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Prevalence of sleep disorders in adults with down syndrome: A comparative study of self-reported, actigraphic, and polysomnographic findings
dc.contributor.author | Giménez Badia, Sandra |
dc.contributor.author | Videla, Laura |
dc.contributor.author | Romero Lafuente, Sergio |
dc.contributor.author | Benejam, Bessy |
dc.contributor.other | Universitat Politècnica de Catalunya. Departament d'Enginyeria de Sistemes, Automàtica i Informàtica Industrial |
dc.date.accessioned | 2019-04-23T11:17:41Z |
dc.date.available | 2019-04-23T11:17:41Z |
dc.date.issued | 2018-10-15 |
dc.identifier.citation | Giménez, S. [et al.]. Prevalence of sleep disorders in adults with down syndrome: A comparative study of self-reported, actigraphic, and polysomnographic findings. "Journal of Clinical Sleep Medicine", 15 Octubre 2018, vol. 14, núm. 10, p. 1725. |
dc.identifier.issn | 1550-9389 |
dc.identifier.uri | http://hdl.handle.net/2117/131820 |
dc.description.abstract | Study Objectives: Sleep problems are often undetected in adults with Down syndrome (DS). Our objective was to determine the prevalence of sleep disorders in adults with DS through self-reported and objective sleep measures. Methods: We performed a community-based cross-sectional study of 54 adults with DS not referred for sleep disorders. Two polysomnography (PSG) sleep studies were performed. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI); daytime sleepiness was evaluated using the Epworth Sleepiness Scale (ESS) and the risk for the sleep apnea syndrome (OSA) was identified using the Berlin Questionnaire (BQ). Participants’ sleep/wake pattern was assessed from sleep diaries and by wrist actigraphy. PSQI, ESS, and PSG measures were compared with 35 sex-, age-, and body mass index-matched patients in the control groups. Results: In PSG measures, adults with DS showed lower sleep efficiency (69 ± 17.7 versus 81.6 ± 11; P < .001), less rapid eye movement sleep (9.4 ± 5.8 versus 19.4 ± 5.1; P < .001), a higher prevalence of OSA (78% versus 14%; P < .001), and a higher apnea-hypopnea index (23.5 ± 24.5 versus 3.8 ± 10.5; P < .001) than patients in the control group. In the DS group, the questionnaires (mean PSQI 3.7 ± 2.9; mean ESS 6.3 ± 4.5 and mean BQ 1 ± 0) did not reflect the sleep disturbances detected on the PSG. Actigraphy data recorded daytime sleep that was not self-reported (118.2 ± 104.2 minutes). Conclusions: Adults with DS show severe sleep disruption and a high prevalence of OSA, undetected by self-reported sleep measures. Actigraphy, PSG, and validated simplified devices for screening OSA should be routinely recommended for this population because treatment of sleep disorders can contribute to healthy aging. |
dc.format.extent | 1 p. |
dc.language.iso | eng |
dc.subject | Àrees temàtiques de la UPC::Ciències de la salut |
dc.title | Prevalence of sleep disorders in adults with down syndrome: A comparative study of self-reported, actigraphic, and polysomnographic findings |
dc.type | Article |
dc.subject.lemac | Son -- Aspectes sanitaris |
dc.contributor.group | Universitat Politècnica de Catalunya. BIOART - BIOsignal Analysis for Rehabilitation and Therapy |
dc.identifier.doi | 10.5664/jcsm.7382 |
dc.relation.publisherversion | http://jcsm.aasm.org/ViewAbstract.aspx?pid=31405 |
dc.rights.access | Open Access |
local.identifier.drac | 23512083 |
dc.description.version | Postprint (published version) |
local.citation.author | Giménez, S.; Videla, L.; Romero, S.; Benejam, B. |
local.citation.publicationName | Journal of Clinical Sleep Medicine |
local.citation.volume | 14 |
local.citation.number | 10 |
local.citation.startingPage | 1725 |
local.citation.endingPage | 1725 |
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