Tso, W. et al. (2019) Early sleep deprivation and attention-deficit/hyperactivity disorder. Pediatric Research, 85(4), pp. 449-455. (doi: 10.1038/s41390-019-0280-4) (PMID:30679794)
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Abstract
Background: This study aims to study prospectively specific sleep patterns and risk of ADHD after adjusting for potential confounders such as obstructive sleep apnoea (OSA) and methylphenidate use. Methods: A population-representative sample of 514 Chinese preschool children was recruited when in kindergarten (K3). Parents reported on their socioeconomic status and children’s sleep duration. The cohort was reassessed 3 years later when the children were in Grade 3 (P3). Parents reported on children’s sleep patterns and ADHD symptoms. Information on OSA diagnosis and methylphenidate use was retrieved from health records. Results: Among the 514 parent–child dyads (mean [SD] age, 5.52 [0.33] years), 411 were reassessed (80.0% retention; 9.35 [0.33] years) at follow-up. There were no significant baseline differences between follow-up and drop-out groups. A gradient relationship was observed between probable ADHD in P3 and sleep duration in K3. The risk of probable ADHD was 15.5 per 100 for children with <8 h of sleep in K3, whereas it was 1.1 per 100 for children with 11–12 h of sleep in K3. The adjusted risk ratio was 14.19 (p = 0.02). Conclusions: Sleep deprivation in early childhood is associated with higher risk of ADHD in middle childhood.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Ho, Dr Frederick |
Authors: | Tso, W., Chan, M., Ho, F. K., Rao, N., Li, A. M., Chan, K. L., Tiwari, A., Wong, I. C.K., Wing, Y. K., Van Voorhees, B., Li, S. L., Goh, W. H.S., and Ip, P. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health |
Journal Name: | Pediatric Research |
Publisher: | Springer Nature |
ISSN: | 0031-3998 |
ISSN (Online): | 1530-0447 |
Published Online: | 17 January 2019 |
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