Journal of Clinical Sleep Medicine最新文献

{"title":"Racial/ethnic disparities in grade point averages and absences among 9th graders in Georgia: the role of sleep differences.","authors":"Henok Mulatu Teferi, Gina Marie Mathew, Lauren Hale, Dayna A Johnson, Julie A Gazmararian","doi":"10.1007/s44470-026-00187-4","DOIUrl":"10.1007/s44470-026-00187-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study assessed racial/ethnic differences in grade point averages (GPA) and school absences among 9th graders in semi-rural Georgia, USA, and whether sleep duration and chronotype helped explain these differences.</p><p><strong>Methods: </strong>This cross-sectional study of 406 ninth graders from two diverse high schools used counterfactual-based mediation analysis to examine whether sleep duration and chronotype mediated racial/ethnic differences in academic outcomes. Separate mediation models were estimated for GPA and school absences, specifying race/ethnicity as the exposure (Asian, Black, Hispanic, vs. White); sleep measures as mediators (sleep duration and mid-sleep on free days, corrected for sleep debt [MSFsc]) in separate models; and GPA (modeled using linear regression) and absences (modeled using Poisson regression) as outcomes, adjusting for sociodemographic covariates.</p><p><strong>Results: </strong>Race/ethnicity was significantly associated with GPA and absences in the total effect. Black students had lower GPA (b = -2.70; 95% CI -5.06, -0.42), whereas Asian students had higher GPA (b = 5.46; 95% CI 2.44, 8.10), compared to White students. Asian (RR = 0.51, 95% CI 0.32, 0.78) and Hispanic (RR = 0.59, 95% CI 0.42, 0.78) students were less likely to be absent than White students. Neither sleep duration nor MSFsc significantly mediated racial/ethnic differences in GPA or absences.</p><p><strong>Conclusion: </strong>Racial/ethnic disparities in adolescent academic performance and absences were observed but were not explained by sleep duration or MSFsc. Longitudinal studies with objective sleep measures are warranted.</p><p><strong>Current knowledge/study rationale: </strong>Racial/ethnic disparities in academic performance and absenteeism have been documented among adolescents, and sleep is associated with both outcomes; however, it remains unclear whether sleep helps explain these disparities. This study examined whether sleep duration and chronotype mediated racial/ethnic differences in GPA and school absences among ninth-grade students in semi-rural Georgia.</p><p><strong>Study impact: </strong>Racial/ethnic differences in GPA and school absences were observed, but neither sleep duration nor chronotype explained these disparities. The findings suggest that factors beyond these sleep measures likely contribute to academic inequities and highlight the need for longitudinal studies using objective sleep assessments.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic risk does not establish greater adenotonsillectomy benefit in children with mild sleep-disordered breathing.","authors":"Ercan Yılmaz, Nezihe Koker Özer, Erdem Topal","doi":"10.1007/s44470-026-00196-3","DOIUrl":"https://doi.org/10.1007/s44470-026-00196-3","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between maternal sleep disorders and long-term neurodevelopmental disorders in children: evidence from a national cohort of 1.9 million births.","authors":"Tak Kyu Oh, In-Ae Song","doi":"10.1007/s44470-026-00122-7","DOIUrl":"https://doi.org/10.1007/s44470-026-00122-7","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to assess whether maternal sleep disorders (SD) diagnosed before or during pregnancy is associated with increased risk of long-term neurodevelopmental disorders (LNDD) in children.</p><p><strong>Methods: </strong>In this retrospective, population-based cohort study, we included all live births in South Korea between Jan 1, 2008, and Dec 31, 2012. Maternal SD exposure was defined by 10th revision of the International Classification of Diseases (ICD-10) codes G47* or F51* and G25.8, and timing was categorized as pre-last menstrual period (LMP) or pregnancy onset, with the former identified during a one-year lookback period prior to the estimated LMP. The primary outcome was LNDD (ICD-10 F70-F95) ascertained up to Dec 31, 2023. We performed 1:5 propensity-score matching and used Cox proportional hazards models to estimate hazard ratios (HRs) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Of 1,993,494 births, 33,229 children (1.7%) were born to mothers with SD. The matched cohort comprised 33,183 SD-exposed and 160,131 unexposed children. In the matched analysis, SD exposure was associated with higher risk of any LNDD (HR 1.36, 95% CI 1.32-1.41; P < 0.001). Both pre-LMP SD (HR 1.31, 1.26-1.35) and pregnancy-onset SD (HR 1.18, 1.12-1.25) were significantly associated with LNDD risk. Subtype analyses identified significant risks for insomnia (HR 1.28, 1.23-1.33), restless legs syndrome (HR 1.48, 1.18-1.86), and sleep apnea (HR 1.32, 1.01-1.73).</p><p><strong>Conclusion: </strong>Maternal SD before or during pregnancy is independently associated with increased LNDD risk in offspring.