Frontiers in sleep最新文献

{"title":"How do parents approach nighttime infant care? A grounded theory.","authors":"Caryn Dooner, Christine Ou, Hana Kim, Lenora Marcellus, Michaela Henry-Dansereau, Jessy Sidhu","doi":"10.3389/frsle.2026.1669946","DOIUrl":"10.3389/frsle.2026.1669946","url":null,"abstract":"<p><strong>Introduction: </strong>How parent dyads organize and share nighttime caregiving, particularly in the context of gender-roles and diverse family structures, has been given little attention. The aim of this study was to develop a grounded theory explaining how parent dyads manage nighttime infant care, focusing on caregiving practices, decision-making, and their effects on parental roles and well-being.</p><p><strong>Methods: </strong>Parent dyads with children under 2 years of age who completed an online questionnaire were invited to participate in virtual semi-structured interviews about their nighttime caregiving approaches. Interview transcripts were analyzed using constructive grounded theory methods.</p><p><strong>Results: </strong>Twenty cisgender heterosexual and 10 2SLGBTQ+ dyads were interviewed. The core category <i>navigating priorities</i> was identified, which highlighted the tension created by competing demands and priorities. Parents responded by either <i>staying the course</i>-maintaining their current approach-or <i>changing lanes</i>-adopting a new strategy-within their unique <i>dyadic context</i>. This context encompassed the characteristics and evolving experiences each person brought to their family. This iterative process was triggered whenever tension arose from competing values or priorities.</p><p><strong>Discussion: </strong>Dyadic context shapes how couples navigate nighttime care priorities. Flexibility in decision-making and active engagement from both partners in adapting to evolving needs promoted mutually supportive nighttime caregiving for families. These findings enhance understanding of shared parenting dynamics in diverse family structures, informing strategies to support parental and infant sleep and well-being.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1669946"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146204037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot randomized controlled trial of the ABCs of SLEEPING mHealth intervention for parents of school-aged children with insomnia symptoms.","authors":"Anastasija Jemcov, Penny Violet Corkum, Isabel M Smith, Sean P Mackinnon","doi":"10.3389/frsle.2025.1665671","DOIUrl":"10.3389/frsle.2025.1665671","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep is important for overall functioning; thus, parents should have access to effective sleep intervention for their children's insomnia. Mobile health interventions (mHealth) are increasingly popular partly due to their accessibility. Currently, no evidence-based sleep intervention apps are available for parents and their school-age children. Our research team developed the ABCs of SLEEPING intervention to address this gap.</p><p><strong>Method: </strong>The current study used a modified version based on feedback from a feasibility study which found reasonable acceptability and promising preliminary effectiveness but lower fidelity than expected (i.e., not daily use). The current study examined preliminary effectiveness using randomized controlled trial (RCT) methodology for subjective (sleep habits, insomnia severity, behavioral functioning) and objective sleep variables, and examined recruitment data to inform practices for a future RCT. Participants were 28 parents of typically developing children with parent-reported sleep problems, randomized to a treatment or control group. Data were analyzed using descriptive statistics and analysis of covariance (ANCOVA).</p><p><strong>Results: </strong>Recruitment rate was 70%, dropout rate was 30%, and estimated sample size for an RCT was 118. A small effect of the intervention improving sleep habits, daytime functioning, and insomnia severity, and no statistically significant effect for objectively measured sleep were demonstrated.</p><p><strong>Discussion: </strong>These results can be used to modify the intervention and to prepare for a large-scale effectiveness study. As an accessible mHealth intervention for parents of school-aged children with insomnia, the ABCs of SLEEPING app has the potential to address an existing treatment gap.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1665671"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12894017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146204087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstructive sleep apnea in children: prevalence and association with overweight and obesity.","authors":"Ingibjorg Ingolfsdottir, Laufey Hrolfsdottir, Groa Bjork Johannesdottir, Thorhallur Ingi Halldorsson, Solveig Magnusdottir, Erla Guðbjorg Hallgrimsdottir, Magnus Birkisson, Hannes Petersen","doi":"10.3389/frsle.2025.1691091","DOIUrl":"10.3389/frsle.2025.1691091","url":null,"abstract":"<p><strong>Introduction: </strong>Obstructive sleep apnea (OSA) is an underdiagnosed health condition and in young children, if untreated, may have negative effects on mental and physical health. Although obesity is recognized as a major risk factor for OSA in adults, the association between weight and OSA has not been as well documented in children. This study was conducted to evaluate prevalence of OSA in young children and if there is an association with weight gain, overweight and/or obesity.