Sleep Medicine Reviews最新文献_第2页

Diagnostic accuracy of portable sleep monitors in pediatric sleep apnea: A systematic review 便携式睡眠监测仪对小儿睡眠呼吸暂停的诊断准确性：系统综述。

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-08-08 DOI: 10.1016/j.smrv.2024.101991

{"title":"Diagnostic accuracy of portable sleep monitors in pediatric sleep apnea: A systematic review","authors":"","doi":"10.1016/j.smrv.2024.101991","DOIUrl":"10.1016/j.smrv.2024.101991","url":null,"abstract":"<div><p>In recent years, a plethora of new type III and IV portable sleep monitors (PSM) have been developed, although evidence regarding their diagnostic accuracy for use in children remains heterogeneous. This study systematically reviews the literature addressing the diagnostic accuracies of type III and IV PSM for pediatric sleep apnea. Publications indexed in Medline, Embase, or Web of Science were reviewed using the PRISMA framework. Of 1054 studies, 62 fulfilled the inclusion criteria. Of the studies evaluating oximetry-based type IV PSM, one (6.25 %) demonstrated a balanced set of high (≥80 %) sensitivities and specificities for the diagnosis of any pediatric sleep apnea, while five studies (27.8 %) showed similar accuracies for moderate-to-severe sleep apnea. For non-oximetry-based type IV PSM, two studies (40 %) reported a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. Type III PSM repeatedly demonstrated higher diagnostic accuracies, with six studies (66.7 %) reporting a balanced set of high diagnostic accuracies for moderate-to-severe sleep apnea. This review highlights the potential of type III PSM to detect moderate-to-severe pediatric sleep apnea, although current evidence is limited to support the stand-alone use of type IV PSM for the diagnosis of sleep apnea in most children.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1087079224000959/pdfft?md5=cb4b0c810422d9e65502ecd742836be1&pid=1-s2.0-S1087079224000959-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To nap or not? Evidence from a meta-analysis of cohort studies of habitual daytime napping and health outcomes 打盹还是不打盹？关于习惯性日间小睡与健康结果的队列研究荟萃分析提供的证据

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-08-08 DOI: 10.1016/j.smrv.2024.101989

{"title":"To nap or not? Evidence from a meta-analysis of cohort studies of habitual daytime napping and health outcomes","authors":"","doi":"10.1016/j.smrv.2024.101989","DOIUrl":"10.1016/j.smrv.2024.101989","url":null,"abstract":"<div><p>Habitual daytime napping is a common behavioral and lifestyle practice in particular countries and is often considered part of a normal daily routine. However, recent evidence suggests that the health effects of habitual daytime napping are controversial. We systematically searched PubMed, Web of Science, Embase, and Cochrane Library databases from inception to March 9, 2024, to synthesize cohort studies of napping and health outcome risk. A total of 44 cohort studies with 1,864,274 subjects aged 20-86 years (mean age 56.4 years) were included. Overall, habitual napping increased the risk of several adverse health outcomes, including all-cause mortality, cardiovascular disease, metabolic disease, and cancer, and decreased the risk of cognitive impairment and sarcopenia. Individuals with a napping duration of 30 min or longer exhibited a higher risk of all-cause mortality, cardiovascular disease, and metabolic disease, whereas those with napping durations less than 30 min had no significant risks. No significant differences in napping and health risks were observed for napping frequency, percentage of nappers, sample size, sex, age, body mass index, follow-up years, or comorbidity status. These findings indicate that individuals with a long napping duration should consider shortening their daily nap duration to 30 min or less.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141993480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

REM sleep in narcolepsy 嗜睡症的快速动眼期睡眠

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-08-03 DOI: 10.1016/j.smrv.2024.101976

{"title":"REM sleep in narcolepsy","authors":"","doi":"10.1016/j.smrv.2024.101976","DOIUrl":"10.1016/j.smrv.2024.101976","url":null,"abstract":"<div><p>Narcolepsy is mainly associated with excessive daytime sleepiness, but the characteristic feature is abnormal rapid eye movement (REM) sleep phenomena. REM sleep disturbances can manifest as cataplexy (in narcolepsy type 1), sleep paralysis, sleep-related hallucinations, REM sleep behavior disorder, abnormal dreams, polysomnographic evidence of REM sleep disruption with sleep-onset REM periods, and fragmented REM sleep. Characterization of REM sleep and related symptoms facilitates the differentiation of narcolepsy from other central hypersomnolence disorders and aids in distinguishing between narcolepsy types 1 and 2. A circuit comprising regions within the brainstem, forebrain, and hypothalamus is involved in generating and regulating REM sleep, which is influenced by changes in monoamines, acetylcholine, and neuropeptides. REM sleep is associated with brainstem functions, including autonomic control, and REM sleep disturbances may be associated with increased cardiovascular risk. Medications used to treat narcolepsy (and REM-related symptoms of narcolepsy) include stimulants/wake-promoting agents, pitolisant, oxybates, and antidepressants; hypocretin agonists are a potential new class of therapeutics. The role of REM sleep disturbances in narcolepsy remains an area of active research in pathophysiology, symptom management, and treatment. This review summarizes the current understanding of the role of REM sleep and its dysfunction in narcolepsy.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1087079224000807/pdfft?md5=9da4663693f4e7206d66d61e0ee1aa1f&pid=1-s2.0-S1087079224000807-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142058062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physiology during sleep in preterm infants: Implications for increased risk for the sudden infant death syndrome 早产儿睡眠时的生理状况：婴儿猝死综合征风险增加的影响。

