Prevalence of sleep complaints in Colombia at different altitudes

AbstractStudy objectivesTo determine the prevalence of sleep complaints in adults in Colombia at different altitudes.DesignCross-sectional, population-based and observational study.SettingUrban areas in three cities (Bogotá, Bucaramanga, Santa Marta) located between 15 and 2640 masl. Subjects Over 18 years old.InterventionsEpworth sleepiness scale (ESS), Pittsburgh sleep quality index (PSQI), Berlin questionnaire, STOP-Bang questionnaire and diagnostic criteria for restless leg syndrome (IRLSSG).Measurements and resultsThe overall prevalence of sleep complaints was 59.6% (CI 95%: 57.3; 61.8%). According to the Pittsburgh scale, 45.3% (CI 95%: 43.0; 47.5) required medical assistance. The Berlin questionnaire indicated that 19.0% (CI 95%: 17.3; 20.8%) had a high risk of sleep apnea (OSA) compared to 26.9% (CI 95%: 24.9; 29.0%) according to STOP-Bang. Among the subjects, 13.7% (CI 95%: 12.3; 15.3%) had excessive daytime sleepiness and 37.7% (CI 95%: 35.5; 39.8%) had a restless leg syndrome. When comparing cities, significant differences in the overall frequency of subjects requiring care were found between Santa Marta (higher frequency) and the other two cities. Differences in sleep problem frequency (Pittsburgh) were observed between Bogota (higher frequency) and Bucaramanga and also between Santa Marta (higher frequency) and the other two cities. The high risk of OSA (STOP-Bang) was different between Bogota (higher frequency) and Bucaramanga and also between Santa Marta (high frequency) and Bucaramanga.ConclusionsWe observed a high prevalence of sleep complaints with significant differences among the cities, indicating a need to pay a greater attention to these problems

Asociación de las alteraciones del sueño con el déficit de atención e hiperactividad en pediatría

El déficit de atención e hiperactividad (TDAH) es uno de los trastornos del comportamiento más frecuentes en pediatría, que genera conductas maladaptativas inconsistentes con la edad y el desarrollo del niño. Recientemente ha despertado gran interés la alta coexistencia de este con trastornos de sueño, al igual que una posible causa bidireccional entre las alteraciones de la arquitectura del sueño y los síntomas principales del TDAH. El objetivo de esta revisión es encontrar la asociación entre el TDAH y los trastornos del sueño en la población pediátrica, evaluando a profundidad los documentos, con el fin de encontrar nivel de evidencia, para ampliar a futuro la intervención sobre el TDAH y optimizar la calidad de vida de estos pacientes, a corto y largo plazos. Se realizó la búsqueda en Pubmed, Cochrane y Fabumed, escogiendo estudios en niños, con menos de 10 años de publicación, en inglés o español, con acceso completo. Se escogieron 52 estudios basándose en su calidad y nivel de evidencia.Attention deficit and hyperactive disorder (ADHD) is one of the most frequent behavioral disorders seen in the pediatric population that generates maladaptive conducts, which are inconsistent with the age and development of the child. The high coexistence between ADHD and sleep disorders, as well as the possible bidirectional cause between architectural alterations of sleep and the main symptoms of ADHD, have sparked a great interest as a topic of research. In order to find a better level of evidence, and to expand the future of interventions for ADHD to be able to optimize the quality of life in the long term for the patients, these new associations were revised more in depth in this document. The search was performed in Pubmed, Cochrane, and Fabumed, choosing studies on children, with less than ten years of publication, language in English or Spanish, and free access to the article. Fifty-two articles were chosen based on their quality and level of evidence

Association between Sleep Disorders and Attention Deficit and Hyperactivity in Pediatrics

