Journal of Clinical Sleep Medicine最新文献

{"title":"Public engagement with consumer sleep technology for obstructive sleep apnea screening: implications for equity, access, and practice.","authors":"Nicholas R Lenze, Ruby J Kazemi, Allison K Ikeda, Punithavathy Vijayakumar, Cathy A Goldstein, Jeffrey J Stanley, Michael J Brenner, Paul T Hoff","doi":"10.5664/jcsm.11418","DOIUrl":"10.5664/jcsm.11418","url":null,"abstract":"<p><strong>Study objectives: </strong>To characterize public practices and perspectives on the use of consumer sleep technology (CST) and evaluate perspectives on using CST as a screening tool for obstructive sleep apnea.</p><p><strong>Methods: </strong>We designed a survey instrument incorporating content from validated instruments (STOP-Bang and the Epworth Sleepiness Scale) and hypothesis-generated questions. Survey development involved multidisciplinary collaboration among 3 board-certified sleep medicine experts, researchers, and consumers. The survey was disseminated across a national sample of adults living in the United States via an online platform.</p><p><strong>Results: </strong>Among 897 respondents, the mean (standard deviation) age was 47.5 (16.9) years; 73.1% were female, 81.8% were White, and 505 respondents (56.3%) reported having tracked sleep using CST. Factors associated with decreased odds of CST use included household income < $30,000 (odds ratio [OR] 0.47, 95% confidence interval [CI] 0.28-0.79; <i>P</i> = .004), Medicaid insurance (OR 0.43, 95% CI 0.26-0.69; <i>P</i> = .001), Medicare insurance (OR 0.59, 95% CI 0.41-0.84; <i>P</i> = .004), and lack of a primary care physician (OR 0.55, 95% CI 0.33-0.91; <i>P</i> = .021). Most respondents (91.1%) agreed or strongly agreed that screening for obstructive sleep apnea would be a useful feature of CST, but respondents reporting an education of high school diploma or less (OR 0.48, 95% CI 0.29-0.79; <i>P</i> = .004) were less likely to agree with this statement.</p><p><strong>Conclusions: </strong>Attitudes toward and use of CST differed based on demographic and socioeconomic factors. Further study is needed to understand and address barriers to CST adoption and to characterize implications for equitable access to care for sleep disorders.</p><p><strong>Citation: </strong>Lenze NR, Kazemi RJ, Ikeda AK, et al. Public engagement with consumer sleep technology for obstructive sleep apnea screening: implications for equity, access, and practice. <i>J Clin Sleep Med</i>. 2025;21(2):345-353.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"345-353"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394865","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":"Recommendations for permanent sleep telehealth: an American Academy of Sleep Medicine position statement.","authors":"Kunwar Praveen Vohra, Karin G Johnson, Ashtaad Dalal, Sally Ibrahim, Vidya Krishnan, Fariha Abbasi-Feinberg, Alexandre Rocha Abreu, Anuja Bandyopadhyay, Indira Gurubhagavatula, David Kuhlmann, Jennifer L Martin, Eric J Olson, Susheel P Patil, Anita V Shelgikar, Lynn Marie Trotti, Emerson M Wickwire, James A Rowley, Vishesh K Kapur","doi":"10.5664/jcsm.11438","DOIUrl":"10.5664/jcsm.11438","url":null,"abstract":"<p><p>Telehealth use greatly expanded under the Centers for Medicare and Medicaid Services waivers at the start of the COVID-19 pandemic; however, the uncertainty and limitations of continued coverage risks loss of this momentum. Permanent coverage with adequate reimbursement is essential for the long-term acceptance and expansion of telehealth services. Telehealth supports both the current and future need for sleep health management by expanding patient access, increasing clinician efficiency, improving patient safety, and addressing health care equity. Sleep medicine is an ideal field for telehealth due to limited provider access, safety concerns with sleepy patients, availability of remote patient monitoring for treatment management, and the minimal need for repeated physical examinations. Telehealth is noninferior for delivery of cognitive behavioral therapy for insomnia and can enhance obstructive sleep apnea treatment adherence. It is the position of the American Academy of Sleep Medicine that telehealth is an essential tool for the provision of high-quality, patient-centered care for patients with sleep disorders. We encourage all stakeholders including legislators, policymakers, clinicians, and patients to work together to address payment models, interstate care, technology access, prescribing practices, and ongoing research to ensure that sleep telehealth services are permanently available and accessible for all patients seeking sleep medicine care.