Pub Date : 2025-11-13DOI: 10.1016/j.sleepx.2025.100161
Reut Gruber
{"title":"It takes a village, not questionnaires, to improve children's sleep health: A commentary on community-driven sleep health","authors":"Reut Gruber","doi":"10.1016/j.sleepx.2025.100161","DOIUrl":"10.1016/j.sleepx.2025.100161","url":null,"abstract":"","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100161"},"PeriodicalIF":0.0,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145568760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-06DOI: 10.1016/j.sleepx.2025.100160
Paula L. Arias-Segales , Santos L. Chero-Pisfil , Miguel A. Arce-Huamani
Background
Physical activity and sleep are key determinants of child health, yet evidence from low- and middle-income settings remains limited. We examined the association between physical activity and sleep disorders in Peruvian schoolchildren.
Methods
We conducted a cross-sectional study of 81 children aged 9–12 years from a public school in Callao, Peru (2024). Physical activity was assessed with the Assessment of Physical Activity Levels in Children Questionnaire (APALQ), and sleep disorders with the Tucson Children's Assessment of Sleep Apnea Questionnaire (TuCASA). Given non-normal distributions, associations between total and dimensional activity scores and TuCASA scores were tested using Spearman's rank correlation.
Results
Most participants showed some degree of sleep disturbance; 45.7 % had mild and 17.3 % moderate sleep disorders, while 37.0 % were normal. Regarding activity, 32.1 % were sedentary, 45.7 % moderately active, and 22.2 % very active. Total physical activity was strongly and inversely correlated with sleep disorder scores (ρ = −0.752, p < 0.001). All dimensions type, frequency, duration, and intensity also showed significant inverse correlations with TuCASA scores (all p < 0.001).
Conclusions
Higher physical activity is consistently linked with fewer sleep problems in schoolchildren. Findings support school-based strategies that integrate movement behaviors with sleep health promotion in resource-limited contexts.
体育活动和睡眠是儿童健康的关键决定因素，但来自低收入和中等收入环境的证据仍然有限。我们研究了秘鲁学龄儿童身体活动与睡眠障碍之间的关系。方法我们对来自秘鲁卡亚俄一所公立学校的81名9-12岁儿童（2024年）进行了横断面研究。采用儿童身体活动水平评估问卷（APALQ）评估身体活动，采用图森儿童睡眠呼吸暂停评估问卷（TuCASA）评估睡眠障碍。考虑到非正态分布，总活动度和维度活动度得分与TuCASA得分之间的关联使用Spearman秩相关进行检验。结果大多数参与者表现出不同程度的睡眠障碍；45.7%为轻度睡眠障碍，17.3%为中度睡眠障碍，37.0%为正常睡眠障碍。在运动方面，32.1%的人久坐不动，45.7%的人适度运动，22.2%的人非常运动。总体力活动与睡眠障碍评分呈显著负相关（ρ = - 0.752, p < 0.001）。所有维度类型、频率、持续时间和强度也与TuCASA评分呈显著负相关（均p <； 0.001）。结论：在学龄儿童中，更多的体育活动与较少的睡眠问题有关。研究结果支持在资源有限的情况下，将运动行为与促进睡眠健康结合起来的以学校为基础的策略。
{"title":"Association between physical activity and sleep disorders in Peruvian schoolchildren: A cross-sectional study","authors":"Paula L. Arias-Segales , Santos L. Chero-Pisfil , Miguel A. Arce-Huamani","doi":"10.1016/j.sleepx.2025.100160","DOIUrl":"10.1016/j.sleepx.2025.100160","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity and sleep are key determinants of child health, yet evidence from low- and middle-income settings remains limited. We examined the association between physical activity and sleep disorders in Peruvian schoolchildren.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study of 81 children aged 9–12 years from a public school in Callao, Peru (2024). Physical activity was assessed with the Assessment of Physical Activity Levels in Children Questionnaire (APALQ), and sleep disorders with the Tucson Children's Assessment of Sleep Apnea Questionnaire (TuCASA). Given non-normal distributions, associations between total and dimensional activity scores and TuCASA scores were tested using Spearman's rank correlation.</div></div><div><h3>Results</h3><div>Most participants showed some degree of sleep disturbance; 45.7 % had mild and 17.3 % moderate sleep disorders, while 37.0 % were normal. Regarding activity, 32.1 % were sedentary, 45.7 % moderately active, and 22.2 % very active. Total physical activity was strongly and inversely correlated with sleep disorder scores (ρ = −0.752, p < 0.001). All dimensions type, frequency, duration, and intensity also showed significant inverse correlations with TuCASA scores (all p < 0.001).</div></div><div><h3>Conclusions</h3><div>Higher physical activity is consistently linked with fewer sleep problems in schoolchildren. Findings support school-based strategies that integrate movement behaviors with sleep health promotion in resource-limited contexts.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100160"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-24DOI: 10.1016/j.sleepx.2025.100157