</p><p><strong>Methods: </strong>Cross-sectional study, conducted over period of one-year included 29% (<i>n</i> = 371) of young children (4-9-years old) living within the general population in the recruitment area. Sleep was evaluated subjectively with the pediatric-sleep-questionnaire (PSQ) and objectively using a home sleep test. Two-nights of >4-h of sleep-duration was required for diagnosis of OSA. Overweight and obesity was evaluated using BMI <i>z-</i>score. Multivariable log-binomial regression analysis was used to assess the relationship between OSA and overweight/obesity. The analyses were adjusted for age, sex, history of asthma/allergies and prior adenotonsillar surgery.</p><p><strong>Results: </strong>Undiagnosed OSA is prevalent in young children or 22.7%; with prevalence of moderate-OSA 16.2% and severe-OSA 6.5%. Each one-unit increase in BMI <i>z-</i>score was associated with 1.35-times (CI_95%:1.22, 1.50) higher risk of having moderate/severe OSA. Childhood overweight (RR = 2.71; CI_95%1.76, 4.16) and obesity (RR = 2.80; CI_95%1.75, 4.49) were associated with almost three times the increase higher risk of having moderate/severe OSA. When analyzing BMI <i>z-</i>score from 18 months of age to current age (ΔBMI <i>z-</i>score), each one-unit increase in BMI <i>z-</i>score was associated with 1.24-times (CI_95%: 1.08, 1.41) higher risk of having moderate/severe OSA.</p><p><strong>Conclusions: </strong>The prevalence of OSA in young children is higher than previously reported, with weight gain, overweight, and obesity strongly associated with OSA diagnoses.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1691091"},"PeriodicalIF":0.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Novel technologies in the diagnosis and management of sleep-disordered breathing, volume III.","authors":"Ding Zou, Henri Korkalainen","doi":"10.3389/frsle.2025.1767653","DOIUrl":"10.3389/frsle.2025.1767653","url":null,"abstract":"","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1767653"},"PeriodicalIF":0.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case Report: A case of post-viral inflammatory insomnia: observed sleep restoration associated with histamine-targeted interventions and implications for mast cell pathways.","authors":"Amanda Jill Meckes, James William Meckes","doi":"10.3389/frsle.2025.1736866","DOIUrl":"10.3389/frsle.2025.1736866","url":null,"abstract":"<p><strong>Background: </strong>Mast cell-mediated inflammation has been proposed as a potential contributor to neuroinflammatory insomnia and dysautonomia, but objective clinical documentation remains limited. Histamine and related immune mediators can disrupt circadian rhythm, arousal systems, and autonomic stability. Conventional pharmacological therapies for sleep restoration often fail to address these inflammatory mechanisms.</p><p><strong>Case presentation: </strong>A previously healthy and active 74-year-old male presented with post-viral dysautonomia and severe, treatment-refractory insomnia accompanied by persistent sneezing and ocular irritation suggestive of histamine reactivity. Despite optimal CPAP use and multiple pharmacological trials for sleep disturbance (zolpidem, trazodone, gabapentin, diazepam, lemborexant), Oura Ring data demonstrated persistently low sleep scores, often in the 30-40 range, and minimal REM and deep sleep. Routine laboratory studies (CBC, CMP, thyroid, cortisol, testosterone) were normal except for mildly low DHEA-S, consistent with chronic inflammatory stress. Following evaluation by a tertiary sleep specialist who suggested daytime stimulant therapy (declined by the patient), a targeted supportive regimen was initiated to promote physiologic recovery and restore sleep architecture. This included phosphatidylcholine, alpha-GPC, coenzyme Q10, cyproheptadine (2-4 mg at qHS) and removal of scented household products. Sleep metrics improved within 24 h, with Oura sleep scores increasing to 75+ from a 10-month period characterized by nightly scores often in the 30-40 range and remained stable thereafter. At 4-week follow-up, lingering daytime fatigue and patient-reported cognitive fog prompted additional dietary modification to a low-histamine pattern and the addition of loratadine (10 mg AM) and famotidine (20 mg BID).</p><p><strong>Outcome: </strong>Within several days, the patient reported marked improvement in energy, cognition, and overall functional capacity, following nearly a year of functional incapacitation.</p><p><strong>Conclusion: </strong>This case demonstrates a reversible form of inflammatory insomnia and fatigue, likely mediated by mast cell-driven histamine activity. A multi-component intervention targeting histamine pathways, including antihistamine therapy, environmental modification, and dietary adjustment, was associated with rapid and sustained normalization of objective sleep metrics in this patient. These findings highlight the importance of evaluating immune and inflammatory contributors in patients with refractory insomnia and support further investigation of mast cell-related pathways in translational sleep medicine.