Delta sleep instability in children with chronic arthritis
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/4582 http://dx.doi.org/10.1590/S0100-879X2008001000018 |
Resumo: | The objective of the present study was to evaluate the expression of a cyclic alternating pattern (CAP) in slow wave sleep (SWS) in children with the well-defined chronic syndrome juvenile idiopathic arthritis (JIA). Twelve patients (9-17 years of age), 7 girls, with JIA were compared to matched controls by age, pubertal stage and gender. After one night of habituation in the sleep laboratory, sleep measurements were obtained by standard polysomnography with conventional sleep scoring and additional CAP analyses. The sleep parameters of the JIA and control groups were similar for sleep efficiency (91.1 ± 6.7 vs 95.8 ± 4.0), sleep stage in minutes: stage 1 (16.8 ± 8.5 vs 17.8 ± 4.0), stage 2 (251.9 ± 41 vs 262.8 ± 38.1), stage 3 (17.0 ± 6.0 vs 15.1 ± 5.7), stage 4 (61.0 ± 21.7 vs 77.1 ± 20.4), and rapid eye movement sleep (82.0 ± 27.6 vs 99.0 ± 23.9), respectively. JIA patients presented nocturnal disrupted sleep, with an increase in short awakenings, but CAP analyses showed that sleep disruption was present even during SWS, showing an increase in the overall CAP rate (P < 0.01). Overall CAP rate during non-rapid eye movement sleep was significantly higher in pediatric patients who were in chronic pain. This is the first study of CAP in pediatric patients with chronic arthritis showing that CAP analyses can be a powerful tool for the investigation of disturbance of SWS in children, based on sleep EEG visual analysis. |
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Lopes, Maria Cecília [UNIFESP]Guilleminault, ChristianRosa, Agostinho daPassarelli, Cassia [UNIFESP]Roizenblatt, Suely [UNIFESP]Tufik, Sergio [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Stanford University Sleep Disorders ClinicEvolutionary Systems and Biomedical Engineering Laboratory2015-06-14T13:38:45Z2015-06-14T13:38:45Z2008-10-01Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 41, n. 10, p. 938-943, 2008.0100-879Xhttp://repositorio.unifesp.br/handle/11600/4582http://dx.doi.org/10.1590/S0100-879X2008001000018S0100-879X2008001000018.pdfS0100-879X200800100001810.1590/S0100-879X2008001000018WOS:000261171400018The objective of the present study was to evaluate the expression of a cyclic alternating pattern (CAP) in slow wave sleep (SWS) in children with the well-defined chronic syndrome juvenile idiopathic arthritis (JIA). Twelve patients (9-17 years of age), 7 girls, with JIA were compared to matched controls by age, pubertal stage and gender. After one night of habituation in the sleep laboratory, sleep measurements were obtained by standard polysomnography with conventional sleep scoring and additional CAP analyses. The sleep parameters of the JIA and control groups were similar for sleep efficiency (91.1 ± 6.7 vs 95.8 ± 4.0), sleep stage in minutes: stage 1 (16.8 ± 8.5 vs 17.8 ± 4.0), stage 2 (251.9 ± 41 vs 262.8 ± 38.1), stage 3 (17.0 ± 6.0 vs 15.1 ± 5.7), stage 4 (61.0 ± 21.7 vs 77.1 ± 20.4), and rapid eye movement sleep (82.0 ± 27.6 vs 99.0 ± 23.9), respectively. JIA patients presented nocturnal disrupted sleep, with an increase in short awakenings, but CAP analyses showed that sleep disruption was present even during SWS, showing an increase in the overall CAP rate (P < 0.01). Overall CAP rate during non-rapid eye movement sleep was significantly higher in pediatric patients who were in chronic pain. This is the first study of CAP in pediatric patients with chronic arthritis showing that CAP analyses can be a powerful tool for the investigation of disturbance of SWS in children, based on sleep EEG visual analysis.Universidade Federal de São Paulo (UNIFESP) Departamento de PsicobiologiaUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de PediatriaStanford University Sleep Disorders ClinicEvolutionary Systems and Biomedical Engineering LaboratoryUNIFESP, Depto. de PsicobiologiaUNIFESP, EPM, Depto. de PediatriaSciELO938-943engAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological ResearchChildrenChronic-arthritisCyclic alternating patternSleep fragmentationDelta sleep instability in children with chronic arthritisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0100-879X2008001000018.pdfapplication/pdf66989${dspace.ui.url}/bitstream/11600/4582/1/S0100-879X2008001000018.pdf6fd6a8b0239adfc644ec9f3f8ec47e7fMD51open accessTEXTS0100-879X2008001000018.pdf.txtS0100-879X2008001000018.pdf.txtExtracted texttext/plain28135${dspace.ui.url}/bitstream/11600/4582/21/S0100-879X2008001000018.pdf.txt16405fb59cb573c2a1f4be53c99cf5d7MD521open accessTHUMBNAILS0100-879X2008001000018.pdf.jpgS0100-879X2008001000018.pdf.jpgIM Thumbnailimage/jpeg6057${dspace.ui.url}/bitstream/11600/4582/23/S0100-879X2008001000018.pdf.jpgcda224c7539e441ac5e9179ebdb571a3MD523open access11600/45822023-06-05 20:19:09.709open accessoai:repositorio.unifesp.br:11600/4582Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T23:19:09Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Delta sleep instability in children with chronic arthritis |