Chenxing Lin , Chen Cheng , Yu Xia , Ruoyun Wang , Luying Zhang , Lintong Han , Darong Hai , Chenyue Dai , Tianen Dai , Luhuan Cao , Xingyu Zhu , Hao Chen , Li Zeng , Chufan Ren , Dongren Yang , Yijun Wang , Meijia Zhang , Zefei Mo , Yinda Chen , Jianwei Shuai , Yuming Peng
With the rise in the prevalence of insomnia, cognitive behavioral therapy for insomnia (CBT-I) has become an important non-pharmacological approach to the treatment of insomnia patients. Traditional CBT-I faces challenges such as low patient acceptance and long treatment cycles. To address these issues, Internet-delivered Cognitive Behavioral Therapy for Insomnia (eCBT-I) emerged as a digital treatment modality with greater flexibility, accessibility and cost-effectiveness. However, eCBT-I still faces issues such as digital literacy and patient engagement. With the development of artificial intelligence (AI) technology, especially the application of large language models (LLM), AI-driven CBT-I is becoming an important direction for future therapy. The LLM is able to provide personalized treatment recommendations based on patient feedback, improving treatment outcomes and patient engagement. This paper reviews the application status and challenges of CBT-I and eCBT-I, focuses on the potential and prospect of LLM in CBT-I therapy, and proposes future research directions, including multi-source data fusion and privacy protection issues, to promote the innovation and development of CBT-I.
{"title":"Internet-delivered cognitive behavioral therapy for insomnia: The future of insomnia treatment with large language models","authors":"Chenxing Lin , Chen Cheng , Yu Xia , Ruoyun Wang , Luying Zhang , Lintong Han , Darong Hai , Chenyue Dai , Tianen Dai , Luhuan Cao , Xingyu Zhu , Hao Chen , Li Zeng , Chufan Ren , Dongren Yang , Yijun Wang , Meijia Zhang , Zefei Mo , Yinda Chen , Jianwei Shuai , Yuming Peng","doi":"10.1016/j.sleepx.2025.100157","DOIUrl":"10.1016/j.sleepx.2025.100157","url":null,"abstract":"<div><div>With the rise in the prevalence of insomnia, cognitive behavioral therapy for insomnia (CBT-I) has become an important non-pharmacological approach to the treatment of insomnia patients. Traditional CBT-I faces challenges such as low patient acceptance and long treatment cycles. To address these issues, Internet-delivered Cognitive Behavioral Therapy for Insomnia (eCBT-I) emerged as a digital treatment modality with greater flexibility, accessibility and cost-effectiveness. However, eCBT-I still faces issues such as digital literacy and patient engagement. With the development of artificial intelligence (AI) technology, especially the application of large language models (LLM), AI-driven CBT-I is becoming an important direction for future therapy. The LLM is able to provide personalized treatment recommendations based on patient feedback, improving treatment outcomes and patient engagement. This paper reviews the application status and challenges of CBT-I and eCBT-I, focuses on the potential and prospect of LLM in CBT-I therapy, and proposes future research directions, including multi-source data fusion and privacy protection issues, to promote the innovation and development of CBT-I.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100157"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Overcrowded housing, insufficient beds, and poor mosquito protection are major barriers to healthy sleep for children living in poverty in developing countries. This study aimed to address these barriers by providing children living in poverty in Tanzania with climate-appropriate items essential for creating a safe and comfortable micro-sleep environment.
Methods
From 2000 to 2024, Sleeping Children Around the World (SCAW) delivered 135,500 bed kits to children aged 7–11 years living in poverty in Tanzania. Since 2019, culturally adapted sleep education information was delivered orally to parents of bed kit recipients.
Results
Twenty-four distributions reached an average of 5646 children per cohort years. Mattresses and mosquito nets were consistently included; other items varied.
Conclusions
This study demonstrates a community-driven approach to improving the sleep environments of children living in poverty in a developing country, offering a scalable model for promoting sleep health in low-resource settings.