</p><p><strong>Current knowledge/study rationale: </strong>Maternal sleep disorders (SD) are highly prevalent during pregnancy and have been linked to adverse obstetric outcomes, yet their long-term impact on offspring neurodevelopment remains poorly characterized. We leveraged a nationwide cohort of nearly 2 million births with up to 15 years of follow-up to address existing research gaps regarding the timing of SD onset and the specific influence of various SD subtypes-including insomnia, restless legs syndrome and sleep apnea-on child brain health.</p><p><strong>Study impact: </strong>This study provides robust evidence that maternal SD, particularly before or during pregnancy, is independently associated with a significantly increased risk of long-term neurodevelopmental disorders in children. These findings highlight the critical need for early identification and management of sleep disturbances in women of childbearing age to potentially mitigate neurodevelopmental risks in the next generation.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the diagnostic code: what two million births can and cannot tell us about maternal sleep and offspring neurodevelopment.","authors":"Po-Yang Tsou, Ignacio E Tapia","doi":"10.1007/s44470-026-00142-3","DOIUrl":"https://doi.org/10.1007/s44470-026-00142-3","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The \"adequate sleep opportunity\" criterion in postpartum insomnia: non-discriminating, not merely too strict.","authors":"Bin Huang, Yuqian Shen","doi":"10.1007/s44470-026-00204-6","DOIUrl":"https://doi.org/10.1007/s44470-026-00204-6","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of the frequency of sleep evaluations, sleep disorders, and treatments among individuals with muscular dystrophy.","authors":"Nedra Whitehead, Joyce T Alese, Christine Hill, Mike Enger, Jamie Zimmerman, Amy Moore, Julie Royer, Swamy Venkatash, Shiny Thomas, Barbara Do, James F Howard","doi":"10.1007/s44470-025-00041-z","DOIUrl":"10.1007/s44470-025-00041-z","url":null,"abstract":"<p><strong>Purpose: </strong>Review literature on the frequency of sleep disorders and receipt of sleep-related healthcare among individuals with muscular dystrophy.</p><p><strong>Methods: </strong>Included: Population-Duchenne/Becker (DBMD), congenital (CMD), facioscapulohumeral (FSHD), limb-girdle (LGMD), or myotonic (DM) muscular dystrophy; Outcomes-frequency of sleep evaluations, disorders, or treatments; Language-English; Study type-original research, systematic review. Excluded: Sample <10, duplicate reports.</p><p><strong>Information sources: </strong>PubMed and EBSCO, last searched March 7, 2023. Risk of bias assessment : Recruitment source or study inclusion selected for or against sleep symptoms or disorders.</p><p><strong>Synthesis: </strong>Range and weighted average (low risk studies only) of outcome.</p><p><strong>Results: </strong>We included 95 studies of sleep evaluations (7), disorders (94) or treatments (13) with a total of 7,964 participants. Studies reported on DM-61, DBMD-20, FSHD-9, CMD-1, LGMD-1, and multiple MD-3. One-half of people with DBMD (51%, 2 studies, 85 individuals) and over 60% of people with DM1 (65%, 2 studies, 327 individuals) had a sleep study. Measured by questionnaire, excessive daytime sleepiness frequency among adults with DM was 39% (DM2, 10, 284) to 65% (any DM, 6, 1195), 9% among controls (5, 199), and 6% to 13% among other MDs. Sleep apnea frequency was 11% (LGMD, 1, 18) to 65% (CMD, 1, 20). Assisted ventilation use was 5%-16% (DM).</p><p><strong>Conclusions: </strong>Regular sleep evaluations may improve identification and treatment of sleep disorders and the physical and mental health of individuals with MD.</p><p><strong>Other: </strong>Funding-US Centers for Disease Control and Prevention. Not registered.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to \"From coexistence to causation: defining adiposity-attributable obstructive sleep apnea\".","authors":"Christopher N Schmickl, Atul Malhotra","doi":"10.1007/s44470-026-00197-2","DOIUrl":"10.1007/s44470-026-00197-2","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Establishing polysomnographic criteria for initiation of non-invasive ventilation in children with neuromuscular diseases.","authors":"Vanessa Campes Dannenberg, Reshma Amin, Gregory Anagnostopoulos, Adetayo Adeleye, Glenda N Bendiak, Hanna Kolski, Maria L Castro-Codesal","doi":"10.1007/s44470-026-00191-8","DOIUrl":"10.1007/s44470-026-00191-8","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central hypopnea classification: bridging the gap between event identification and clinical utility.","authors":"Naina Kumari","doi":"10.1007/s44470-026-00202-8","DOIUrl":"10.1007/s44470-026-00202-8","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Above the line: oxygen overshoot in the oximetry trace.","authors":"Ari R G Manuel","doi":"10.1007/s44470-026-00183-8","DOIUrl":"10.1007/s44470-026-00183-8","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":"22 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}