S09 Simplification of measurements and how this could help in sleep studies, especially in vulnerable populations

Summary

Sleep problems affect approximately 40 % of children, but in some groups of children sleep problems are more common and treatment requires different approaches. This symposium will discuss sleep problems in a broad range of pediatric patients. 

Prematurity affects 8-10% of all births and children born preterm are at increased risk of sleep disordered breathing during infancy and childhood. Prof Rosemary Horne will discuss the physiological effects of central apnea and periodic breathing in infancy and the consequences of obstructive sleep disordered breathing in children born preterm.

Down syndrome is the most common genetic disorder and children with Down syndrome are much more likely to experience sleep disorders including obstructive sleep apnea. Dr Jasneek Chawla will present new research on the incidence and treatment of sleep disorders in this group. The tight association between sleep, body temperature regulation and patterns of skin temperature change highlights the necessity for accurate and valid assessment of skin temperatures during sleep. Prof Patricia Franco will present the interest for OSA screening of questionnaires and pulse transit time during polygraphy in children with Down syndrome. OSA is frequent in this population and after OSA management, these children improve their neurocognitive tests.

Prof Veronique Bach will present new data on this functional relationship in infants and children it is important to identify where to best measure proximal skin temperature and whether it is possible to reduce the number of sites of measures, in order to limit the experimental effects in natural settings.

Learning Objectives

Upon completion of this CME activity, participants should be able to:

• Recognize that specific groups of children are more vulnerable to sleep problems
• Identify new techniques which can be used to investigate these
• Improve diagnosis and treatment of sleep problems in children

Target Audience

Researchers, clinicians, sleep technologists

Chair

Rosemary Horne (Australia)

Children born too soon: Effects on sleep

Rosemary Horne (Australia)

Sleep doesn’t matter in disability: Or does it? The impact of treating sleep disorders in Down syndrome

Jasneek Chawla (Australia)

Usefulness of polygraphy with pulse transit time for the screening of OSAS in children with Down syndrome

Patricia Franco (France)

Back and neck skin temperatures are good indicators of proximal temperature during children's sleep

Veronique Bach (France)