title |
Delta sleep instability in children with chronic arthritis |
spellingShingle |
Delta sleep instability in children with chronic arthritis Lopes, Maria Cecília [UNIFESP] Children Chronic-arthritis Cyclic alternating pattern Sleep fragmentation |
title_short |
Delta sleep instability in children with chronic arthritis |
title_full |
Delta sleep instability in children with chronic arthritis |
title_fullStr |
Delta sleep instability in children with chronic arthritis |
title_full_unstemmed |
Delta sleep instability in children with chronic arthritis |
title_sort |
Delta sleep instability in children with chronic arthritis |
author |
Lopes, Maria Cecília [UNIFESP] |
author_facet |
Lopes, Maria Cecília [UNIFESP] Guilleminault, Christian Rosa, Agostinho da Passarelli, Cassia [UNIFESP] Roizenblatt, Suely [UNIFESP] Tufik, Sergio [UNIFESP] |
author_role |
author |
author2 |
Guilleminault, Christian Rosa, Agostinho da Passarelli, Cassia [UNIFESP] Roizenblatt, Suely [UNIFESP] Tufik, Sergio [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Stanford University Sleep Disorders Clinic Evolutionary Systems and Biomedical Engineering Laboratory |
dc.contributor.author.fl_str_mv |
Lopes, Maria Cecília [UNIFESP] Guilleminault, Christian Rosa, Agostinho da Passarelli, Cassia [UNIFESP] Roizenblatt, Suely [UNIFESP] Tufik, Sergio [UNIFESP] |
dc.subject.eng.fl_str_mv |
Children Chronic-arthritis Cyclic alternating pattern Sleep fragmentation |
topic |
Children Chronic-arthritis Cyclic alternating pattern Sleep fragmentation |
description |
The objective of the present study was to evaluate the expression of a cyclic alternating pattern (CAP) in slow wave sleep (SWS) in children with the well-defined chronic syndrome juvenile idiopathic arthritis (JIA). Twelve patients (9-17 years of age), 7 girls, with JIA were compared to matched controls by age, pubertal stage and gender. After one night of habituation in the sleep laboratory, sleep measurements were obtained by standard polysomnography with conventional sleep scoring and additional CAP analyses. The sleep parameters of the JIA and control groups were similar for sleep efficiency (91.1 ± 6.7 vs 95.8 ± 4.0), sleep stage in minutes: stage 1 (16.8 ± 8.5 vs 17.8 ± 4.0), stage 2 (251.9 ± 41 vs 262.8 ± 38.1), stage 3 (17.0 ± 6.0 vs 15.1 ± 5.7), stage 4 (61.0 ± 21.7 vs 77.1 ± 20.4), and rapid eye movement sleep (82.0 ± 27.6 vs 99.0 ± 23.9), respectively. JIA patients presented nocturnal disrupted sleep, with an increase in short awakenings, but CAP analyses showed that sleep disruption was present even during SWS, showing an increase in the overall CAP rate (P < 0.01). Overall CAP rate during non-rapid eye movement sleep was significantly higher in pediatric patients who were in chronic pain. This is the first study of CAP in pediatric patients with chronic arthritis showing that CAP analyses can be a powerful tool for the investigation of disturbance of SWS in children, based on sleep EEG visual analysis. |
publishDate |
2008 |
dc.date.issued.fl_str_mv |
2008-10-01 |
dc.date.accessioned.fl_str_mv |
2015-06-14T13:38:45Z |
dc.date.available.fl_str_mv |
2015-06-14T13:38:45Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 41, n. 10, p. 938-943, 2008. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/4582 http://dx.doi.org/10.1590/S0100-879X2008001000018 |
dc.identifier.issn.none.fl_str_mv |
0100-879X |
dc.identifier.file.none.fl_str_mv |
S0100-879X2008001000018.pdf |
dc.identifier.scielo.none.fl_str_mv |
S0100-879X2008001000018 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0100-879X2008001000018 |
dc.identifier.wos.none.fl_str_mv |
WOS:000261171400018 |
identifier_str_mv |
Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 41, n. 10, p. 938-943, 2008. 0100-879X S0100-879X2008001000018.pdf S0100-879X2008001000018 10.1590/S0100-879X2008001000018 WOS:000261171400018 |
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http://repositorio.unifesp.br/handle/11600/4582 http://dx.doi.org/10.1590/S0100-879X2008001000018 |
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eng |
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Brazilian Journal of Medical and Biological Research |
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Associação Brasileira de Divulgação Científica |
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Associação Brasileira de Divulgação Científica |
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