Sleep Medicine Reviews最新文献_第8页

Impact of sleep duration on daytime sleepiness in children: A meta-analysis 睡眠时间对儿童日间嗜睡的影响：一项荟萃分析。

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1016/j.smrv.2025.102180

Anosha Altaf, Jayne Spiller

{"title":"Impact of sleep duration on daytime sleepiness in children: A meta-analysis","authors":"Anosha Altaf, Jayne Spiller","doi":"10.1016/j.smrv.2025.102180","DOIUrl":"10.1016/j.smrv.2025.102180","url":null,"abstract":"<div><div>Whilst previous reviews have identified that shorter sleep duration is associated with poorer cognition in children, it is not known whether short sleep duration increases daytime sleepiness compared with sufficient or extended sleep. A systematic search of the literature identified 17 studies to be included in the meta-analysis. When excluding two sleep deprivation studies, short sleep duration was associated with higher daytime sleepiness compared with sufficient or extended sleep duration, standardised mean difference: 0.74 (95 % CI 0.45; 1.02). There was substantial variation in the extent of sleep restriction in the short sleep duration group compared to the sufficient/extended group. This was a significant moderator, accounting for 7 % of the effect size. As the effect size was lower for children compared to adolescents, it suggests that adolescents are particularly vulnerable to the effects of short sleep. For individual studies, the standardised mean difference had wide confidence intervals, suggesting that there are substantial inter-individual differences in response to short sleep duration compared to sufficient sleep duration. Further research is needed to identify whether daytime sleepiness mediates the relationship between sleep duration and cognitive outcomes.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102180"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259915","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

Guest editorial: Obstructive sleep apnea, cellular senescence, and aging: A convergence of pathways driving cardiometabolic risk 客座评论：阻塞性睡眠呼吸暂停、细胞衰老和衰老：驱动心脏代谢风险的途径趋同。

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1016/j.smrv.2025.102201

Yunzhou Dong, Virend K. Somers

引用次数: 0

Efficacy of mandibular advancement appliances with varying designs in the management of obstructive sleep apnea in children: A systematic review and meta-analysis 不同设计的下颌推进矫治器治疗儿童阻塞性睡眠呼吸暂停的疗效：一项系统回顾和荟萃分析

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-09-15 DOI: 10.1016/j.smrv.2025.102165

Hui Chen , Junyan Gao , Jianwei Liu , Ghizlane Aarab , Shaohua Ge , Frank Lobbezoo , Nelly Huynh , Carlos Flores Mir

{"title":"Efficacy of mandibular advancement appliances with varying designs in the management of obstructive sleep apnea in children: A systematic review and meta-analysis","authors":"Hui Chen , Junyan Gao , Jianwei Liu , Ghizlane Aarab , Shaohua Ge , Frank Lobbezoo , Nelly Huynh , Carlos Flores Mir","doi":"10.1016/j.smrv.2025.102165","DOIUrl":"10.1016/j.smrv.2025.102165","url":null,"abstract":"<div><div>Various designs of mandibular advancement appliances (MAAs) have been proposed for managing obstructive sleep apnea (OSA) in children. However, the difference in efficacy between various MAA designs remain unclear. A deeper understanding of the effectiveness of various MAA designs could help refine their design and improve treatment outcomes. This systematic review evaluates the efficacy of different available MAA designs. PubMed, EMBASE, and the Cochrane Library were searched for eligible studies published up to January 2025. A total of 1098 studies were initially identified, from which three randomized controlled trials (RCTs) and five Non-RCTs assessing the efficacy of MAAs in pediatric OSA patients were included. The results showed that MAAs were associated with increased minimal oxygen saturation (SpO<sub>2</sub>) (CI: 17.67 to −0.82, p=0.03) and mean SpO<sub>2</sub> (CI: 1.07 to −0.09, p=0.02) in pediatric OSA patients. The Twin-block appliance did not significantly reduce the apnea-hypopnea index (AHI) (CI: 0.11 to 8.63, p=0.06), while the Mono-block appliance was found to reduce AHI significantly (CI:2.21 to 6.79, p=0.0001). Additionally, unlike the Twin-block appliance, the Mono-block appliance improved both minimal and mean SpO<sub>2</sub>. With limitation of selected studies, the impact of MAA design on pediatric OSA varied. However, it cannot be concluded that one specific MAA design is superior to others for managing pediatric OSA.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102165"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109300","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