</p><p><strong>Citation: </strong>Vohra KP, Johnson KG, Dalal A, et al. Recommendations for permanent sleep telehealth: an American Academy of Sleep Medicine position statement. <i>J Clin Sleep Med</i>. 2025;21(2):401-404.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"401-404"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512087","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":"Multi-diagnostic chest-worn patch to detect obstructive sleep apnea and cardiac arrhythmias.","authors":"Cathy Goldstein, Hamid Ghanbari, Surina Sharma, Nancy Collop, Zak Loring, Colleen Walsh, Brennan Torstrick, Emily Herreshoff, Mark Pollock, David S Frankel, Ilene M Rosen","doi":"10.5664/jcsm.11522","DOIUrl":"https://doi.org/10.5664/jcsm.11522","url":null,"abstract":"<p><strong>Study objectives: </strong>Evaluate the performance of the SANSA device to simultaneously assess obstructive sleep apnea (OSA) and cardiac arrhythmias.</p><p><strong>Methods: </strong>Participants suspected or known to have OSA underwent polysomnography (PSG) while wearing SANSA. SANSA's algorithm was trained using 86 records and tested on 67 to evaluate training bias. SANSA performance was evaluated against ground truth PSG scored by the consensus of three technologists. PSG scoring from individual testing sites was also evaluated against consensus. Diagnostic performance was evaluated using standard apnea-hypopnea index (AHI) cutoffs. AHI and total sleep time (TST) agreement was analyzed using correlation and Bland-Altman plots. ECG was reviewed for presence of significant arrhythmias (frequent premature atrial/ventricular complexes and atrial fibrillation).</p><p><strong>Results: </strong>SANSA's sensitivity and specificity to detect OSA ranged from 91-97% and 78-97%, respectively, across all severity levels. SANSA TST correlation with Consensus PSG TST was 0.83 with a mean difference of 3.8 minutes (limits of agreement: -91.1 to 98.7). Significant arrhythmias were detected in 32% of participants. These participants had a greater AHI (27.5 versus 15.8, P=0.003) and spent nearly twice as long at reduced oxygenation levels (47.5 versus 20.5 minutes under 88% SpO₂, P = 0.009).</p><p><strong>Conclusions: </strong>SANSA is a promising tool for comprehensive OSA evaluation, offering the unique advantage of concurrent arrhythmia detection. This dual functionality may improve patient outcomes through early diagnosis and management of both conditions.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Images: Pharmacological treatment of pediatric insomnia: a successful trial of doxepin.","authors":"Xinhang Tu, Christine A Matarese, Robin Lloyd, Channing Sorensen, Scott T Schmidt, Julie M Baughn","doi":"10.5664/jcsm.11500","DOIUrl":"https://doi.org/10.5664/jcsm.11500","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical significance criteria in the ICSD and DSM sleep disorder classifications: a content overlap analysis using the Jaccard index.","authors":"Christophe Gauld, Vincent P Martin, Clélia Quilès, Pierre-Alexis Geoffroy, Julien Coelho, Pierre Philip, Régis Lopez, Jean-Arthur Micoulaud-Franchi","doi":"10.5664/jcsm.11570","DOIUrl":"https://doi.org/10.5664/jcsm.11570","url":null,"abstract":"<p><strong>Study objectives: </strong>Both the <i>International Classification of Sleep Disorders</i> (ICSD) and the sleep-wake disorders section of the <i>Diagnostic and Statistical Manual of Mental Disorders</i> (DSM) emphasize the importance of clinical judgment in distinguishing the normal from the pathological in sleep medicine. The fourth edition of the DSM (DSM-IV, 1994) introduced the clinical significance criterion (CSC) to standardize this judgment and enhance diagnostic reliability.