{"title":"Delivering sleep: Bed kit distributions to children living in poverty in Tanzania","authors":"Debbie Will-Dryden , Wandoa Mwambu , Teegan Nordstrom , Reut Gruber","doi":"10.1016/j.sleepx.2025.100155","DOIUrl":"10.1016/j.sleepx.2025.100155","url":null,"abstract":"<div><h3>Background</h3><div>Overcrowded housing, insufficient beds, and poor mosquito protection are major barriers to healthy sleep for children living in poverty in developing countries. This study aimed to address these barriers by providing children living in poverty in Tanzania with climate-appropriate items essential for creating a safe and comfortable micro-sleep environment.</div></div><div><h3>Methods</h3><div>From 2000 to 2024, Sleeping Children Around the World (SCAW) delivered 135,500 bed kits to children aged 7–11 years living in poverty in Tanzania. Since 2019, culturally adapted sleep education information was delivered orally to parents of bed kit recipients.</div></div><div><h3>Results</h3><div>Twenty-four distributions reached an average of 5646 children per cohort years. Mattresses and mosquito nets were consistently included; other items varied.</div></div><div><h3>Conclusions</h3><div>This study demonstrates a community-driven approach to improving the sleep environments of children living in poverty in a developing country, offering a scalable model for promoting sleep health in low-resource settings.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100155"},"PeriodicalIF":0.0,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-17DOI: 10.1016/j.sleepx.2025.100159
Haley Nowlin, Emily Badin, Jess P. Shatkin
Background
Sleep deprivation among young adults is a pervasive problem driven by high levels of stress, excessive screen time, disruptive school and living environments, irregular sleep habits, high academic demands, early school start times, and low rates of physical activity. Difficulties with emotion regulation, high rates of anxiety and depression, and poor academic performance are only a few of the struggles faced by sleep deprived young adults. Although sleep apps and wearables are increasingly popular, knowledge of positive sleep health without the proper tools to motivate and instill behavior change can contribute to anxiety and negative cognitions about sleep, which only further fuel the problem.
Methods
In this report we describe a series of undergraduate university curricula, housed within a unique undergraduate department, designed to enhance not only knowledge of sleep, but also associated behavior changes that have been demonstrated to improve sleep, mood, and anxiety among university students.
Results
Numerous courses within the Child and Adolescent Mental Health Studies (CAMS) department at New York University address sleep directly, teaching students about the science of sleep and how they can improve their own sleep to enhance overall wellbeing. Our work to date demonstrates that students find these courses desirable and impactful.
Conclusion
College courses present a unique opportunity to improve the health and wellbeing of young adults by teaching about sleep health. Undergraduate campuses may represent an underutilized locale from which to address population health.
{"title":"Rest assured: Promoting sleep health in undergraduate education","authors":"Haley Nowlin, Emily Badin, Jess P. Shatkin","doi":"10.1016/j.sleepx.2025.100159","DOIUrl":"10.1016/j.sleepx.2025.100159","url":null,"abstract":"<div><h3>Background</h3><div>Sleep deprivation among young adults is a pervasive problem driven by high levels of stress, excessive screen time, disruptive school and living environments, irregular sleep habits, high academic demands, early school start times, and low rates of physical activity. Difficulties with emotion regulation, high rates of anxiety and depression, and poor academic performance are only a few of the struggles faced by sleep deprived young adults. Although sleep apps and wearables are increasingly popular, knowledge of positive sleep health without the proper tools to motivate and instill behavior change can contribute to anxiety and negative cognitions about sleep, which only further fuel the problem.</div></div><div><h3>Methods</h3><div>In this report we describe a series of undergraduate university curricula, housed within a unique undergraduate department, designed to enhance not only knowledge of sleep, but also associated behavior changes that have been demonstrated to improve sleep, mood, and anxiety among university students.</div></div><div><h3>Results</h3><div>Numerous courses within the Child and Adolescent Mental Health Studies (CAMS) department at New York University address sleep directly, teaching students about the science of sleep and how they can improve their own sleep to enhance overall wellbeing. Our work to date demonstrates that students find these courses desirable and impactful.</div></div><div><h3>Conclusion</h3><div>College courses present a unique opportunity to improve the health and wellbeing of young adults by teaching about sleep health. Undergraduate campuses may represent an underutilized locale from which to address population health.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100159"},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-15DOI: 10.1016/j.sleepx.2025.100158
Jingyu Zhang , Giulia Castelli , Aomei Shen , Junxin Li , Jennifer Kawi , Hulin Wu , Paul Christo , Claudia M. Campbell , Johannes Thrul , Constance M. Johnson , Nada Lukkahatai
Introduction
Insomnia is highly prevalent among older adults with chronic low back pain (cLBP), contributing to a cycle of heightened pain sensitivity, impaired physical function, and reduced quality of life. Auricular Point Acupressure (APA), a nonpharmacologic intervention for pain, has shown emerging evidence of improving sleep. We compared the effectiveness of targeted APA (T-APA) versus non-targeted APA (NT-APA) on insomnia in older adults with cLBP.
