Asociación de las alteraciones del sueño con el déficit de atención e hiperactividad en pediatría
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ene 21, 2014
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Resumen
El déficit de atención e hiperactividad (TDAH) es uno de los trastornos del comportamiento más frecuentes en pediatría, que genera conductas maladaptativas inconsistentes con la edad y el desarrollo del niño. Recientemente ha despertado gran interés la alta coexistencia de este con trastornos de sueño, al igual que una posible causa bidireccional entre las alteraciones de la arquitectura del sueño y los síntomas principales del TDAH. El objetivo de esta revisión es encontrar la asociación entre el TDAH y los trastornos del sueño en la población pediátrica, evaluando a profundidad los documentos, con el fin de encontrar nivel de evidencia, para ampliar a futuro la intervención sobre el TDAH y optimizar la calidad de vida de estos pacientes, a corto y largo plazos. Se realizó la búsqueda en Pubmed, Cochrane y Fabumed, escogiendo estudios en niños, con menos de 10 años de publicación, en inglés o español, con acceso completo. Se escogieron 52 estudios basándose en su calidad y nivel de evidencia.
Keywords
Obstructive sleep apnea, attention deficit disorder with hyperactivity, sleep disorders, síndrome de apnea obstructiva del sueño, trastorno por déficit de atención con hiperactividad, trastornos del sueño,
References
1. Reiff MI, Stein MT. Attention-deficit/hyperactivity disorder evaluation and diagnosis: a practical approach in office practice. Pediatr Clin North Am. 2003 Oct;50(5):1019-48.
2. Spruyt K, Gozal D. Sleep disturbances in children with attention-deficit/hyperactivity disorder. Expert Rev Neurother. 2011 Apr;11(4):565-77.
3. Rappley MD. Clinical practice. Attention deficit-hyperactivity disorder. N Engl J Med. 2005 Jan 13;352(2):165-73.
4. Biederman J, Faraone SV. Attentiondeficit hyperactivity disorder. Lancet 2005;366(9481):237-48.
5. Yoon SY, Jain U, Shapiro C. Sleep in attention-deficit/hyperactivity disorder in children and adults: past, present, and future. Sleep Med Rev. 2012 Aug;16(4):371-88.
6. Wagner BJ. Attention deficit hyperactivity disorder: current concepts and underlying mechanisms. J Child Adolesc Psychiatr Nurs. 2000;13(3):113-24.
7. Lange KW, Reichl S, Lange KM, Tucha L, Tucha O. The history of attention deficit hyperactivity disorder. Atten Defic Hyperact Disord. 2010 Dec;2(4):241-55.
8. Bonazza S, Scaglione C, Poppi M, Rizzo G. Did Goethe describe attention deficit hyperactivity disorder? Eur Neurol. 2011;65(2):70-1.
9. Still G. Some abnormal psychical conditions in children: the Goulstonian lectures. Lancet. 1902;1:1008-12.
10. Baeyens D, Roeyers H, Walle JV. Subtypes of attention-deficit/hyperactivity disorder (ADHD): distinct or related disorders across measurement levels? Child Psychiatr Hum Dev. 2006 Summer; 36(4):403-17.
11. Wood DR, Reimherr FW, Wender PH, Johnson GE. Diagnosis and treatment of minimal brain dysfunction in adults: a preliminary report. Arch Gen Psychiatry. 1976 Dec;33(12):1453-60.
12. Spencer T, Biederman J, Wilens TE, Faraone SV. Adults with attention-deficit/hyperactivity disorder: a controversial diagnosis. J Clin Psychiatry. 1998;59 Suppl 7:59-68.
13. Ramelli GP, Zanda N, Bianchetti MG, Leoni F. Age-dependent presentation in children with attention deficit hyperactivity disorder. World J Pediatr. 2010 Feb;6(1):90.
14. Ghanizadeh A. Is presentation of ADHD subtypes different between community and clinical samples? World J Pediatr. 2010 Nov;6(4):372.