</p><p><strong>Methods: </strong>This review conducts a theoretical and historical content analysis of CSC presence, frequency, and formulation in the diagnostic criteria of sleep disorders. Three steps were undertaken: i) selecting main sleep disorder classifications and main disorders within them, ii) systematically extracting CSC-related content, and iii) analyzing the evolution of CSC presence through quantification (Jaccard index) and visualization (radar plots).</p><p><strong>Results: </strong>The fifth edition, text revision of the DSM (DSM-5-TR) includes CSC in five of nine main sleep disorders, compared to two in the third edition, text revision of the ICSD (ICSD-3-TR) (circadian rhythm sleep-wake disorder and nightmare disorder). The overlap between DSM-5-TR and ICSD-3-TR is moderate (Jaccard index = 0.40). The overlap between DSM versions is higher (0.53). Conversely, ICSD revisions exhibit minimal similarity (0.16). Radar plots reveal a gradual increase in CSC use within ICSD versions.</p><p><strong>Conclusions: </strong>These results highlight the variable application of CSC in sleep disorder classifications. Universal CSC inclusion may not be essential, but systematic discussion of its potential use can help refine diagnostic criteria. This refinement is important for accurately diagnosing sleep disorders and better differentiating the normal from the pathological, a major challenge in sleep medicine.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hand dominance shift during sleep in sexsomnia: a clue to pathophysiology?","authors":"Alon Y Avidan, Rosa Hasan, Varun Badami, Carlos H Schenck","doi":"10.5664/jcsm.11554","DOIUrl":"10.5664/jcsm.11554","url":null,"abstract":"<p><strong>Study objectives: </strong>To elucidate whether awake handedness in sexsomnia is retained during sleep to uncover potential clues about the underlying neurophysiologic mechanisms.</p><p><strong>Methods: </strong>Participants' and observers' self-reported handedness during sexsomnia events.</p><p><strong>Results: </strong>Case 1: A 22 y/o right-handed female with an eight-year history of nocturnal sleep-related masturbatory behavior (SMB) involving the left hand (LH) exclusively. Case 2: A 30 y/o ambidextrous male with SMB involving both hands, but most prominently the LH. Case 3: A 33 y/o right-handed female with exclusively LH SMB in the setting of acute multiple sclerosis exacerbation with cervical spinal cord and brainstem involvement. Case 4: A 44 y/o right-handed (RH) male with bilateral dream enactment behavior (DEB) and LH-predominant SMB noted by the bed partner (BP). Case 5: A 59 y/o RH female with a history of multiple system atrophy (MSA) and REM sleep behavior disorder (RBD) developed a new SMB, noted by the BP involving exclusively the LH. Case 6: A 37y/o RH man with inappropriate sexual behaviors involving the non-dominant LH without retention of memory for the events. Case 7: A 17 y/o RH male with polysomnographic evidence of genital manipulation using both hands but predominantly involving the non-dominant hand.</p><p><strong>Conclusions: </strong>We speculate that sexsomnias originate from CPG in the brainstem and spinal cord, as opposed to the cerebral cortex. The lack of involvement of cerebral motor control is further substantiated by amnesia for sexsomnia events. The implications of this data provide fundamental new clues about the mechanism of sexsomnias with critical forensic implications.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel machine learning model for screening the risk of obstructive sleep apnea using craniofacial photography with questionnaires.","authors":"June-Young Park, Hye-Rim Shin, Min Hye Kim, Yunsoo Kim, Wi-Sun Ryu, Eun Young Kim, Hyeyeon Chang, Woo-Jin Lee, Jee Hyun Kim, Tae-Joon Kim","doi":"10.5664/jcsm.11560","DOIUrl":"https://doi.org/10.5664/jcsm.11560","url":null,"abstract":"<p><strong>Study objectives: </strong>Undiagnosed or untreated moderate to severe obstructive sleep apnea (OSA) increases cardiovascular risks and mortality. Early and efficient detection is critical, given its high prevalence. We aimed to develop a practical and efficient approach for obstructive sleep apnea screening, using simple facial photography and sleep questionnaires.