Methods
This secondary analysis used data from a parent RCT, including 99 adults aged 60 or older with cLBP and clinical insomnia (Insomnia Severity Index [ISI]>7). Participants received four weeks of T-APA or NT-APA. Sleep outcomes (ISI, PROMIS-29 sleep disturbance) and pain outcomes (intensity, interference) were assessed at baseline and post-intervention, with pain examined as a mediator of sleep change.
Results
The T-APA (n = 45) and NT-APA (n = 54) groups had similar baseline characteristics. Both groups showed significant reductions in sleep disturbance, pain interference, and pain intensity (p < 0.05). However, only the NT-APA group demonstrated significant improvement in ISI scores (p < 0.001, d = 0.50). No significant mediation effect of pain on sleep outcomes was found.
Conclusions
APA may be an effective nonpharmacologic approach for improving sleep among older adults with cLBP. Unexpectedly, NT-APA showed greater improvements in insomnia compared to T-APA, suggesting mechanisms beyond traditional somatotopic theory. Further research is warranted to confirm these findings and explore the potential of point-specific versus non-specific APA protocols in treating insomnia.
{"title":"Effectiveness of acupressure at different ear acupoints on Insomnia: A secondary analysis of a randomized controlled trial","authors":"Jingyu Zhang , Giulia Castelli , Aomei Shen , Junxin Li , Jennifer Kawi , Hulin Wu , Paul Christo , Claudia M. Campbell , Johannes Thrul , Constance M. Johnson , Nada Lukkahatai","doi":"10.1016/j.sleepx.2025.100158","DOIUrl":"10.1016/j.sleepx.2025.100158","url":null,"abstract":"<div><h3>Introduction</h3><div>Insomnia is highly prevalent among older adults with chronic low back pain (cLBP), contributing to a cycle of heightened pain sensitivity, impaired physical function, and reduced quality of life. Auricular Point Acupressure (APA), a nonpharmacologic intervention for pain, has shown emerging evidence of improving sleep. We compared the effectiveness of targeted APA (T-APA) versus non-targeted APA (NT-APA) on insomnia in older adults with cLBP.</div></div><div><h3>Methods</h3><div>This secondary analysis used data from a parent RCT, including 99 adults aged 60 or older with cLBP and clinical insomnia (Insomnia Severity Index [ISI]>7). Participants received four weeks of T-APA or NT-APA. Sleep outcomes (ISI, PROMIS-29 sleep disturbance) and pain outcomes (intensity, interference) were assessed at baseline and post-intervention, with pain examined as a mediator of sleep change.</div></div><div><h3>Results</h3><div>The T-APA (n = 45) and NT-APA (n = 54) groups had similar baseline characteristics. Both groups showed significant reductions in sleep disturbance, pain interference, and pain intensity (p < 0.05). However, only the NT-APA group demonstrated significant improvement in ISI scores (p < 0.001, d = 0.50). No significant mediation effect of pain on sleep outcomes was found.</div></div><div><h3>Conclusions</h3><div>APA may be an effective nonpharmacologic approach for improving sleep among older adults with cLBP. Unexpectedly, NT-APA showed greater improvements in insomnia compared to T-APA, suggesting mechanisms beyond traditional somatotopic theory. Further research is warranted to confirm these findings and explore the potential of point-specific versus non-specific APA protocols in treating insomnia.</div></div><div><h3>Trial ID</h3><div>NCT03589703 (registration date: May 22, 2018).</div></div><div><h3>URL</h3><div><span><span>https://clinicaltrials.gov/ct2/show/record/NCT03589703</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100158"},"PeriodicalIF":0.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sleep problems in children are strongly influenced by household lifestyle habits. Detailed advice to each family is needed to improve sleep habits. Previously, we developed an interactive sleep education app for smartphones named ‘Nenne NaviⓇ’ and confirmed its effectiveness in improving young children's sleep habits in one region in Japan. We aimed to verify its effectiveness in four regions in Japan where children's sleep habits may differ.
Methods
This study included 52 infants (mean: 20.58 months) and their caregivers recruited from one urban city and three regional cities in Japan. The effectiveness of 6-month usage of Nenne NaviⓇ on children's sleep and caregivers' stress of caregiving was assessed.
Results
The app had a 100 % adherence rate at 6 months of intervention. Improvement in wake-up times, sleep onset latency, and social jet lag was observed as previously reported. In addition, there was a reduction in awakenings during the night, and caregivers' mood regarding parenting improved. There were regional differences at baseline in children's age, percentage attending nursery school, mothers' employment status, and nuclear family structure. A main effect of areas was observed only for wake-up time standard deviation of children.
Conclusions
The app shows promise for improving children's and caregivers' sleep habits in a wider area of Japan, even after 6 months of use. Furthermore, its use might reduce caregivers' parenting stress. It could be expected that Nenne NaviⓇ will be used as a parenting support tool to assist caregivers.
