A Primer on Pediatric Sleep Disorders (Podcast)
The earlier young patients and their families intervene in sleep disturbances, the fewer problems there will be later on. A pediatric sleep specialist explains in our latest Neuro Pathways podcast.
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Approximately 25% to 30% of infants and children experience sleep disturbances, which can negatively impact a child’s development, behavior and quality of life.
“This is an area where prevention is clearly better than cure,” says sleep disorders specialist Vaishal Shah, MD, Director of Pediatric Sleep Operations in Cleveland Clinic’s Sleep Disorders Center. “The earlier we intervene and the earlier patients and their families work on their sleep, the fewer problems there will be later on.”
In the latest episode of Cleveland Clinic’s Neuro Pathways podcast, Dr. Shah discusses pediatric sleep disorders. He covers:
Click the podcast player above to listen to the episode now, or read on for a short edited excerpt. Check out more Neuro Pathways episodes at clevelandclinic.org/neuropodcast or wherever you get your podcasts. This activity has been approved for AMA PRA Category 1 Credit™ and ANCC contact hours. After listening to the podcast, you can claim your credit here.
Podcast host Glen Stevens, DO, PhD: What are risk factors for sleep disorders at a young age?
Dr. Shah: It depends on the type of disorder. Obstructive sleep apnea, for example, is one of the most common things we see. The No. 1 reason, particularly in younger children, tends to be large adenoids and tonsils in comparison to adults. We also are seeing the prevalence of obstructive sleep apnea increasing a lot with obesity and higher BMIs. Other risk factors for that particular condition are craniofacial problems, which are fairly common in younger kids, or a genetic syndrome. For example, up to 80% of children with Down syndrome have some degree of sleep apnea. Those are three broad, common risk factors. We also are seeing more and more orthodontic problems that can cause or add to sleep apnea in kids.
For insomnia, there may be underlying disorders with a mood or behavioral component. In older children, that may include mood disorders such as depression or anxiety. In younger children, it may be autism spectrum disorder, ADHD or neurodevelopmental delays. Those are the most common risk factors we tend to see for insomnia. Many times, it is behavioral. Additionally, parents’ responses often can add to the problem.
Most of the other sleep disorders tend to happen de novo, without clear underlying risk factors. That’s the case, for example, with narcolepsy, which is not necessarily a risk factor-associated disorder. It may happen to anybody at any time.