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-31 DOI: 10.1016/j.smrv.2024.101990

{"title":"Physiology during sleep in preterm infants: Implications for increased risk for the sudden infant death syndrome","authors":"","doi":"10.1016/j.smrv.2024.101990","DOIUrl":"10.1016/j.smrv.2024.101990","url":null,"abstract":"<div><p>Approximately 15 million babies are born preterm (<37 weeks of completed gestation) worldwide annually. Although neonatal and perinatal medicine have contributed to the increased survival rate of preterm newborn infants, premature infants are at increased risk of mortality in the first years of life.</p><p>Infants born preterm are at four times the risk of Sudden Infant Death Syndrome (SIDS) compared to infants born at term. SIDS is believed to be multifactorial in origin. The Triple Risk hypothesis has been proposed to explain this. The model suggests that when a vulnerable infant, such as one born preterm, is at a critical but unstable developmental period in homeostatic control, death may occur if exposed to an exogenous stressor, such as being placed prone for sleep. The highest risk period is at ages 2–4 months, with 90 % of deaths occurring before 6 months. The final pathway to SIDS is widely believed to involve some combination of immature cardiorespiratory control and a failure of arousal from sleep. This review will focus on the physiological factors which increase the risk for SIDS in preterm infants and how these factors may be identified and potentially lead to effective preventative strategies.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1087079224000947/pdfft?md5=9b716a4bab8afc545d320a5d455b2822&pid=1-s2.0-S1087079224000947-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of school start time and its interaction with the solar clock on adolescents’ chronotype and sleep: A systematic review and meta-analysis 开学时间及其与太阳钟的相互作用对青少年时间型和睡眠的影响：系统综述和元分析

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-26 DOI: 10.1016/j.smrv.2024.101988

{"title":"Effects of school start time and its interaction with the solar clock on adolescents’ chronotype and sleep: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.smrv.2024.101988","DOIUrl":"10.1016/j.smrv.2024.101988","url":null,"abstract":"<div><p>Adolescents' late chronotypes colliding with early school start times (SSTs) are associated with students' unhealthy sleep habits. Most studies comparing different SSTs associate later SSTs with longer sleep duration and lower social jetlag. However, the magnitude of the effect varies between studies and the effect of different SSTs on chronotype is not well established. Importantly, although human circadian rhythms are entrained by sunlight, when studying the effect of different SSTs on adolescents' sleep habits usually only the social clock, and not the solar clock, is considered. This meta-analysis investigates whether later SSTs affect adolescents’ sleep habits and chronotype and it assesses factors that can modulate this effect, including the relative importance of social and solar clocks. Here, through a database search we identify 37 studies comparing the effect of different SSTs on adolescents' sleep habits and/or chronotype. Random effect meta-analyses showed that later SSTs are associated with later sleep timings and longer sleep duration on weekdays, lower levels of social jetlag, and later chronotypes. Several meta-regressions reveal that the distance between compared SSTs and the interplay between SSTs and the solar clock modulate the effect of different SSTs on sleep timings and duration on weekdays.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rethinking clinical trials in restless legs syndrome: A roadmap 重新思考不宁腿综合征的临床试验：路线图

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-18 DOI: 10.1016/j.smrv.2024.101978