{"title":"Improving children's sleep habits using an interactive smartphone app: Effect on children's sleep and caregivers' stress","authors":"Sanae Tanaka , Arika Yoshizaki , Takashi X. Fujisawa , Emi Murata , Takuya Kosaka , Hiroki Shinkawa , Yuko Yoshimura , Ikuko Mohri , Akemi Tomoda , Manabu Saito , Mitsuru Kikuchi , Masako Taniike","doi":"10.1016/j.sleepx.2025.100156","DOIUrl":"10.1016/j.sleepx.2025.100156","url":null,"abstract":"<div><h3>Background</h3><div>Sleep problems in children are strongly influenced by household lifestyle habits. Detailed advice to each family is needed to improve sleep habits. Previously, we developed an interactive sleep education app for smartphones named ‘Nenne Navi<sup>Ⓡ</sup>’ and confirmed its effectiveness in improving young children's sleep habits in one region in Japan. We aimed to verify its effectiveness in four regions in Japan where children's sleep habits may differ.</div></div><div><h3>Methods</h3><div>This study included 52 infants (mean: 20.58 months) and their caregivers recruited from one urban city and three regional cities in Japan. The effectiveness of 6-month usage of Nenne Navi<sup>Ⓡ</sup> on children's sleep and caregivers' stress of caregiving was assessed.</div></div><div><h3>Results</h3><div>The app had a 100 % adherence rate at 6 months of intervention. Improvement in wake-up times, sleep onset latency, and social jet lag was observed as previously reported. In addition, there was a reduction in awakenings during the night, and caregivers' mood regarding parenting improved. There were regional differences at baseline in children's age, percentage attending nursery school, mothers' employment status, and nuclear family structure. A main effect of areas was observed only for wake-up time standard deviation of children.</div></div><div><h3>Conclusions</h3><div>The app shows promise for improving children's and caregivers' sleep habits in a wider area of Japan, even after 6 months of use. Furthermore, its use might reduce caregivers' parenting stress. It could be expected that Nenne Navi<sup>Ⓡ</sup> will be used as a parenting support tool to assist caregivers.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100156"},"PeriodicalIF":0.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-29DOI: 10.1016/j.sleepx.2025.100154
Kanika Khandelwal , Alecia Anyim , Sara Shu , Dana Gerberi , Mohammed Yousufuddin , Sandeep Pagali
<div><h3>Background</h3><div>Sleep in hospitalized adults is impaired due to several reasons. Non-pharmacological approaches should be attempted first before considering medications to treat insomnia. Environmental noise levels in the hospital are also a major culprit that might result in disturbed sleep. While limiting any disturbance or sound during sleeping hours is crucial, it might not be completely feasible in the acute care setting. Sound machines that deliver a masking noise such as white noise are reported to mask these environmental noises and promote sleep. We aim to analyze the efficacy and safety of sound machines on sleep efficiency in hospitalized adults.</div></div><div><h3>Methods</h3><div>A systematic review of all published literature was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We searched MEDLINE, Embase, Cochrane Cochrane Central Register of Controlled Trials, EBSCO CINAHL, Google scholar, APA PsycINFO, Web of Science, and Scopus from inception to August 13, 2024. All studies that reported sound machine-based interventions on sleep efficiency in hospitalized adults were included. Sleep efficiency and other sleep related outcomes as total sleep time, latency, awakenings, and total sleep score were noted. Cochrane Risk of Bias 2 for RCTs was used to evaluate study quality. This study was registered with PROSPERO (CRD42024595293).</div></div><div><h3>Results</h3><div>A total of 1920 studies were screened, of which 74 were selected for full text review. Seven RCT studies (<em>n</em> = 496 participants) met the inclusion criteria and were included. Two studies were from USA, and India each, while one study was reported each from Iran, China, and South Korea. Six of the seven studies used white noise, while one study reported using Uncorrelated Signal and Ambient noise in Space Integration (USASI) masking noise. Two studies reported using Pittsburgh Sleep Quality Index (PSQI), and Richards Campbell Sleep Questionnaire (RCSQ) each to measure sleep outcomes. White noise was well tolerated with no major adverse effects reported, and only 8 participants discontinued the study due to discomfort or found it less acceptable. Collectively, these studies provide evidence of improved sleep efficiency with white noise use in hospitalized adults. Given the heterogeneity in the duration of white noise use, inclusion criteria, and the outcome measurement scales in this small sample of RCT studies, meta-analysis was not feasible.</div></div><div><h3>Conclusions</h3><div>White-noise and other similar masking noises seem to improve sleep efficiency in hospitalized adults, with good tolerability. Only limited studies report the efficacy and demonstrate wide heterogeneity in the duration of masking noise use, varied inclusion criteria, and outcome measurement scales. Larger studies analyzing the hospitalized patient population type, across different units, to identify the best patien