15. Tsai MH, Huang YS. Attention-deficit/hyperactivity disorder and sleep disorders in children. Med Clin North Am. 2010 May;94(3):615-32.
16. Escobar R, Hervas A, Soutullo C, Mardomingo MJ, Urunuela A, Gilaberte I. Attention deficit/hyperactivity disorder: burden of the disease according to subtypes in recently diagnosed children. Actas Esp Psiquiatr. 2008 Sep- Oct;36(5):285-94.
17. Dickens C. The posthumous papers of the Pickwick club. London: Chapman and Hall; 1836.
18. Dement W. History of sleep physiology and medicine. In Kryger M, Roth T, Dement W, editors. Principles of practice of sleep medicine. 3rd ed. Philadelphia: WB Saunders; 2000. p. 1-14.
19. Thorpy M. Historical perspective on sleep and man. In Culebras A, editor. Sleep disorders and neurological disease. New York: Marcel Dekker; 2000. p. 1-36.
20. Bickelmann AG, Burwell CS, Robin ED, Whaley RD. Extreme obesity associated with alveolar hypoventilation; a Pickwickian syndrome. Am J Med. 1956 Nov;21(5):811-8.
21. Gastaut H, Tassinari CA, Duron B. Polygraphic study of diurnal and nocturnal (hypnic and respiratory) episodal manifestations of Pickwick syndrome. Rev Neurol (Paris). 1965 Jun;112(6):568-79.
22. Braunwald E, Fauci A, Isselbacher K, Kasper D, Hauser S, Longo D, et al. Harrison‘ s principles of internal medicine 18th edition. 18th ed. New York: Mc-Graw Hill; 2012.
23. Villa J, Martínez C, Pérez Pérez G, Cortell A, Gómez-Pastrana D, Álvarez G, et al. Síndrome de apneas-hipopneas del sueño. Asociación Española de Pediatría, 2008:111-125.
24. Hvolby A, Jorgensen J, Bilenberg N. Parental rating of sleep in children with attention deficit/hyperactivity disorder. Eur Child Adolesc Psychiatry. 2009 Jul;18(7):429-38.
25. Sung V, Hiscock H, Sciberras E, Efron D. Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. Arch Pediatr Adolesc Med. 2008 Apr;162(4):336-42.
26. O’Brien LM, Ivanenko A, Crabtree VM, Holbrook CR, Bruner JL, Klaus CJ, et al. Sleep disturbances in children with attention deficit hyperactivity disorder. Pediatr Res. 2003 Aug;54(2):237-43.
27. Crabtree VM, Ivanenko A, Gozal D. Clinical and parental assessment of sleep in children with attention-deficit/hyperactivity disorder referred to a pediatric sleep medicine center. Clin Pediatr (Phila). 2003 Nov-Dec;42(9):807-13.
28. Li S, Jin X, Yan C, Wu S, Jiang F, Shen X. Sleep problems in Chinese schoolaged children with a parent-reported history of ADHD. J Atten Disord. 2009 Jul;13(1):18-26.
29. Konofal E, Lecendreux M, Bouvard MP, Mouren-Simeoni MC. High levels of nocturnal activity in children with attention-deficit hyperactivity disorder: a video analysis. Psychiatry Clin Neurosci. 2001 Apr;55(2):97-103.
30. Mayes SD, Calhoun SL, Bixler EO, Vgontzas AN, Mahr F, Hillwig-Garcia J, et al. ADHD subtypes and comorbid anxiety, depression, and oppositional-defiant disorder: differences in sleep problems. J Pediatr Psychol. 2009 Apr;34(3):328-37.
31. Cortese S, Konofal E, Yateman N, Mouren MC, Lecendreux M. Sleep and alertness in children with attentiondeficit/hyperactivity disorder: a systematic review of the literature. Sleep. 2006 Apr;29(4):504-11.
