轻度睡眠呼吸障碍儿童的同床睡眠特征
Bedsharing sleep characteristics in children with mild sleep-disordered breathing.
作者信息
Ibrahim Sally, Ievers-Landis Carolyn E, Taylor H Gerry, Tapia Ignacio E, Williamson Ariel A, Cole Melissa C, Gurbani Neepa, Chervin Ronald D, Hassan Fauziya, Mitchell Ron B, Naqvi Kamal, Baldassari Cristina, Edlund Wendy, Wang Rui, Wei Zhuoran, Li Dongdong, Redline Susan, Rosen Carol L
机构信息
Rainbow Babies and Children's Hospital of University Hospitals, Case Western Reserve University, Cleveland, Ohio.
Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio.
出版信息
J Clin Sleep Med. 2025 Feb 1;21(2):237-247. doi: 10.5664/jcsm.11352.
STUDY OBJECTIVES
Examine sleep patterns in children with sleep-disordered breathing (SDB) who habitually bedshare.
METHODS
We evaluated associations of bedsharing with parent-reported (n = 457) and actigraphy-based (n = 258) sleep patterns in a diverse child sample (mean age 6.6 ± 2.3 years, range 3.0-12.9) with mild SDB using baseline data from the Pediatric Adenotonsillectomy Trial for Snoring. Multivariable linear regressions examined associations between sleep patterns and bedsharing, adjusting for sociodemographic, child, and parent/environmental factors. Moderation effects were investigated using interaction terms. Analyses were stratified by age, categorizing children as younger (< 6) and older (≥ 6) years.
RESULTS
Bedsharing rates were 38%, with higher rates in younger (48%) vs older (30%) children ( < .001). In adjusted models, bedsharing was associated with about 30 minutes shorter actigraphy-derived nocturnal sleep duration ( = .005) and parent-reported later sleep midpoint ( < .005) in younger children. In older children, associations of bedsharing with shorter parent-reported sleep duration were more pronounced in children with greater SDB symptom burden ( = .02), and in children with higher ratings of anxiety ( = .048) and depressive symptoms ( = .02).
CONCLUSIONS
In children with mild SDB, bedsharing is associated with shorter sleep duration and later sleep timing in younger children. In older children, these relationships were modified by child factors, including SDB symptom burden and internalizing symptoms. These findings suggest that whereas age and parenting factors may play a greater role in the younger group, SDB and internalizing symptoms may play more of a role in older children who bedshare, suggesting the need to address co-occurring medical and emotional problems in children with SDB.
CLINICAL TRIAL REGISTRATION
Registry: ClinicalTrials.gov; Name: Pediatric Adenotonsillectomy for Snoring (PATS); URL: https://clinicaltrials.gov/study/NCT02562040; Identifier: NCT02562040.
CITATION
Ibrahim S, Ievers-Landis CE, Taylor HG, et al. Bedsharing sleep characteristics in children with mild sleep-disordered breathing. . 2025;21(2):237-247.
研究目的
研究习惯性同床睡眠的睡眠呼吸障碍（SDB）儿童的睡眠模式。
方法
我们使用小儿腺样体扁桃体切除术治疗打鼾试验的基线数据，在一个多样化的儿童样本（平均年龄6.6±2.3岁，范围3.0 - 12.9岁）中，评估同床睡眠与家长报告的（n = 457）和基于活动记录仪的（n = 258）睡眠模式之间的关联，这些儿童患有轻度SDB。多变量线性回归分析了睡眠模式与同床睡眠之间的关联，并对社会人口统计学、儿童以及家长/环境因素进行了调整。使用交互项研究调节效应。分析按年龄分层，将儿童分为 younger（< 6岁）和 older（≥ 6岁）两组。
结果
同床睡眠率为38%， younger儿童（48%）高于older儿童（30%）（P <.001）。在调整后的模型中，同床睡眠与 younger儿童基于活动记录仪得出的夜间睡眠时间缩短约30分钟（P = 0.005）以及家长报告的入睡中点时间较晚（P < 0.005）相关。在older儿童中，同床睡眠与家长报告的睡眠时间缩短之间的关联在SDB症状负担较重的儿童中更为明显（P = 0.02），在焦虑评分较高（P = 0.048）和抑郁症状评分较高（P = 0.02）的儿童中也是如此。
结论
在患有轻度SDB的儿童中，同床睡眠与 younger儿童睡眠时间缩短和入睡时间较晚相关。在older儿童中，这些关系受到儿童因素的影响，包括SDB症状负担和内化症状。这些发现表明，虽然年龄和养育因素可能在 younger组中起更大作用，但SDB和内化症状可能在同床睡眠的older儿童中起更大作用，这表明有必要解决患有SDB儿童同时出现的医学和情绪问题。
临床试验注册
注册机构：ClinicalTrials.gov；名称：小儿腺样体扁桃体切除术治疗打鼾（PATS）；网址：https://clinicaltrials.gov/study/NCT02562040；标识符：NCT02562040。
引用文献
Ibrahim S, Ievers-Landis CE, Taylor HG, et al. Bedsharing sleep characteristics in children with mild sleep-disordered breathing. . 2025;21(2):237 - 247.
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