背景：住院成人的睡眠受损有几个原因。在考虑药物治疗失眠之前，应先尝试非药物治疗方法。医院的环境噪音水平也是可能导致睡眠紊乱的罪魁祸首。虽然在睡眠时间限制任何干扰或声音是至关重要的，但在急性护理环境中可能并不完全可行。据报道，发出白噪声等掩蔽噪声的声音机器可以掩盖这些环境噪声，促进睡眠。我们的目的是分析声音机对住院成人睡眠效率的有效性和安全性。方法按照系统评价和荟萃分析的首选报告项目（PRISMA）指南对所有已发表的文献进行系统评价。我们检索了MEDLINE、Embase、Cochrane Cochrane Central Register of Controlled Trials、EBSCO CINAHL、b谷歌scholar、APA PsycINFO、Web of Science和Scopus，检索时间从成立到2024年8月13日。所有报告了基于声音机器的干预对住院成人睡眠效率的研究都被纳入其中。记录睡眠效率和其他睡眠相关结果，如总睡眠时间、潜伏期、觉醒次数和总睡眠评分。采用随机对照试验Cochrane Risk of Bias 2评价研究质量。本研究已在PROSPERO注册（CRD42024595293）。结果共筛选1920项研究，其中74项纳入全文综述。7项RCT研究（n = 496名受试者）符合纳入标准并被纳入。美国和印度各有两项研究，伊朗、中国和韩国各有一项研究。七项研究中有六项使用了白噪声，而一项研究报告使用了空间集成中的不相关信号和环境噪声（USASI）掩蔽噪声。两项研究分别使用匹兹堡睡眠质量指数（PSQI）和理查兹坎贝尔睡眠问卷（RCSQ）来测量睡眠结果。白噪音的耐受性良好，没有重大的副作用报告，只有8名参与者因不适或发现它不太可接受而停止了研究。总的来说，这些研究为住院成年人使用白噪音提高睡眠效率提供了证据。考虑到小样本RCT研究中白噪声使用时间、纳入标准和结果测量量表的异质性，meta分析是不可行的。结论白噪声及其他类似掩蔽噪声可提高住院成人的睡眠效率，且具有良好的耐受性。只有有限的研究报告了其疗效，并表明在掩蔽噪声使用的持续时间、不同的纳入标准和结果测量量表方面存在广泛的异质性。需要进行更大规模的研究，分析不同单位的住院患者群体类型，以确定从这些掩蔽声中受益的最佳患者群体。
{"title":"Impact and efficacy of sound machine on sleep in hospitalized adults: A systematic review","authors":"Kanika Khandelwal , Alecia Anyim , Sara Shu , Dana Gerberi , Mohammed Yousufuddin , Sandeep Pagali","doi":"10.1016/j.sleepx.2025.100154","DOIUrl":"10.1016/j.sleepx.2025.100154","url":null,"abstract":"<div><h3>Background</h3><div>Sleep in hospitalized adults is impaired due to several reasons. Non-pharmacological approaches should be attempted first before considering medications to treat insomnia. Environmental noise levels in the hospital are also a major culprit that might result in disturbed sleep. While limiting any disturbance or sound during sleeping hours is crucial, it might not be completely feasible in the acute care setting. Sound machines that deliver a masking noise such as white noise are reported to mask these environmental noises and promote sleep. We aim to analyze the efficacy and safety of sound machines on sleep efficiency in hospitalized adults.</div></div><div><h3>Methods</h3><div>A systematic review of all published literature was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We searched MEDLINE, Embase, Cochrane Cochrane Central Register of Controlled Trials, EBSCO CINAHL, Google scholar, APA PsycINFO, Web of Science, and Scopus from inception to August 13, 2024. All studies that reported sound machine-based interventions on sleep efficiency in hospitalized adults were included. Sleep efficiency and other sleep related outcomes as total sleep time, latency, awakenings, and total sleep score were noted. Cochrane Risk of Bias 2 for RCTs was used to evaluate study quality. This study was registered with PROSPERO (CRD42024595293).</div></div><div><h3>Results</h3><div>A total of 1920 studies were screened, of which 74 were selected for full text review. Seven RCT studies (<em>n</em> = 496 participants) met the inclusion criteria and were included. Two studies were from USA, and India each, while one study was reported each from Iran, China, and South Korea. Six of the seven studies used white noise, while one study reported using Uncorrelated Signal and Ambient noise in Space Integration (USASI) masking noise. Two studies reported using Pittsburgh Sleep Quality Index (PSQI), and Richards Campbell Sleep Questionnaire (RCSQ) each to measure sleep outcomes. White noise was well tolerated with no major adverse effects reported, and only 8 participants discontinued the study due to discomfort or found it less acceptable. Collectively, these studies provide evidence of improved sleep efficiency with white noise use in hospitalized adults. Given the heterogeneity in the duration of white noise use, inclusion criteria, and the outcome measurement scales in this small sample of RCT studies, meta-analysis was not feasible.</div></div><div><h3>Conclusions</h3><div>White-noise and other similar masking noises seem to improve sleep efficiency in hospitalized adults, with good tolerability. Only limited studies report the efficacy and demonstrate wide heterogeneity in the duration of masking noise use, varied inclusion criteria, and outcome measurement scales. Larger studies analyzing the hospitalized patient population type, across different units, to identify the best patien","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100154"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Several consumer-grade Wearable Wireless Continuous Pulse Oximeters (WWCPO) have been developed both for comfort and offering reasonable cost and advanced oximetric data to help clinicians detect significant Obstructive Sleep Apnea (OSA) in children.