32. Sadeh A, Pergamin L, Bar-Haim Y. Sleep in children with attention-deficit hyperactivity disorder: a meta-analysis of polysomnographic studies. Sleep Med Rev. 2006 Dec;10(6):381-98.
33. Corkum P, Moldofsky H, Hogg-Johnson S, Humphries T, Tannock R. Sleep problems in children with attention-deficit/hyperactivity disorder: impact of subtype, comorbidity, and stimulant medication. J Am Acad Child Adolesc Psychiatry. 1999 Oct;38(10):1285-93.
34. Yehuda S, Rabinovitz-Shenkar S, Carasso RL. Effects of essential fatty acids in iron deficient and sleep-disturbed attention deficit hyperactivity disorder (ADHD) children. Eur J Clin Nutr. 2011 Oct;65(10):1167-9.
35. Gozal D, Kheirandish-Gozal L. Iron deficiency and periodic leg movement disorder of sleep. Sleep Med. 2009 Feb;10(2):265; author reply 265-7.
36. Stein MA. Unravelling sleep problems in treated and untreated children with ADHD. J Child Adolesc Psychopharmacol. 1999;9(3):157-68.
37. O’Brien LM, Ivanenko A, Crabtree VM, Holbrook CR, Bruner JL, Klaus CJ, et al. The effect of stimulants on sleep characteristics in children with attention deficit/hyperactivity disorder. Sleep Med. 2003 Jul;4(4):309-16.
38. O’Brien LM, Holbrook CR, Mervis CB, Klaus CJ, Bruner JL, Raffield TJ, et al. Sleep and neurobehavioral characteristicsof 5- to 7-year-old children with parentally reported symptoms of attention-deficit/hyperactivity disorder. Pediatrics. 2003 Mar;111(3):554-63.
39. LeBourgeois MK, Avis K, Mixon M, Olmi J, Harsh J. Snoring, sleep quality, and sleepiness across attention-deficit/hyperactivity disorder subtypes. Sleep. 2004 May 1;27(3):520-5.
40. Gruber R, Sadeh A, Raviv A. Instability of sleep patterns in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2000 Apr;39(4):495-501.
41. Miano S, Donfrancesco R, Bruni O, Ferri R, Galiffa S, Pagani J, et al. NREM sleep instability is reduced in children with attention-deficit/hyperactivity disorder. Sleep. 2006 Jun;29(6):797-803.
42. Picchietti DL, Walters AS. Moderate to severe periodic limb movement disorder in childhood and adolescence. Sleep. 1999 May 1;22(3):297-300.
43. Chervin RD, Hedger KM. Clinical prediction of periodic leg movements during sleep in children. Sleep Med. 2001 Nov;2(6):501-10.
44. Rodopman-Arman A, Perdahli-Fis N, Ekinci O, Berkem M. Sleep habits, parasomnias and associated behaviors in school children with attention deficit hyperactivity disorder (ADHD). Turk J Pediatr. 2011 Jul-Aug;53(4):397-403.
45. Owens JA. Sleep disorders and attentiondeficit/hyperactivity disorder. Curr Psychiatry Rep. 2008 Oct;10(5):439-44.
46. Rostain AL. Sleep disturbances and ADHD medications. Curr Psychiatry Rep. 2007 Oct;9(5):399-400.
47. Youssef NA, Ege M, Angly SS, Strauss JL, Marx CE. Is obstructive sleep apnea associated with ADHD? Ann Clin Psychiatry. 2011 Aug;23(3):213-24.
48. Chervin RD, Ruzicka DL, Giordani BJ, Weatherly RA, Dillon JE, Hodges EK, et al. Sleep-disordered breathing, behavior, and cognition in children before and after adenotonsillectomy. Pediatrics. 2006 Apr;117(4):e769-78.
49. Lal C, Strange C, Bachman D. Neurocognitive impairment in obstructive sleep apnea. Chest. 2012 Jun;141(6):1601-10.
50. Gozal D, O’Brien L, Row BW. Consequences of snoring and sleep disordered breathing in children. Pediatr Pulmonol Suppl. 2004;26:166-8.
