1 / 38

Children with Sleep Problems: A 24 hr concern

Children with Sleep Problems: A 24 hr concern. Dr. Manisha Witmans. Objectives. Common myths about sleep and their implications for every day life The public health burden of care and sleep issues Questions. Myths.

dirk
Download Presentation

Children with Sleep Problems: A 24 hr concern

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Children with Sleep Problems: A 24 hr concern Dr. Manisha Witmans

  2. Objectives • Common myths about sleep and their implications for every day life • The public health burden of care and sleep issues • Questions

  3. Myths Sleep is a WASTE of time, money & energy, in our 24/7 society!!! I can do whatever I want to my sleep and still be able to function

  4. Desperate for Sleep

  5. Obesity • One in four Canadians are obese (2007-2009) • 6-17 yrs, 8.6% obese • Cost: $3.9 billion in 2000 when linked to 8 diseases, $4.6 billion in 2008, up to $7.1 billion linked to 18 chronic diseases

  6. The Burden…Obesity Costs http://www.phac-aspc.gc.ca/hp-ps/hl-mvs/oic-oac/econo-eng.php#figure-15

  7. Risk Factors for Obesity Adults Risk Factor RR Children Risk Factor RR Nutrition and Health Symposium: Chaput JP et al. Int J Obesity 2011

  8. Just Do It!!

  9. The Vicious Truth • Obesity is a risk factor for sleep apnea • Poor sleep is a risk factor for obesity • Lack of exercise leads to obesity • Obesity makes exercising much more challenging and difficult • Obesity is a risk factor for many medical problems

  10. Behavioral Insomnia of Childhood • Limit setting and/or sleep onset association • Influenced by: psychosocial, medical, genetic, environmental, cultural factors • Very common, affects as many as 10-30% of children • What happens: irritability, mood swings, hyperactivity, depressed mood, aggressiveness, a decreased attention span, memory problems

  11. Pediatric Sleep Problems Chronic pediatric sleep problems may result in: • Negative impact on child’s and family’s functioning • Physical consequences • Emotional and cognitive consequences • Decreased social functioning • Exacerbation of a medical, psychiatric or developmental disorder

  12. ADHD: Etiological Factors

  13. If ADHD Persists …..Spectrum of Effects • School achievements – employment • Impulsivity - impulsive life decisions • Experimentation with drugs etc – substance abuse • Carless or risky behavior – accidents and injury • Oppositional defiance – antisocial personality disorder • 50% will continue to meet ADHD criteria at age 20 years

  14. Average Sleep Duration in Kids Moore et al, Chest, 2006.

  15. Prevalence of Sleep Disorders in Children

  16. Insomnia • $63 billion annually in lost productivity • 7,428 employees surveyed: • 23% had insomnia • 7.8 days of work missed • $2,280 per person • WHAT ABOUT KIDS?

  17. ….6450, 6451, 6452…. I think I can….. I think I can….. I think I can…..

  18. Hormonal influence, obesity School start times Social pressures Substance abuse Genetic predisposition Delayed sleep phase Sleep Time

  19. Drowsy Driving and Auto Accidents • The peak age group for fall-asleep driving accidents is 20 years www.car-accidents.com/pages/accident_story/3-8-04.html

  20. Escalating occurrence of accidents across the night shift from 0:00hr to 8:00hr 450 400 350 300 250 Number of Crashes 200 150 100 50 0 0:00 10:00 12:00 14:00 4:00 16:00 18:00 20:00 22:00 2:00 6:00 8:00 Time of Day Pack, A. I., Pack, A. M., Rodgman, E., Cucchiara, A., Dinges, D. F., & Schwab, C. W. (1995). Adapted 2007

  21. Clues to Increased Need for Sleep • Need an alarm clock to wake up daily • Excessive use of stimulants • Need or take naps • Falling asleep at unexpected times/situations • Sleeping in on weekends • Noticeable change in ability to function when given opportunity to sleep

  22. Sleep IS Important Sleep deprivation can cause: • Impaired cognitive, social and behavioral performance • Poor school performance and lower grades • Tardiness and absence from school/work • Difficulty remaining alert, less ability to concentrate • Irritability and impaired mood • Increases in substance abuse • Drowsy driving, injury and possibly, death • Being sleep deprived is as dangerous as DRUNK DRIVING

  23. Sleep Disrupters • Caffeine • Nicotine • Alcohol • Medications • “Busy bedroom” • Exercising before bed • Eating large meals before bed • Watching television to fall asleep

  24. Data About Television and Sleep • Preschool children that watch television before bed have: • More disrupted sleep • More nightmares • More awakenings • More bedtime resistance • Can cause behavioral sleep issues in children

  25. Take care of your sleep National Sleep Foundation; www.kidssleep.org

  26. Sleep Promoting Tips • Consistent bedtime routine • Regular exercise earlier in the day • Avoid a busy bedroom • Avoid bright light at night • Avoid stimulating activities before bed • Avoid the sleep disrupters • Establish good sleep habits even in your children • A cool, dark, quiet bedroom

  27. Costs Savings: Invest in the Future • Promoting the health of young children, before five years of age, could save society up to $65 billion in future health care costs, according to an examination of childhood health • Bernard Guyer, Johns Hopkins Bloomberg School of Public Health

  28. Strategies to combat sleep problems • Strategies to combat sleep problems that address the environments that encourage sleep health require: • Massive public education about sleep and sleep health; • health services and clinical interventions that target individuals; • community-level interventions that directly influence individual and group behaviours; • public policies that target broad social or environmental determinants; • Access to specialized services for medical sleep disorders. • Like quitting smoking, effectively preventing and treating sleep problems requires a multifaceted, long-term approach involving complementary and integrated interventions that operate at multiple levels.

  29. Summary • Sleep is important and worthy of being nurtured for good health • Good sleep habits are essential no matter how old you are • Sleep can impact many others facets of life and should not be taken for granted • Everyone in this room can contribute to sleep health!

More Related