Assessment tools for population sleep health surveillance in adults: A systematic review of validity and reliability 成人人群睡眠健康监测的评估工具：有效性和可靠性的系统评价。

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-11-02 DOI: 10.1016/j.smrv.2025.102196

Joshua A.H. Way , Erin Mathieu , Josephine Chau , Peter A. Cistulli , Yu Sun Bin

{"title":"Assessment tools for population sleep health surveillance in adults: A systematic review of validity and reliability","authors":"Joshua A.H. Way , Erin Mathieu , Josephine Chau , Peter A. Cistulli , Yu Sun Bin","doi":"10.1016/j.smrv.2025.102196","DOIUrl":"10.1016/j.smrv.2025.102196","url":null,"abstract":"<div><div>Poor sleep health is a significant public health issue. Population health surveillance systems are important for gathering accurate data to inform public health responses but remain underdeveloped for sleep health assessment globally. We aimed to identify sleep assessment tools and to evaluate their validity and reliability for use in population surveillance.</div><div>Three databases (PubMed, EMBASE, and PsycINFO) were searched resulting in 12,350 publications as of July 2025; 187 studies met the inclusion criteria and 60 sleep assessment tools were evaluated for nine measurement properties: content validity, criterion validity, construct validity, internal consistency, reliability, agreement, floor and ceiling effects, responsiveness, and interpretability.</div><div>The Insomnia Severity Index had five measurement properties rated positively, the highest among all tools. Two tools assessed all sleep health domains: the Regularity, Satisfaction, Alertness, Timing, Efficiency, Duration (RU-SATED) scale and a 13-item composite measure of sleep health (13-SH).</div><div>Most sleep assessment tools lacked adequate validation studies in the adult general population or lacked the ability to capture all dimensions of sleep health. Demonstrating criterion and construct validity of existing tools, developing new tools to measure multidimensional sleep health, or combining items from validated measures with strong measurement properties is warranted for effective sleep health surveillance.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102196"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524273","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

Napping and psychiatric disorders: A systematic review 午睡和精神疾病：一项系统综述。

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-11-01 DOI: 10.1016/j.smrv.2025.102197

Sara Bianchi , Sibylle Mauries , Celia Heiligenstein , Julia Maruani , Pierre A. Geoffroy

{"title":"Napping and psychiatric disorders: A systematic review","authors":"Sara Bianchi , Sibylle Mauries , Celia Heiligenstein , Julia Maruani , Pierre A. Geoffroy","doi":"10.1016/j.smrv.2025.102197","DOIUrl":"10.1016/j.smrv.2025.102197","url":null,"abstract":"<div><div>Napping is associated with adverse health outcomes in healthy adults. Given limited evidence in psychiatric disorders, this PRISMA-compliant review examined napping across various conditions, including studies on prevalence or clinically relevant outcomes related to disease course.</div><div>Among the 8275 records identified from PubMed, Web of Science, and Cochrane Library, 40 were included. Risk of bias was assessed using the Newcastle-Ottawa Scale, RoB 2.0, and ROBINS-I tools, by study design.</div><div>Most studies concerned patients with depressive disorders, who often nap more frequently and longer than controls, with plausible differential impact across subpopulations. In some, like pregnant women, napping may represent a risk factor; in others, a negative prognostic marker. Fewer studies suggest napping benefits mood, well-being and memory. In bipolar disorder, napping appears prevalent and may increase the risk of depressive symptoms. Research on schizophrenia spectrum and anxiety disorders research is contradictory but generally shows higher napping prevalence versus controls, and links napping to increased anxiety risk in elderlies. Conversely, napping does not appear specifically associated with eating or neurodevelopmental disorders, although data on the latter remain scarce in adults.</div><div>Overall, daytime napping is prevalent in most psychiatric disorders and may represent a risk and/or prognostic factor, deserving systematic clinical assessment.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102197"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460448","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

Sleep disturbance in children with prenatal alcohol exposure: a systematic review and meta-analysis 产前酒精暴露儿童的睡眠障碍：系统回顾和荟萃分析