51. Huang YS, Guilleminault C, Li HY, Yang CM, Wu YY, Chen NH. Attention-deficit/hyperactivity disorder with obstructive sleep apnea: a treatment outcome study. Sleep Med. 2007 Jan;8(1):18-30.
52. O’Brien LM, Gozal D. Sleep in children with attention deficit/hyperactivity disorder. Minerva Pediatr. 2004 Dec;56(6):585-601.
2. Spruyt K, Gozal D. Sleep disturbances in children with attention-deficit/hyperactivity disorder. Expert Rev Neurother. 2011 Apr;11(4):565-77.
3. Rappley MD. Clinical practice. Attention deficit-hyperactivity disorder. N Engl J Med. 2005 Jan 13;352(2):165-73.
4. Biederman J, Faraone SV. Attentiondeficit hyperactivity disorder. Lancet 2005;366(9481):237-48.
5. Yoon SY, Jain U, Shapiro C. Sleep in attention-deficit/hyperactivity disorder in children and adults: past, present, and future. Sleep Med Rev. 2012 Aug;16(4):371-88.
6. Wagner BJ. Attention deficit hyperactivity disorder: current concepts and underlying mechanisms. J Child Adolesc Psychiatr Nurs. 2000;13(3):113-24.
7. Lange KW, Reichl S, Lange KM, Tucha L, Tucha O. The history of attention deficit hyperactivity disorder. Atten Defic Hyperact Disord. 2010 Dec;2(4):241-55.
8. Bonazza S, Scaglione C, Poppi M, Rizzo G. Did Goethe describe attention deficit hyperactivity disorder? Eur Neurol. 2011;65(2):70-1.
9. Still G. Some abnormal psychical conditions in children: the Goulstonian lectures. Lancet. 1902;1:1008-12.
10. Baeyens D, Roeyers H, Walle JV. Subtypes of attention-deficit/hyperactivity disorder (ADHD): distinct or related disorders across measurement levels? Child Psychiatr Hum Dev. 2006 Summer; 36(4):403-17.
11. Wood DR, Reimherr FW, Wender PH, Johnson GE. Diagnosis and treatment of minimal brain dysfunction in adults: a preliminary report. Arch Gen Psychiatry. 1976 Dec;33(12):1453-60.
12. Spencer T, Biederman J, Wilens TE, Faraone SV. Adults with attention-deficit/hyperactivity disorder: a controversial diagnosis. J Clin Psychiatry. 1998;59 Suppl 7:59-68.
13. Ramelli GP, Zanda N, Bianchetti MG, Leoni F. Age-dependent presentation in children with attention deficit hyperactivity disorder. World J Pediatr. 2010 Feb;6(1):90.
14. Ghanizadeh A. Is presentation of ADHD subtypes different between community and clinical samples? World J Pediatr. 2010 Nov;6(4):372.
15. Tsai MH, Huang YS. Attention-deficit/hyperactivity disorder and sleep disorders in children. Med Clin North Am. 2010 May;94(3):615-32.
16. Escobar R, Hervas A, Soutullo C, Mardomingo MJ, Urunuela A, Gilaberte I. Attention deficit/hyperactivity disorder: burden of the disease according to subtypes in recently diagnosed children. Actas Esp Psiquiatr. 2008 Sep- Oct;36(5):285-94.
17. Dickens C. The posthumous papers of the Pickwick club. London: Chapman and Hall; 1836.
18. Dement W. History of sleep physiology and medicine. In Kryger M, Roth T, Dement W, editors. Principles of practice of sleep medicine. 3rd ed. Philadelphia: WB Saunders; 2000. p. 1-14.
19. Thorpy M. Historical perspective on sleep and man. In Culebras A, editor. Sleep disorders and neurological disease. New York: Marcel Dekker; 2000. p. 1-36.