El déficit de atención e hiperactividad (TDAH) es uno de los trastornos del comportamiento más frecuentes en pediatría, que genera conductas maladaptativas inconsistentes con la edad y el desarrollo del niño. Recientemente ha despertado gran interés la alta coexistencia de este con trastornos de sueño, al igual que una posible causa bidireccional entre las alteraciones de la arquitectura del sueño y los síntomas principales del TDAH. El objetivo de esta revisión es encontrar la asociación entre el TDAH y los trastornos del sueño en la población pediátrica, evaluando a profundidad los documentos, con el fin de encontrar nivel de evidencia, para ampliar a futuro la intervención sobre el TDAH y optimizar la calidad de vida de estos pacientes, a corto y largo plazos. Se realizó la búsqueda en Pubmed, Cochrane y Fabumed, escogiendo estudios en niños, con menos de 10 años de publicación, en inglés o español, con acceso completo. Se escogieron 52 estudios basándose en su calidad y nivel de evidencia.Artículo de revisión183-199Attention deficit and hyperactive disorder (ADHD) is one of the most frequent behavioral disorders seen in the pediatric population that generates maladaptive conducts, which are inconsistent with the age and development of the child. The high coexistence between ADHD and sleep disorders, as well as the possible bidirectional cause between architectural alterations of sleep and the main symptoms of ADHD, have sparked a great interest as a topic of research. In order to find a better level of evidence, and to expand the future of interventions for ADHD to be able to optimize the quality of life in the long term for the patients, these new associations were revised more in depth in this document. The search was performed in Pubmed, Cochrane, and Fabumed, choosing studies on children, with less than ten years of publication, language in English or Spanish, and free access to the article. Fifty-two articles were chosen based on their quality and level of evidence

Asociación de las alteraciones del sueño con el déficit de atención e hiperactividad en pediatría

El déficit de atención e hiperactividad (TDAH) es uno de los trastornos del comportamiento más frecuentes en pediatría, que genera conductas maladaptativas inconsistentes con la edad y el desarrollo del niño. Recientemente ha despertado gran interés la alta coexistencia de este con trastornos de sueño, al igual que una posible causa bidireccional entre las alteraciones de la arquitectura del sueño y los síntomas principales del TDAH. El objetivo de esta revisión es encontrar la asociación entre el TDAH y los trastornos del sueño en la población pediátrica, evaluando a profundidad los documentos, con el fin de encontrar nivel de evidencia, para ampliar a futuro la intervención sobre el TDAH y optimizar la calidad de vida de estos pacientes, a corto y largo plazos. Se realizó la búsqueda en Pubmed, Cochrane y Fabumed, escogiendo estudios en niños, con menos de 10 años de publicación, en inglés o español, con acceso completo. Se escogieron 52 estudios basándose en su calidad y nivel de evidencia.Attention deficit and hyperactive disorder (ADHD) is one of the most frequent behavioral disorders seen in the pediatric population that generates maladaptive conducts, which are inconsistent with the age and development of the child. The high coexistence between ADHD and sleep disorders, as well as the possible bidirectional cause between architectural alterations of sleep and the main symptoms of ADHD, have sparked a great interest as a topic of research. In order to find a better level of evidence, and to expand the future of interventions for ADHD to be able to optimize the quality of life in the long term for the patients, these new associations were revised more in depth in this document. The search was performed in Pubmed, Cochrane, and Fabumed, choosing studies on children, with less than ten years of publication, language in English or Spanish, and free access to the article. Fifty-two articles were chosen based on their quality and level of evidence

Sleep problems in low income, urban pediatric populations living at different altitudes in Colombia

Objective: To determine the frequency of sleep problems in low-income, urban pediatric populations in cities at different altitudes in Colombia. Methods: A descriptive, cross-sectional population-based observational study was conducted in children aged between 2 and 12 years in the low income, urban areas of three cities in Colombia (Santa Marta, Bucaramanga, and Bogotá) located at 15, 959, and 2640 m above sea level, respectively. Sociodemographic data were collected, and the Spanish version of the Pediatric Sleep Questionnaire was used. Results: 1989 children were surveyed, distributed as follows: Santa Marta (32.0%), Bucaramanga (33.4%), and Bogotá (34.6%). The overall prevalence of sleep problems was 39.0%. Children from Santa Marta had the highest frequency of parasomnias (58.0%); those from Bucaramanga had the highest frequency of attention deficit symptoms (4.0%) and apneic pauses witnessed by parents or caregivers (5.7%). Finally, Bogotá, the only high-altitude location, had the highest frequency of sleep disordered breathing (17.2%). Conclusions: The study found a high frequency of sleep problems in the pediatric population, especially at higher altitudes when compared to lower altitude settings. Sleep disorders warrant early detection and timely therapeutic intervention.</p