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1016/j.smrv.2025.102186

Emma Louise Gale , Chloe Anna Hunt

{"title":"Sleep disturbance in children with prenatal alcohol exposure: a systematic review and meta-analysis","authors":"Emma Louise Gale , Chloe Anna Hunt","doi":"10.1016/j.smrv.2025.102186","DOIUrl":"10.1016/j.smrv.2025.102186","url":null,"abstract":"<div><h3>Background</h3><div>Sleep disturbances are prevalent in children with prenatal alcohol exposure (PAE), including those with Fetal Alcohol Spectrum Disorders (FASD), potentially exacerbating behavioural and cognitive deficits. Despite this, no review has systematically assessed the timing or severity of these sleep disturbances. The aim of this review was to identify sleep disturbances in children with PAE.</div></div><div><h3>Methods</h3><div>A systematic search across seven databases followed PRISMA guidelines. Studies included children aged 3–10 with PAE and provided quantitative sleep data. Two reviewers independently screened articles. A meta-analysis of subjective sleep outcomes used a random-effects model, with heterogeneity assessed via I<sup>2</sup>.</div></div><div><h3>Results</h3><div>Fourteen studies met inclusion criteria. Children with PAE had consistently worse sleep than typically developing peers, including longer sleep onset, shorter duration, more awakenings, lower sleep efficiency, and greater sleep variability. Higher PAE levels were linked to earlier onset and persistence of sleep disturbances, with more severe issues in early pregnancy exposure. Meta-analysis of seven studies showed high heterogeneity (I<sup>2</sup> = 0.91) with medium to large effect sizes, particularly for night awakenings (d = 1.04) and sleep duration (d = 0.89).</div></div><div><h3>Conclusions</h3><div>Children with PAE face persistent sleep disturbances, worsening with heavier or earlier exposure, highlighting the need for early screening and interventions.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102186"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416870","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 effects of intermittent fasting on sleep quality and cardiometabolic health outcomes in adults with overweight/obesity status: a systematic review and meta-analysis of randomized controlled trials 间歇性禁食对超重/肥胖成人睡眠质量和心脏代谢健康结局的影响：随机对照试验的系统回顾和荟萃分析

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.smrv.2025.102193

Yi Ning Yong , Alan J. McCubbin , Denise M. O'Driscoll , Marie-Pierre St-Onge , Maxine P. Bonham

{"title":"The effects of intermittent fasting on sleep quality and cardiometabolic health outcomes in adults with overweight/obesity status: a systematic review and meta-analysis of randomized controlled trials","authors":"Yi Ning Yong , Alan J. McCubbin , Denise M. O'Driscoll , Marie-Pierre St-Onge , Maxine P. Bonham","doi":"10.1016/j.smrv.2025.102193","DOIUrl":"10.1016/j.smrv.2025.102193","url":null,"abstract":"<div><div>Obesity is associated with several cardiovascular risk factors, including obstructive sleep apnea (OSA) development and poorer sleep quality. While diet-induced weight reduction can improve sleep quality, traditional dietary strategies may be challenging and restrictive to maintain. Intermittent fasting (IF) diets offer an alternative, less prescriptive intervention to improve cardiometabolic health markers, though their specific effects on sleep quality are unclear. This systematic review and meta-analysis assessed the effects of IF on sleep and cardiometabolic outcomes associated with OSA risk among adults with overweight/obesity. Eighteen randomized controlled trials (25 comparisons) that compared IF (n = 15 time-restricted eating (TRE); n = 3 alternate-day modified fasting (ADMF)), <em>vs ad libitum</em> eating were identified. Compared to <em>ad libitum</em> eating, TRE and ADMF interventions produced greater reductions in weight, BMI, fat mass, waist circumference, daily energy intake, and diastolic blood pressure. Sleep quality was assessed as a secondary outcome in 15/16 studies. No overall effects of IF on sleep relative to <em>ad libitum</em> eating were observed, despite improvements in weight. This analysis supports IF interventions as an alternative to continuous energy restriction for improving cardiometabolic health in populations with obesity and sleep disturbances, such as OSA. Studies are needed to specifically evaluate the effects of IF on sleep.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102193"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466355","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

Evaluating the endothelial and metabolic effects of CPAP therapy in obstructive sleep apnea patients: Insights from a comprehensive meta-analysis 评估CPAP治疗对阻塞性睡眠呼吸暂停患者的内皮和代谢影响：来自综合荟萃分析的见解

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-10-29 DOI: 10.1016/j.smrv.2025.102187

Sara Daneshvar , Ensiyeh Seyedrezazadeh , Maryam Seyyedi , Sevda Jafari , Atefeh Ansarin , Neda Gilani , Babak Mokhlesi , Khalil Ansarin