20. Bickelmann AG, Burwell CS, Robin ED, Whaley RD. Extreme obesity associated with alveolar hypoventilation; a Pickwickian syndrome. Am J Med. 1956 Nov;21(5):811-8.
21. Gastaut H, Tassinari CA, Duron B. Polygraphic study of diurnal and nocturnal (hypnic and respiratory) episodal manifestations of Pickwick syndrome. Rev Neurol (Paris). 1965 Jun;112(6):568-79.
22. Braunwald E, Fauci A, Isselbacher K, Kasper D, Hauser S, Longo D, et al. Harrison‘ s principles of internal medicine 18th edition. 18th ed. New York: Mc-Graw Hill; 2012.
23. Villa J, Martínez C, Pérez Pérez G, Cortell A, Gómez-Pastrana D, Álvarez G, et al. Síndrome de apneas-hipopneas del sueño. Asociación Española de Pediatría, 2008:111-125.
24. Hvolby A, Jorgensen J, Bilenberg N. Parental rating of sleep in children with attention deficit/hyperactivity disorder. Eur Child Adolesc Psychiatry. 2009 Jul;18(7):429-38.
25. Sung V, Hiscock H, Sciberras E, Efron D. Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. Arch Pediatr Adolesc Med. 2008 Apr;162(4):336-42.
26. O’Brien LM, Ivanenko A, Crabtree VM, Holbrook CR, Bruner JL, Klaus CJ, et al. Sleep disturbances in children with attention deficit hyperactivity disorder. Pediatr Res. 2003 Aug;54(2):237-43.
27. Crabtree VM, Ivanenko A, Gozal D. Clinical and parental assessment of sleep in children with attention-deficit/hyperactivity disorder referred to a pediatric sleep medicine center. Clin Pediatr (Phila). 2003 Nov-Dec;42(9):807-13.
28. Li S, Jin X, Yan C, Wu S, Jiang F, Shen X. Sleep problems in Chinese schoolaged children with a parent-reported history of ADHD. J Atten Disord. 2009 Jul;13(1):18-26.
29. Konofal E, Lecendreux M, Bouvard MP, Mouren-Simeoni MC. High levels of nocturnal activity in children with attention-deficit hyperactivity disorder: a video analysis. Psychiatry Clin Neurosci. 2001 Apr;55(2):97-103.
30. Mayes SD, Calhoun SL, Bixler EO, Vgontzas AN, Mahr F, Hillwig-Garcia J, et al. ADHD subtypes and comorbid anxiety, depression, and oppositional-defiant disorder: differences in sleep problems. J Pediatr Psychol. 2009 Apr;34(3):328-37.
31. Cortese S, Konofal E, Yateman N, Mouren MC, Lecendreux M. Sleep and alertness in children with attentiondeficit/hyperactivity disorder: a systematic review of the literature. Sleep. 2006 Apr;29(4):504-11.
32. Sadeh A, Pergamin L, Bar-Haim Y. Sleep in children with attention-deficit hyperactivity disorder: a meta-analysis of polysomnographic studies. Sleep Med Rev. 2006 Dec;10(6):381-98.
33. Corkum P, Moldofsky H, Hogg-Johnson S, Humphries T, Tannock R. Sleep problems in children with attention-deficit/hyperactivity disorder: impact of subtype, comorbidity, and stimulant medication. J Am Acad Child Adolesc Psychiatry. 1999 Oct;38(10):1285-93.
34. Yehuda S, Rabinovitz-Shenkar S, Carasso RL. Effects of essential fatty acids in iron deficient and sleep-disturbed attention deficit hyperactivity disorder (ADHD) children. Eur J Clin Nutr. 2011 Oct;65(10):1167-9.
35. Gozal D, Kheirandish-Gozal L. Iron deficiency and periodic leg movement disorder of sleep. Sleep Med. 2009 Feb;10(2):265; author reply 265-7.
