ADHD and Sleep
Changing Priorities in Orthodontics
Multi-Disciplinary Approach to Health
ADHD and Sleep
Sleep is vital for the growth and development of all children. In light of current research, parents of children with ADHD should pay especially close attention to the impact lack of sleep can have on a child's development and behavior. Addressing the issues of improper airway function could provide a solution for your child that means less medication and healthier sleep.
According to the Centers for Disease Control, 11 percent of American children between the ages of 4 and 17 have been diagnosed with the ADHD. You may be surprised to learn that the actual problem plaguing your child might be related to the way he/she breathes while sleeping.
Medical research has found that children who suffer from some form of a sleep breathing disorder often manifest symptoms that mimic ADHD.
The study of approximately 11000 children found that children who snored at night or had interrupted sleep, were 40 to 100 percent more likely to have symptoms of ADHD.
"The parents of children who are mouth breathers and have been diagnosed with ADHD should get a second opinion from a dentist or orthodontist before accepting the ADHD label that means their children will take powerful drugs such as Ritalin or Adderall for the rest of their lives.”
Dr. Ami Barakat Tweet
The primary symptoms of ADHD are:
- Hyperactivity
- Inattention
- Impulsivity
- Distractibility
- Difficulty waiting or taking turns
Sleep deprivation in children may result in:
- Hyperactivity
- Inattention
- Impulsivity
- Oppositional behavior
- Moodiness and irritability
- Difficulty waking up in the morning
There is a clear relationship between symptoms of ADHD and consequences of sleep deprivation.
Some scientific studies on the relationship between childhood sleep deprivation and ADHD
● In a study that we have recently performed, we found that children with ADHD had high prevalence of primary sleep disorders and objective daytime somnolence. This finding can explain why Ritalin, which is a stimulant medication, improves symptoms in these children. Sleep problems, primarily treatable such as Obstructive Sleep Apnea (OSA) or Periodic Limb Movements Disorder in Sleep (PLMD), should be investigated in the assessment of these children.
● ● SDB and OSA are a public health problem, underlining the pivotal role of the pediatrician in preventing, diagnosing, and treating these frequent disorders.
● ● ● Behavioral problems are prevalent in children with either mild SDB or OSA, and both groups of children show significant improvements in behavior after treatment.
● ● ● ● A total of 153 manuscripts was identified. A delay in treatment of SDB children may be caused by several factors and may result in serious but generally reversible problems, including: (1) impaired growth; (2) neurocognitive and behavioral dysfunction; and (3) cardiorespiratory failure… With the devastating effects sleep disorders can have on children and their families, dentists must recognize obvious symptoms.
● ● ● ● ● The findings of this meta-analysis suggest that ADHD symptoms are related to SDB and improve after treatment. Therefore, patients with ADHD symptomatology should receive SDB screening. Treatment of comorbid SDB should be considered before medicating the ADHD symptoms if present.
Read More on the Relationship Between ADHD and Sleep Disorders
More Studies on the Relationship between ADHD and Sleep Disorders
The relationship between attention deficit hyperactivity disorder and sleep-alertness problems].
Sleep Laboratory, Rambam Medical Center (Meyer Children's Hospital) and Technion--Israel Institute of Technology, Haifa, Israel.
Abstract
Several studies have reported a relationship between Attention Deficit Hyperactivity Disorder (ADHD) and sleep problems. Parents of children with ADHD report on decreased nocturnal sleep efficiency and sleep fragmentation compared to controls. On the other hand, objective measurements often show that these children sleep longer, and there is even a theory that suggests that daytime somnolence is the primary cause of the inattention problems seen in the disorder. Experimental sleep restriction, which leads to daytime somnolence, has been shown to be associated with ADHD-like behavior and poor cognitive achievements. In a study that we have recently performed, we found that children with ADHD had high prevalence of primary sleep disorders and objective daytime somnolence. This finding can explain why Ritalin, which is a stimulant medication, improves symptoms in these children. Sleep problems, primarily treatable such as Obstructive Sleep Apnea (OSA) or Periodic Limb Movements Disorder in Sleep (PLMD), should be investigated in the assessment of these children.
Sleep-disordered breathing in children].
Cohen-Gogo S1, Do NT, Levy D, Métreau J, Mornand P, Parisot P, Fauroux B.
Abstract
Sleep-disordered breathing (SDB) in children comprises a wide spectrum of symptoms ranging from primary snoring to obstructive sleep apnea (OSA). Twelve percent of children present primary snoring and 1-2% OSA. Polysomnography is the gold standard for diagnosis of SDB allowing the analysis of sleep stages, respiratory movements, airflow, and gas exchange. However, this test remains highly technical, expensive, and difficult to conduct; other simpler diagnostic methods are under evaluation. Recent studies highlight the frequency and importance of cognitive and behavioral disorders in children with SDB; both the age and the severity of the SDB seem to modulate in the expression of neurocognitive consequences. Local and systemic inflammation plays a key role in the physiopathology of SDB and its complications: OSA is a cardiovascular risk factor in childhood that could favor atheromatous complications later in life. Adenoidotonsillectomy is the treatment of choice, but anti-inflammatory therapies such as leukotriene receptor antagonists or nasal corticoids may be beneficial in mild SDB or in residual OSA after adenotonsillectomy. In case of failure, noninvasive ventilation by means of nasal continuous positive pressure will be necessary, aided by specialists. SDB and OSA are a public health problem, underlining the pivotal role of the pediatrician in preventing, diagnosing, and treating these frequent disorders.
Introductory Offer
$100 off
the price of consultation ($250 value)