Objectives
To evaluate the diagnostic performance of various parameters from consumer-grade WWCPO (KidsO2 ring) compared to the gold-standard polysomnography (PSG).
Study design
A cross-sectional study.
Research tool
The Wellue KidsO2™ ring as hardware, and the Vi Health App as software.
Methods
Children aged 3–10 years, meeting the eligibility criteria, underwent simultaneous measurement with both PSG and the KidsO2 ring. Data from both devices were collected and analyzed statistically.
Results
Eighty-three patients were enrolled, of whom 37 were female (44.6 %), with a mean age of 5.6 ± 1.8 years and a mean BMI of 17.8 ± 4.1 kg/m2. The oxygen trend graphs, interpreted using the McGill Oximetry Score, showed high specificity (100 %) and positive predictive value (100 %) for moderate to severe OSA, although sensitivity was low (17.2 %). The recommended cut-off values for ODI>3 (Drops per hour>3) and ODI>4 (Drops per hour>4) to differentiate severe OSA from non-severe OSA are ≥4.6 and ≥ 2.8 events per hour, with specificity at 98.7 %.
Conclusion
The KidsO2 ring has shown benefits in evaluating children with suspected OSA. The use of oxygen trend graphs and ODI (Drops per hour) values from the KidsO2 ring effectively detected significant OSA, potentially expediting further investigations and treatment such as adenotonsillectomy.
一些消费级可穿戴无线连续脉搏血氧仪（WWCPO）已经开发出来，既舒适，又提供合理的成本和先进的血氧测量数据，以帮助临床医生检测严重的阻塞性睡眠呼吸暂停（OSA）儿童。目的评价消费级WWCPO （KidsO2环）各参数与金标准多导睡眠图（PSG）的诊断性能。研究设计：横断面研究。研究工具Wellue KidsO2™戒指作为硬件，和Vi健康应用程序作为软件。方法3 ~ 10岁符合条件的儿童，同时进行PSG和KidsO2环测量。从两个设备收集数据并进行统计分析。结果共纳入83例患者，其中女性37例（44.6%），平均年龄5.6±1.8岁，平均BMI为17.8±4.1 kg/m2。使用麦吉尔氧饱和度评分（McGill Oximetry Score）解释的氧趋势图显示出中重度OSA的高特异性（100%）和阳性预测值（100%），尽管敏感性较低（17.2%）。ODI>3 （Drops per hour>3）和ODI>；4 （Drops per hour>4）区分严重OSA和非严重OSA的推荐临界值分别为≥4.6和≥2.8事件/小时，特异性为98.7%。结论KidsO2环在评估疑似OSA患儿中具有一定的优势。利用KidsO2环的氧气趋势图和ODI（每小时滴量）值有效检测出严重的OSA，可能加快进一步的调查和治疗，如腺扁桃体切除术。
{"title":"The benefit of KidsO2 ring as a pre-screening device in pediatric obstructive sleep apnea","authors":"Sarisa Thawongit , Phirawan Benchachart , Vorasith Siripornpanich , Anchana Thongyam , Cholatid Ratanatharathorn , Aroonwan Preutthipan , Teeradej Kuptanon","doi":"10.1016/j.sleepx.2025.100150","DOIUrl":"10.1016/j.sleepx.2025.100150","url":null,"abstract":"<div><h3>Background</h3><div>Several consumer-grade Wearable Wireless Continuous Pulse Oximeters (WWCPO) have been developed both for comfort and offering reasonable cost and advanced oximetric data to help clinicians detect significant Obstructive Sleep Apnea (OSA) in children.</div></div><div><h3>Objectives</h3><div>To evaluate the diagnostic performance of various parameters from consumer-grade WWCPO (KidsO2 ring) compared to the gold-standard polysomnography (PSG).</div></div><div><h3>Study design</h3><div>A cross-sectional study.</div></div><div><h3>Research tool</h3><div>The Wellue KidsO2™ ring as hardware, and the Vi Health App as software.</div></div><div><h3>Methods</h3><div>Children aged 3–10 years, meeting the eligibility criteria, underwent simultaneous measurement with both PSG and the KidsO2 ring. Data from both devices were collected and analyzed statistically.</div></div><div><h3>Results</h3><div>Eighty-three patients were enrolled, of whom 37 were female (44.6 %), with a mean age of 5.6 ± 1.8 years and a mean BMI of 17.8 ± 4.1 kg/m<sup>2</sup>. The oxygen trend graphs, interpreted using the McGill Oximetry Score, showed high specificity (100 %) and positive predictive value (100 %) for moderate to severe OSA, although sensitivity was low (17.2 %). The recommended cut-off values for ODI>3 (Drops per hour>3) and ODI>4 (Drops per hour>4) to differentiate severe OSA from non-severe OSA are ≥4.6 and ≥ 2.8 events per hour, with specificity at 98.7 %.</div></div><div><h3>Conclusion</h3><div>The KidsO2 ring has shown benefits in evaluating children with suspected OSA. The use of oxygen trend graphs and ODI (Drops per hour) values from the KidsO2 ring effectively detected significant OSA, potentially expediting further investigations and treatment such as adenotonsillectomy.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100150"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-25DOI: 10.1016/j.sleepx.2025.100152
