Most Read Articles
Pearl Toh, 31 Dec 2019
Adding the neuraminidase inhibitor oseltamivir to usual care speeds up recovery from influenza-like illness by a day compared with usual care alone, with even greater benefits seen in older, sicker patients with comorbidities, according to the ALIC4E study.
23 Dec 2019
At a Menarini-sponsored symposium held during the Asian Pacific Society Congress, renowned cardiologist Prof John Camm provided the latest evidence for chronic stable angina with or without concomitant diseases, with a special focus on the antianginal agent ranolazine and combination therapies. The event was chaired and moderated by Dr Dante Morales from the University of the Philippines College of Medicine.
5 days ago
Testosterone treatment may slightly improve sexual functioning and quality of life in men without underlying organic causes of hypogonadism, but it offers little to no benefit for other common symptoms of ageing, according to a study. In addition, long-term efficacy and safety of this therapy remain unknown.
6 days ago
Prevention of glucocorticoid-induced osteoporosis (GIOP) and postmenopausal osteoporosis (PMOP) remains inadequate in patients with rheumatoid arthritis (RA), as shown in a study that evaluated the implementation of the 2003 and 2014 French guidelines on the prevention and treatment of GIOP and the 2012 update of the French guidelines for the treatment of PMOP.

Sleep deprivation in early childhood may promote ADHD in subsequent years

17 Mar 2019

Preschool-aged children who are not getting enough sleep at night are at increased risk of developing attention-deficit/hyperactivity disorder (ADHD) in middle childhood, a study has found.

Researchers enrolled 514 kindergarteners, among whom only 408 (mean age at preschool [K3], 5.52 years; 51.5 female) were available for reassessment at the 3-year follow-up when the children were in the third grade in primary school (P3; mean age, 9.35 years). Pertinent data were obtained from the parents and health records.

In K3, four children (1.0 percent) were diagnosed with obstructive sleep apnoea, 26 (6.4 percent) had persistent snoring and 20 (4.9 percent) received methylphenidate medication. Only 43 children (10.5 percent) were getting the recommended sleep duration of 11–12 hours per day.

In P3, 126 children (30.9 percent) had the recommended sleeping duration of ≥10 hours per day, 38 (9.3 percent) had regular sleep patterns and 176 (43.1 percent) had good sleep quality. Meanwhile, 61 children (15.0 percent) had probable ADHD, 70 (17.2 percent) had probable ADHD with predominantly inattentive symptoms and 66 (16.2 percent) had probable ADHD with predominantly hyperactive symptoms.

Adjusted Poisson regression models revealed a significant association between sleep duration in K3 and subsequent probable ADHD in P3. The resulting risk ratios vs children with 11–12 hours of sleep were 14.62 in those with <8 hours of sleep (p=0.02), 10.61 in those with 8 to <9 hours of sleep (p=0.02) and 9.29 in those with 9 to <11 hours of sleep (p=0.03). This association was robust to sensitivity analysis (p<0.001).

In light of the findings, researchers highlighted the potential of extending sleep education to parents and caregivers and alert them of the deleterious impact of early childhood sleep deprivation on long-term development. Paediatricians should also acknowledge the potential adverse effect of sleep deprivation on ADHD and provide appropriate treatment and advice for children with sleep problems.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pearl Toh, 31 Dec 2019
Adding the neuraminidase inhibitor oseltamivir to usual care speeds up recovery from influenza-like illness by a day compared with usual care alone, with even greater benefits seen in older, sicker patients with comorbidities, according to the ALIC4E study.
23 Dec 2019
At a Menarini-sponsored symposium held during the Asian Pacific Society Congress, renowned cardiologist Prof John Camm provided the latest evidence for chronic stable angina with or without concomitant diseases, with a special focus on the antianginal agent ranolazine and combination therapies. The event was chaired and moderated by Dr Dante Morales from the University of the Philippines College of Medicine.
5 days ago
Testosterone treatment may slightly improve sexual functioning and quality of life in men without underlying organic causes of hypogonadism, but it offers little to no benefit for other common symptoms of ageing, according to a study. In addition, long-term efficacy and safety of this therapy remain unknown.
6 days ago
Prevention of glucocorticoid-induced osteoporosis (GIOP) and postmenopausal osteoporosis (PMOP) remains inadequate in patients with rheumatoid arthritis (RA), as shown in a study that evaluated the implementation of the 2003 and 2014 French guidelines on the prevention and treatment of GIOP and the 2012 update of the French guidelines for the treatment of PMOP.