36. Stein MA. Unravelling sleep problems in treated and untreated children with ADHD. J Child Adolesc Psychopharmacol. 1999;9(3):157-68.
37. O’Brien LM, Ivanenko A, Crabtree VM, Holbrook CR, Bruner JL, Klaus CJ, et al. The effect of stimulants on sleep characteristics in children with attention deficit/hyperactivity disorder. Sleep Med. 2003 Jul;4(4):309-16.
38. O’Brien LM, Holbrook CR, Mervis CB, Klaus CJ, Bruner JL, Raffield TJ, et al. Sleep and neurobehavioral characteristicsof 5- to 7-year-old children with parentally reported symptoms of attention-deficit/hyperactivity disorder. Pediatrics. 2003 Mar;111(3):554-63.
39. LeBourgeois MK, Avis K, Mixon M, Olmi J, Harsh J. Snoring, sleep quality, and sleepiness across attention-deficit/hyperactivity disorder subtypes. Sleep. 2004 May 1;27(3):520-5.
40. Gruber R, Sadeh A, Raviv A. Instability of sleep patterns in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2000 Apr;39(4):495-501.
41. Miano S, Donfrancesco R, Bruni O, Ferri R, Galiffa S, Pagani J, et al. NREM sleep instability is reduced in children with attention-deficit/hyperactivity disorder. Sleep. 2006 Jun;29(6):797-803.
42. Picchietti DL, Walters AS. Moderate to severe periodic limb movement disorder in childhood and adolescence. Sleep. 1999 May 1;22(3):297-300.
43. Chervin RD, Hedger KM. Clinical prediction of periodic leg movements during sleep in children. Sleep Med. 2001 Nov;2(6):501-10.
44. Rodopman-Arman A, Perdahli-Fis N, Ekinci O, Berkem M. Sleep habits, parasomnias and associated behaviors in school children with attention deficit hyperactivity disorder (ADHD). Turk J Pediatr. 2011 Jul-Aug;53(4):397-403.
45. Owens JA. Sleep disorders and attentiondeficit/hyperactivity disorder. Curr Psychiatry Rep. 2008 Oct;10(5):439-44.
46. Rostain AL. Sleep disturbances and ADHD medications. Curr Psychiatry Rep. 2007 Oct;9(5):399-400.
47. Youssef NA, Ege M, Angly SS, Strauss JL, Marx CE. Is obstructive sleep apnea associated with ADHD? Ann Clin Psychiatry. 2011 Aug;23(3):213-24.
48. Chervin RD, Ruzicka DL, Giordani BJ, Weatherly RA, Dillon JE, Hodges EK, et al. Sleep-disordered breathing, behavior, and cognition in children before and after adenotonsillectomy. Pediatrics. 2006 Apr;117(4):e769-78.
49. Lal C, Strange C, Bachman D. Neurocognitive impairment in obstructive sleep apnea. Chest. 2012 Jun;141(6):1601-10.
50. Gozal D, O’Brien L, Row BW. Consequences of snoring and sleep disordered breathing in children. Pediatr Pulmonol Suppl. 2004;26:166-8.
51. Huang YS, Guilleminault C, Li HY, Yang CM, Wu YY, Chen NH. Attention-deficit/hyperactivity disorder with obstructive sleep apnea: a treatment outcome study. Sleep Med. 2007 Jan;8(1):18-30.
52. O’Brien LM, Gozal D. Sleep in children with attention deficit/hyperactivity disorder. Minerva Pediatr. 2004 Dec;56(6):585-601.
Cómo citar
Sánchez Solano, N. J., Sarmiento Acuña, K. S., Riascos Rosero, M. S., Panqueva Centanaro, O. P., & Ruiz Morales, Álvaro. (2014). Asociación de las alteraciones del sueño con el déficit de atención e hiperactividad en pediatría. Universitas Medica, 55(2), 183–199. https://doi.org/10.11144/Javeriana.umed55-2.aasd
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