Minerva Pediatrics 2021 Jul 15

DOI: 10.23736/S2724-5276.21.06492-2

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Sleep in preadolescents and adolescents with chronic disorders

Shannon PIERSON ¹, Sonia KHIRANI ^{1, 2, 3} ✉, Samira TOUIL ¹, Damien LEGER ^{2, 4}, Alessandro AMADDEO ^{1, 2}, Lisa OUSS ⁵, Brigitte FAUROUX ^{1, 2}

¹ Assistance Publique-Hôpitaux de Paris (AP-HP), Pediatric noninvasive ventilation and sleep unit, Hôpital Necker-Enfants malades, Paris, France; ² Equipe d’Accueil EA VIFASOM, Université de Paris, Paris, France; ³ ASV Sante, Gennevilliers, France; ⁴ Assistance Publique-Hôpitaux de Paris (AP-HP), Centre du Sommeil et de la Vigilance, Hôtel Dieu, Paris, France; ⁵ Assistance Publique-Hôpitaux de Paris (AP-HP), Pediatric psychiatric unit, Hôpital Necker-Enfants malades, Paris, France

BACKGROUND: The aim of the study was to explore the subjective perception of their own sleep and daytime habits in (pre-)adolescents with chronic diseases.
METHODS: Self-administered questionnaires exploring daytime and nighttime habits, health behavior, daytime sleepiness, depression and anxiety were fulfilled by the (pre-)adolescents.
RESULTS: Hundred sixty one patients with a chronic disease, aged 14.3±2.6 years old, participated to the study. Mean total time in bed was 8h52±1h09 (range 5h00-11h30) on school days (TIBS) and 9h59±1h28 (range 6h00-14h00) on non school days (TIBN), with 11 (7%) adolescents reporting sleeping ≤7 hours during schooldays. The mean sleep time difference between TIBS and TIBN was 67±95 minutes (range -210-330 min), with 33 patients (20%) having a sleep debt>2h, and 38% reporting sleep initiating problems. Patients with cystic fibrosis had the lowest mean TIBS, the highest percentage (37%) of patients with sleep debt>2h. Obese patients were the sleepiest (33%) with 8% having sleep debt. Anxiety and severe depression were observed in 22% and 20% of the patients, respectively, and correlated with fatigue at wake up and daytime sleepiness.
CONCLUSIONS: In these (pre-)adolescents with a chronic disease, 20% had sleep debt but sleep duration was reasonable with acceptable respect of sleep hygiene rules.

KEY WORDS: Sleep duration; Sleep quality; Sleep debt; Sleep hygiene; Cystic fibrosis; Obesity