{"title":"Rethinking clinical trials in restless legs syndrome: A roadmap","authors":"","doi":"10.1016/j.smrv.2024.101978","DOIUrl":"10.1016/j.smrv.2024.101978","url":null,"abstract":"<div><p>The number of large clinical trials of restless legs syndrome (RLS) have decreased in recent years, this coincides with reduced interest in developing and testing novel pharmaceuticals. Therefore, the International Restless Legs Syndrome Study Group (IRLSSG) formed a task force of global experts to examine the causes of these trends and make recommendations to facilitate new clinical trials. In our article, we delve into potential complications linked to the diagnostic definition of RLS, identify subpopulations necessitating more attention, and highlight issues pertaining to endpoints and study frameworks. In particular, we recommend developing alternative scoring methods for more accurate RLS diagnosis, thereby improving clinical trial specificity. Furthermore, enhancing the precision of endpoints will increase study effect sizes and mitigate study costs. Suggestions to achieve this include developing online, real-time sleep diaries with high-frequency sampling of nightly sleep latency and the use of PLMs as surrogate markers. Furthermore, to reduce the placebo response, strategies should be adopted that include placebo run-in periods. As RLS is frequently a chronic condition, priority should be given to long-term studies, using a randomized, placebo-controlled, withdrawal design. Lastly, new populations should be investigated to develop targeted treatments such as mild RLS, pregnancy, hemodialysis, or iron-deficient anemia.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary snoring: Bridging gaps in management and research 原发性鼾症：缩小管理和研究方面的差距

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-15 DOI: 10.1016/j.smrv.2024.101979

引用次数: 0

Cerebral blood flow in sleep: A systematic review and meta-analysis 睡眠中的脑血流量：系统回顾与元分析

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-14 DOI: 10.1016/j.smrv.2024.101977

{"title":"Cerebral blood flow in sleep: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.smrv.2024.101977","DOIUrl":"10.1016/j.smrv.2024.101977","url":null,"abstract":"<div><p>Sleep plays an essential role in physiology, allowing the brain and body to restore itself. Despite its critical role, our understanding of the underlying processes in the sleeping human brain is still limited. Sleep comprises several distinct stages with varying depths and temporal compositions. Cerebral blood flow (CBF), which delivers essential nutrients and oxygen to the brain, varies across brain regions throughout these sleep stages, reflecting changes in neuronal function and regulation.</p><p>This systematic review and meta-analysis assesses global and regional CBF across sleep stages. We included, appraised, and summarized all 38 published sleep studies on CBF in healthy humans that were not or only slightly (<em><</em>24 h) sleep deprived. Our main findings are that CBF varies with sleep stage and depth, being generally lowest in NREM sleep and highest in REM sleep. These changes appear to stem from sleep stage-specific regional brain activities that serve particular functions, such as alterations in consciousness and emotional processing.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1087079224000819/pdfft?md5=277db0df5772d515ec6463604fbc13de&pid=1-s2.0-S1087079224000819-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of depression or depressive state in patients with restless legs syndrome: A systematic review and meta-analysis 不宁腿综合征患者中抑郁或抑郁状态的患病率：系统回顾与荟萃分析

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-11 DOI: 10.1016/j.smrv.2024.101975

{"title":"Prevalence of depression or depressive state in patients with restless legs syndrome: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.smrv.2024.101975","DOIUrl":"10.1016/j.smrv.2024.101975","url":null,"abstract":"<div><p>Restless legs syndrome (RLS) is a common sleep-related disorder characterized by limb discomfort and the urge to move them when at rest, especially in the evening or at night. Although depression is often linked to various conditions, no systematic review has assessed depression prevalence in patients with RLS after the latest diagnostic criteria revision. This systematic review and meta-analysis aimed to investigate the depression and depressive state prevalence among patients with RLS. We systematically searched databases up to November 2022 and performed meta-analyses of the depression prevalence using a random-effects model and a meta-regression analysis to explore the relationship between the prevalence and severity of depression and factors such as age and RLS severity. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we analyzed 24 studies with 2039 patients. The pooled depression or depressive state prevalence, mostly defined by questionnaire scores, was 30.39 %. Nine studies reported the proportion of patients taking antidepressants (pooled rate: 3.41 %). No specific factors related to the prevalence or severity of depression were identified in patients with RLS. These findings highlight the significant prevalence of depression and underscore the need for future research with standardized diagnostic interviews and consistent methodologies across multi-site studies.</p></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":null,"pages":null},"PeriodicalIF":11.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The difficult but crucial task of knowledge translation: The case of pre-sleep technology use. Reply to Reichenberger et al. and the National Sleep Foundation's screen use recommendations 知识翻译是一项艰巨而重要的任务：睡前技术使用案例。回复 Reichenberger 等人和美国国家睡眠基金会的屏幕使用建议

IF 11.2 1区医学

Sleep Medicine Reviews Pub Date : 2024-07-08 DOI: 10.1016/j.smrv.2024.101974

Serena Bauducco , Meg Pillion , Kate Bartel , Chelsea Reynolds , Michal Kahn , Michael Gradisar

引用次数: 0