
- Initial evaluation involves a comprehensive sleep history and sleep diary; home video and actigraphy can serve as preliminary tools.
- Referral to a sleep specialist is indicated for suspected disorders like obstructive sleep apnea and narcolepsy, requiring timely intervention.
Conclusions:
- Screening for sleep problems should be a routine component of pediatric healthcare visits.
- Evaluating the impact of sleep issues and identifying specific disorders allows for early intervention.
- Timely intervention for pediatric sleep disorders is essential to prevent adverse long-term outcomes.
Background:
Sleep insufficiency and disturbances affect the physical, cognitive, and emotional well-being of children.
Objective:
To perform a narrative review on common sleep problems and disorders encountered in primary care for children and adolescents.
Methods:
A search of English literature in the Pubmed and Google Scholar databases published from 1 January 2000 till 31 October 2021 was conducted with the keywords "sleep problem" or "sleep disorder" and "child" or "adolescent". Findings in the relevant articles and cross-references were compiled.
Results:
Sleep duration and habits of children vary widely across countries with different cultural backgrounds. There is robust evidence to support the promotion of positive bedtime routines and sleep hygiene as prevention and management of sleep problems. 15-70% of parents reported their children having sleep problems or disturbances. Common sleep complaints include difficulty in initiation or maintenance of sleep, abnormal behaviors or movements, snoring or abnormal breathing, and excessive daytime sleepiness. Comprehensive sleep history and a sleep diary are the first steps for evaluation. Home video and actigraphy may be used as preliminary tools to confirm the history. Referrals to a sleep specialist for polysomnography and other tests are needed, if suspecting specific sleep disorders, such as obstructive sleep apnea and narcolepsy, needs timely intervention. Common sleep disorders in different age groups encountered in primary care are reviewed with clinical features, indications for evaluation, and treatment options summarized.
Conclusion:
Screening for sleep problems shall be an integral part of each child's health care visit. It is important to evaluate the impact of common sleep problems and identify specific sleep disorders for early intervention to prevent long-term adverse outcomes.
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