Guilherme Agra Costa , Michael A. Grandner , Daniel Ruivo Marques
Background
Student-athletes face challenges balancing academic and athletic commitments, often leading to dysfunctional sleep patterns. Social jetlag - a misalignment between biological and social clocks - has emerged as a potential contributor to mental and physical strain. The current study is aimed at determining the social jetlag frequency and its associations with other sleep and health variables among student-athletes in higher education.
Methods
Sixty-seven European Portuguese student-athletes (mean age = 21.4 years) were evaluated for chronotype, social jetlag, sleep effort, daytime sleepiness, psychological distress, and perceived academic and athletic performance.
Results
Social jetlag was computed using a corrected midpoint of sleep approach (SJLsc). Most participants (62.7 %) reported moderate social jetlag (1–2 h), and only 6 % of the sample presented high social jetlag (>2 h). Higher social jetlag was negatively correlated with academic performance and positively associated with evening chronotypes. Although group differences across social jetlag levels and chronotypes were not statistically significant, there is a trend suggesting morning types experience lower misalignment. Compared to normative data derived from Portuguese samples, participants showed higher sleep effort and lower perceived daytime sleepiness.
Conclusions
The prevalence of significant social jetlag among student-athletes was low, suggesting that participation in sports may serve as a protective factor, possibly due to greater health awareness and monitoring. However, further studies with larger samples are needed.
{"title":"Playing sports in higher education as a protective factor against social jetlag: An exploratory study","authors":"Guilherme Agra Costa , Michael A. Grandner , Daniel Ruivo Marques","doi":"10.1016/j.sleepx.2025.100152","DOIUrl":"10.1016/j.sleepx.2025.100152","url":null,"abstract":"<div><h3>Background</h3><div>Student-athletes face challenges balancing academic and athletic commitments, often leading to dysfunctional sleep patterns. Social jetlag - a misalignment between biological and social clocks - has emerged as a potential contributor to mental and physical strain. The current study is aimed at determining the social jetlag frequency and its associations with other sleep and health variables among student-athletes in higher education.</div></div><div><h3>Methods</h3><div>Sixty-seven European Portuguese student-athletes (mean age = 21.4 years) were evaluated for chronotype, social jetlag, sleep effort, daytime sleepiness, psychological distress, and perceived academic and athletic performance.</div></div><div><h3>Results</h3><div>Social jetlag was computed using a corrected midpoint of sleep approach (SJLsc). Most participants (62.7 %) reported moderate social jetlag (1–2 h), and only 6 % of the sample presented high social jetlag (>2 h). Higher social jetlag was negatively correlated with academic performance and positively associated with evening chronotypes. Although group differences across social jetlag levels and chronotypes were not statistically significant, there is a trend suggesting morning types experience lower misalignment. Compared to normative data derived from Portuguese samples, participants showed higher sleep effort and lower perceived daytime sleepiness.</div></div><div><h3>Conclusions</h3><div>The prevalence of significant social jetlag among student-athletes was low, suggesting that participation in sports may serve as a protective factor, possibly due to greater health awareness and monitoring. However, further studies with larger samples are needed.</div></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"10 ","pages":"Article 100152"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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