</p><p><strong>Methods: </strong>We retrospectively included 748 participants who completed polysomnography, sleep questionnaires (STOP-BANG, SBQ), and facial photographs at a university hospital between 2012 and 2023. Owing to class imbalance, we randomly undersampled the participants, categorized into the moderate/severe or no/mild OSA group, based on an apnea-hypopnea index of 15 events/h. Using a validated convolutional neural network, we extracted the OSA probability scores from photographs, which were used as the input for the questionnaires. Four machine learning models were employed to classify the moderate/severe versus no/mild groups and evaluated in the test dataset.</p><p><strong>Results: </strong>We analyzed 426 participants (213 each in the moderate/severe and no/mild groups). The mean (standard deviation) age was 44.6 (14.7) years; 80.8% were men. Logistic regression achieved the highest performance: the area under the receiver operator curve was 97.2%, and accuracy was 91.9%. Adding OSA probability, retrieved from facial photographs, to the questionnaires improved performance, compared with using questionnaires or photographs alone (area under the receiver operator curve: 97.2%, 64% and 79.1% for threshold SBQ 3 and 4, and 85.7%, respectively).</p><p><strong>Conclusions: </strong>Using simple facial photographs and sleep questionnaires, a two-stage approach (convolutional neural network + machine learning) accurately classified OSA into moderate/severe versus no/mild OSA groups. This method may facilitate optimal OSA treatment and avoid unnecessary costly evaluations.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of continuous positive airway pressure therapy on intraocular pressure in patients with OSA: a systematic review and meta-analysis.","authors":"Papan Kongchan, Wish Banhiran, Niphon Chirapapaisan, Navarat Kasemsuk","doi":"10.5664/jcsm.11552","DOIUrl":"https://doi.org/10.5664/jcsm.11552","url":null,"abstract":"<p><strong>Study objectives: </strong>To assess the effect of continuous positive airway pressure (CPAP) therapy on intraocular pressure in Obstructive sleep apnea (OSA) patients.</p><p><strong>Methods: </strong>The search was performed in Ovid Medline and Embase database then followed by a manual bibliography search. Abstract search and screening were independently performed followed by eligible full-text versions reviewed. Then disagreements were discussed in a group.</p><p><strong>Results: </strong>This systematic review and meta-analysis considered 15 studies with 495 participants. The pooled mean intraocular pressure after CPAP therapy shows no significant difference compared to the baseline (MD, 0.58 mmHg; 95% CI, -0.33 to 1.19). Subgroup analysis shows significantly higher intraocular pressure after in-lab PAP titration and after long-term CPAP used (MD, 4.28 mmHg; 95% CI, 0.91 to 7.66; MD, 0.45 mmHg; 95% CI, 0.07 to 0.83; respectively). Ocular perfusion pressure was also significantly decreased after CPAP therapy. (MD, -2.15 mmHg; 95% CI, -3.50 to -0.80). The pooled data showed no significant difference in RNFL thickness and macular layer thickness.</p><p><strong>Conclusions: </strong>After long-term treatments CPAP therapy, there is a significant increase in intraocular pressure in patients with OSA and a decrease in ocular perfusion pressure but did not show a significant difference in other ophthalmologic parameters. For this reason, CPAP usage in glaucoma patients necessitates to be done cautiously.</p><p><strong>Systematic review registration: </strong>This systematic review protocol was registered with PROSPERO (registration number CRD42022370734).