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1736866"},"PeriodicalIF":0.0,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving sleep health through sleep hygiene education in adults aged 50-80 years.","authors":"Ashley M Pfeiffer, Craig Triplett, Olivia Schaefers","doi":"10.3389/frsle.2025.1722557","DOIUrl":"10.3389/frsle.2025.1722557","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep plays a critical role in maintaining physical and cognitive health in older adults, yet sleep problems are highly prevalent in this population. Conventional management strategies often rely on pharmacological interventions, which may cause adverse side effects, evidencing the need for safe, low-cost alternatives. Sleep hygiene education offers a promising approach, and this study evaluates the efficacy of a strategy combining a one-time educational video and daily automated text messages in improving sleep quality, daytime sleepiness, and overall sleep hygiene practices among older adults.</p><p><strong>Methods: </strong>Participants completed an electronic survey that collected demographic information and included the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Sleep Hygiene Index (SHI), Perceived Stress Scale, and Numeric Pain Rating Scale. Each participant wore a Fitbit sleep tracker for 2 weeks to establish baseline data on total sleep time, time awake, time in rapid eye movement (REM)/light/deep sleep, and sleep efficiency. Participants were then randomly assigned to a control group, a video-only group, or a video-plus-text group. Sleep tracking continued for 4 additional weeks, and all assessments were repeated at the end of the study.</p><p><strong>Results: </strong>A total of 119 participants (mean age 66.5 ± 7.2 years; 77 females) completed the study. Paired <i>t</i>-tests compared pre- and post-intervention scores. Both the video-only and video-plus-text groups showed significant improvements on the PSQI, ESS, and SHI compared to the control. No significant changes were found in measured objective sleep parameters.</p><p><strong>Discussion: </strong>Findings indicate that video-based sleep hygiene education, with or without supplemental text messaging, was associated with improvements in subjective sleep quality, daytime sleepiness, and sleep hygiene behaviors. However, these improvements were not reflected in objective sleep measures, highlighting a discrepancy commonly reported in sleep research.</p><p><strong>Conclusion: </strong>Brief, low-cost sleep hygiene education interventions, delivered through video or a combination of video and text messaging, may improve perceived sleep quality and sleep-related behaviors in older adults.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1722557"},"PeriodicalIF":0.0,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12848612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Divergent effects of sleep efficiency and sleep medication on episodic memory in mid to late life.","authors":"Suhani Amin, Dokyung Yoon, Rahul Naveen, Yaseen El-Magharbel, Anya Vincent, Jessie Chih-Yuan Chien, Teal S Eich","doi":"10.3389/frsle.2025.1691035","DOIUrl":"10.3389/frsle.2025.1691035","url":null,"abstract":"<p><strong>Objectives: </strong>Different aspects of sleep quality are known to decline with age, and these changes have been shown to impact performance across multiple cognitive domains. However, despite a growing body of literature, the impact of changes to quality of sleep on episodic memory remains elusive, with some studies finding effects and others failing to find a relation.</p><p><strong>Methods: </strong>In this study, participants [<i>N</i> = 173, mean age = 65.30, range = [45-88]], completed the Pittsburgh Sleep Quality Index as well as three episodic memory tests (verbal and visual episodic memory and pattern separation).</p><p><strong>Results: </strong>We found that worse sleep efficiency was associated with worse overall episodic memory. Further, medication use had a positive effect on verbal, pattern separation, and overall episodic memory. Findings occurred in an age-dependent manner.</p><p><strong>Conclusions: </strong>These results underscore the complexity of sleep-memory interactions and suggest that certain aspects of episodic memory may be more sensitive to specific components of sleep quality than others, particularly as individuals age.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1691035"},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12832419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating war- and conflict-related nightmares in children and youth: outcomes of a school-based intervention.","authors":"Jon Håkon Schultz, June Forsberg, Eva Alisic, Safwat Diab, Gerlinde Harb","doi":"10.3389/frsle.2025.1658555","DOIUrl":"10.3389/frsle.2025.1658555","url":null,"abstract":"<p><strong>Introduction: </strong>Recurrent nightmares often severely impair the quality of life, school functioning, and daily functioning of trauma-exposed children and adolescents. However, research to date is limited for treatments focused on reducing the impact of posttraumatic nightmares among youth in conflict zones. This study aimed to investigate the outcome of the Better Learning Program 3 (BLP) as it was implemented in over 100 schools in Gaza (2012-2017).</p><p><strong>Methods: </strong>Treatment outcome was investigated in an open trial among war- and conflict-exposed students (6-17 years of age) in Gaza (<i>N</i> = 1093). All participants sought help with nightmares and sleep disturbance and reported recurrent traumatic nightmares on average 4.86 nights per week. The intervention was inspired by imagery rehearsal therapy and trauma-focused cognitive behavioral therapy.