{"title":"Evaluating the endothelial and metabolic effects of CPAP therapy in obstructive sleep apnea patients: Insights from a comprehensive meta-analysis","authors":"Sara Daneshvar , Ensiyeh Seyedrezazadeh , Maryam Seyyedi , Sevda Jafari , Atefeh Ansarin , Neda Gilani , Babak Mokhlesi , Khalil Ansarin","doi":"10.1016/j.smrv.2025.102187","DOIUrl":"10.1016/j.smrv.2025.102187","url":null,"abstract":"<div><div>Across a growing body of research, continuous positive airway pressure (CPAP) therapy has been consistently explored as a treatment for obstructive sleep apnea (OSA) due to its potential to mitigate vascular and metabolic risk factors. While the primary benefit of CPAP is its ability to alleviate symptoms of OSA, the broader physiological impacts, particularly on vascular health and metabolic profiles, have garnered increasing attention. This summary evaluates the effect of CPAP on endothelial function, as well as on lipid and glucose metabolism.</div><div>Across 74 studies, CPAP therapy in adults with OSA was associated with a significant improvement in endothelial function (FMD) and modest, favorable shifts in lipid and glucose profiles. Total cholesterol, LDL-C, and triglycerides decreased; HDL-C showed no meaningful change. Fasting blood sugar declined, whereas HbA1c, insulin, and HOMA-IR generally showed directionally favorable but non-significant pooled effects. Publication bias appeared limited overall (more likely for HbA1c), and sensitivity analyses supported the robustness of the FMD benefit. Study-level moderators (age, sex, BMI, AHI, follow-up) did not consistently explain heterogeneity, although an exploratory ecological meta-regression suggested greater HbA1c reductions tracked with larger FMD gains.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102187"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466359","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

Pharmacotherapy for obstructive sleep apnea: a critical review of randomized placebo-controlled trials 阻塞性睡眠呼吸暂停的药物治疗：随机安慰剂对照试验的重要回顾。

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-09-12 DOI: 10.1016/j.smrv.2025.102169

Steven Luu , Daryl Emery Chee Yeow Chan , Nathaniel S. Marshall , Craig L. Phillips , Ronald R. Grunstein , Brendon J. Yee

{"title":"Pharmacotherapy for obstructive sleep apnea: a critical review of randomized placebo-controlled trials","authors":"Steven Luu , Daryl Emery Chee Yeow Chan , Nathaniel S. Marshall , Craig L. Phillips , Ronald R. Grunstein , Brendon J. Yee","doi":"10.1016/j.smrv.2025.102169","DOIUrl":"10.1016/j.smrv.2025.102169","url":null,"abstract":"<div><div>Positive airway pressure therapy remains the gold standard treatment for obstructive sleep apnea (OSA), but challenges with adherence, acceptability, and side effects persist. Interest in pharmacological therapies has grown, culminating in the recent U.S. Food and Drug Administration approval of tirzepatide as the first pharmacotherapy for OSA. Our review critically examines the efficacy of pharmacologic treatments for OSA and highlights current limitations and future research directions.</div><div>We conducted a search of Medline and Embase for randomized controlled trials published from January 2005 to February 2025, identifying 41 studies investigating 37 different drugs or drug combinations.</div><div>Weight-loss therapies showed the most consistent and substantial improvements in OSA severity. Tirzepatide produced the largest reduction in apnea-hypopnea index and improved patient-reported outcomes and cardiometabolic risk factors. Other pharmacotherapies demonstrated modest and inconsistent effects on OSA severity, sometimes with side-effects that contradict the treatment goal to reduce daytime sleepiness.</div><div>Weight-loss agents, particularly tirzepatide, represent a promising and now clinically viable treatment option. While endotype-targeted approaches are conceptually attractive, many agents were too early in their testing/re-purposing phase to demonstrate improvements in sleepiness, quality of life or sustained reductions of OSA severity; or were insufficiently targeted at the endotype they might best treat.</div></div>","PeriodicalId":49513,"journal":{"name":"Sleep Medicine Reviews","volume":"84 ","pages":"Article 102169"},"PeriodicalIF":9.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103143","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

Sleep regularity in shiftwork: A missing metric for fatigue risk management? 轮班工作中的睡眠规律：疲劳风险管理的缺失指标？

IF 9.7 1区医学

Sleep Medicine Reviews Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1016/j.smrv.2025.102200

M. Sprajcer, A.E. Laycock, A.M. Fauveau, S.A. Ferguson, G.E. Vincent

引用次数: 0