4.4 Article

Sleep in children with cystic fibrosis: More under the covers

Journal

PEDIATRIC PULMONOLOGY
Volume 57, Issue 8, Pages 1944-1951

Publisher

WILEY
DOI: 10.1002/ppul.25462

Keywords

cystic fibrosis; pediatrics; sleep

Funding

  1. Israel-Science Foundation [2779/19]
  2. U.S. National Institutes of Health (NIH) [HL149693]

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Cystic fibrosis (CF) is a chronic multisystem disease with manifestations from birth, involving the entire respiratory system and leading to intestinal malabsorption. Sleep quality and efficiency are often impaired in children with CF, with potential associations between sleep disturbances and respiratory outcomes. Further research is needed to better understand the impact of sleep disorders on pulmonary status in these children.
Cystic fibrosis (CF) is a chronic multisystem disease with manifestations from birth. It involves the entire respiratory system, with increased cough, and recurrent pulmonary infections, and it also leads to intestinal malabsorption, all of which can have an impact on sleep. In this review, we summarize the available literature on the various sleep disturbances in children with CF. Sleep quality and sleep efficiency are often impaired in children with CF. They may be accompanied by symptoms associated with sleep-disordered breathing (SDB), and objective findings, such as nocturnal hypoxemia. Importantly, a strong association has been shown between SDB and the severity of lung disease, and some studies have reported a similar association for sleep quality. Further research is needed to better characterize the association of sleep disturbances with respiratory outcomes and the impact of treatment of sleep disorders on pulmonary status in children with CF.

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