</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REM obstructive sleep apnea: prevalence and clinical associations in a high-altitude population.","authors":"Diego Fernando Severiche Bueno, Ana María Gonzalez, Diana Paola Rivera-Leon, María Teresa Vargas Cuervo, Janeth Marcela Mateus-Palacios, Juanita Agudelo-Agudelo, Diana Paola Casas, Luisa Fernanda Enciso-B, Nadia Juliana Proaños, Federico Fernández-Bernal, Elida Dueñas Meza, Mauricio Gonzalez, María Angelica Bazurto Zapata","doi":"10.5664/jcsm.11556","DOIUrl":"https://doi.org/10.5664/jcsm.11556","url":null,"abstract":"<p><strong>Study objectives: </strong>REM-associated OSA (REM OSA) has a prevalence of 17-74% of all OSA cases. At high altitude and in Latin America, there are no data on REM OSA and its relationship to daytime sleepiness and comorbidities. This study aimed to determine the prevalence of REM OSA and the differences in clinical and polysomnographic characteristics between OSA and REM OSA in a population living at 2640 m.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted on adults in Bogotá, Colombia between January and December 2022. Patients were considered to have REM- OSA if they had a REM sleep duration of at least 30 minutes and the ratio of REM-AHI to NREM-AHI was > 2, and NREM-AHI < 15. For comparing the OSA and OSA REM groups, the X² or Fisher's exact test was used for the qualitative variables and Student's t-test or its non-parametric counterpart for the quantitative variables.</p><p><strong>Results: </strong>Patients with REM OSA and mild OSA had more severe nocturnal desaturation indices compared to mild NREM OSA. Patients with OSA had a higher prevalence of arterial hypertension and ischemic heart disease.</p><p><strong>Conclusions: </strong>REM OSA prevalence in a population living at high altitude was low compared with other studies. The patients with REM OSA and mild OSA had more severe nocturnal desaturation indexes compared to REM OSA at sea level. This study suggests a possible subgroup of patients with mild OSA at high altitude who may benefit from a discussion about initiating CPAP therapy.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The sleep health composite and chronotype among children and adolescents with type 1 diabetes compared to case-control peers without diabetes.","authors":"Necla İpar, Perran Boran, Hatice Ezgi Barış, Mahmut Caner Us, Burcu Aygün, Belma Haliloğlu, Arzu Baygül, Gül Yeşiltepe Mutlu, Abdullah Bereket, Şükrü Hatun","doi":"10.5664/jcsm.11558","DOIUrl":"https://doi.org/10.5664/jcsm.11558","url":null,"abstract":"<p><strong>Study objectives: </strong>Our objectives were to compare sleep health composite dimensions and chronotype in children and adolescents with and without type 1 diabetes (T1D) and to explore the relationship between sleep and glycemic variability in T1D.</p><p><strong>Methods: </strong>The study comprised 84 participants with T1D aged between 6 to 18 years, and age and sex matched by controls. The sleep health composite (SHC) was measured using actigraphy, sleep diaries, and self or parental reports. Sleep disturbance was evaluated using the DSM-5 Level 2 Sleep Disorders Scale Short Form. Chronotype was determined using the Children's Chronotype Questionnaire.</p><p><strong>Results: </strong>The median total SHC score for both the T1D and control groups was 3.0 (3.0-4.0) (p=0.485). Sleep quality was reported as good by 89.3% of participants with T1D and 96.4% of controls (p=0.072). Objective data from actigraphy indicated poor sleep quality in 56% of participants with T1D and 59.5% of controls (p=0.639). Additionally, 88% of participants with T1D and 84.5% of controls had inadequate total age-appropriate sleep duration (p=0.501). Among participants with T1D, those with a stable glycemic variability (coefficient of variation [CV] <%36) had an earlier midpoint sleep (p=0.008).</p><p><strong>Conclusions: </strong>Our study indicates that there are no significant differences in the SHC and chronotype between children and adolescents with and without T1D. Although most participants reported good sleep quality, objective assessments indicated poor sleep quality. These findings suggest that children and adolescents may overestimate their sleep quality.</p><p><strong>Clinical trial registration: </strong>Sleep patterns and chronotype in children with and without type 1 diabetes clinical Trails.gov identifier (https://www.clinicaltrials.gov), NCT06318611 (Registration Date: March 15, 2024).</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}