Idiazabal María Angeles, Palau Montserrat, Bello Xavi
Instituto Neurocognitivo INCIA. Barcelona, España. E-mail:
Instituto Neurocognitivo INCIA. Barcelona, España.
Medicina (B Aires). 2024 Mar;84 Suppl 1:9-14.
Sleep disorders are common in children and affect neurological development with important cognitive, emotional and behavioral repercussions. There is a high prevalence of sleep disorders (SD) in neurodevelopmental disorders (NDD) such as autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD). Sleep disorders in pediatric population have a prevalence of 6-25%, while in children with NDD this number rises to 50-80%. In NDDs, higher rates of difficulties in falling asleep, nocturnal awakenings and daytime sleepiness are observed. Disturbances in the circadian rhythm as well as respiratory sleep disorders are also observed. Consequently, there is a decrease in alertness for daytime activities with increased behavioral disorders, emotional problems and academic difficulties associated with executive and memory dysfunctions. Sleep assessment has to be a systemic part in the clinical evaluation of children with NDDs, so as to give a convenient diagnosis and treatment in each case, allowing to improve the quality of life of children and their families.
睡眠障碍在儿童中很常见,会影响神经发育,并产生重要的认知、情感和行为影响。在自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)等神经发育障碍(NDD)中,睡眠障碍(SD)的患病率很高。儿科人群中睡眠障碍的患病率为6%-25%,而在患有神经发育障碍的儿童中,这一数字上升到50%-80%。在神经发育障碍中,入睡困难、夜间觉醒和日间嗜睡的发生率更高。还观察到昼夜节律紊乱以及呼吸睡眠障碍。因此,白天活动的警觉性下降,行为障碍、情绪问题增加,与执行和记忆功能障碍相关的学业困难也增加。睡眠评估必须成为神经发育障碍儿童临床评估的一个系统组成部分,以便针对每个病例进行方便的诊断和治疗,从而提高儿童及其家庭的生活质量。