</p><p><strong>Results: </strong>Students experienced significant week-to-week reductions in reported nightmares throughout the 8-week intervention. Approximately half of the participants reported no nightmares post-treatment, and a further 47% reported a reduction in nightmare frequency. In a 10-month follow-up, 42% of a smaller sample (<i>n</i> = 215) maintained treatment gains and remained free of nightmares, whereas 42% maintained a reduction of nightmares to one or two per week. Students with relapse responded effectively to booster sessions offered after follow-up.</p><p><strong>Discussion: </strong>The current study demonstrates the apparent success of this school-based treatment, showing that it is both feasible to intervene directly with students' nightmare disturbance and to significantly reduce their nightmare frequency.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1658555"},"PeriodicalIF":0.0,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12823506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot bedtime routine intervention for toddlers in primary care: variation by caregiver educational attainment.","authors":"Jodi A Mindell, Joey Tsz Ying Lam, Zainab Salih, Megan Heere, Ariel A Williamson","doi":"10.3389/frsle.2025.1722530","DOIUrl":"10.3389/frsle.2025.1722530","url":null,"abstract":"<p><strong>Background: </strong>A consistent bedtime routine (≥5 nights per week) is an empirically supported intervention associated with better sleep outcomes. However, few studies have examined the impacts of a bedtime routine on outcomes beyond sleep, and among families of lower educational attainment.</p><p><strong>Objective: </strong>This pilot randomized controlled trial (RCT) examined initial outcomes (sleep, development, caregiver stress), feasibility, and acceptability of a primary care-based bedtime routine intervention for toddlers, and explored variation in outcomes by caregiver educational attainment.</p><p><strong>Method: </strong>Caregivers of 86 toddlers (<i>M</i> _age = 12.89 months, 67.4% Black/African American, 23.3% Hispanic/Latine; United States) were randomly assigned to a bedtime routine intervention or usual care at their 12-month well-child visit (age-based preventative care). At their 15- and 24-month well visits, child sleep (Brief Infant Sleep Questionnaire-R SF), social-emotional development (Brief Infant-Toddler Social and Emotional Assessment), caregiver stress (Parenting Stress Inventory-SF), and intervention acceptability were assessed.</p><p><strong>Results: </strong>There were no differences in outcomes between the groups, however, the intervention positively impacted sleep consolidation, social-emotional outcomes, and caregiver stress, primarily at 24 months of age, for toddlers of caregivers with lower educational attainment. Additionally, families in the intervention were more likely to include reading in their bedtime routine at 15 months. Caregivers assigned to the intervention also reported strong acceptability and 85% completed both sessions.</p><p><strong>Conclusions: </strong>This pilot study suggests that bedtime routine intervention for toddlers is acceptable, feasible, and results in increased integration of reading at 15 months of age. Caregivers of lower educational attainment in the intervention condition reported improvements in aspects of child sleep health, social-emotional concerns, and caregiver stress, highlighting the potential for this intervention to reduce sleep health disparities. Future research should continue to examine potential bedtime routine benefits beyond sleep in larger-scale RCTs.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1722530"},"PeriodicalIF":0.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary care of pediatric obesity and its impact on sleep: a review.","authors":"Ravali Inja, Christopher Cielo","doi":"10.3389/frsle.2025.1634185","DOIUrl":"10.3389/frsle.2025.1634185","url":null,"abstract":"<p><p>Pediatric obesity has emerged as a significant global health issue with multifaceted consequences, including its impact on sleep health. Obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS) are among the serious sleep-related comorbidities in obese children, contributing to impaired quality of life, cognitive deficits, and cardiovascular risks. These conditions frequently coexist with other obesity-related complications such as insulin resistance, type 2 diabetes, hypertension, and non-alcoholic fatty liver disease (NAFLD). This review explores the importance of multidisciplinary care in addressing pediatric obesity, emphasizing early diagnosis, nutritional counseling, physical activity interventions, psychological support, and pharmacologic therapies such as glucagon-like peptide-1 (GLP-1) receptor agonists. The role of global trends, academic performance, and wellbeing clinics are also discussed. Although promising, the use of GLP-1s and surgical interventions in pediatrics remains constrained by limited data, particularly concerning their impact on sleep disorders. Further research is essential to clarify the long-term effects of GLP-1 receptor agonists and bariatric surgery not only on obesity and sleep-related comorbidities such as OSA and OHS, but also on cognitive function, psychosocial wellbeing, and overall health outcomes-thereby informing evidence-based, multidisciplinary approaches to pediatric obesity management.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"4 ","pages":"1634185"},"PeriodicalIF":0.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12807914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}