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Snoring now, hyperactive later?

s of pre- and post-treatment sleep and behavior patterns are now underway; Chervin and his colleagues are currently analyzing data from one performed at U-M.

But definitive proof that breathing problems during sleep affect daytime behavior is still elusive, the U-M authors write. And a long-term randomized controlled trial, the gold standard of medical research, might never be done because it would require researchers to withhold treatment that has become an accepted standard of care.

The new paper is the first to show that sleep problems come before hyperactive behavior, and that one predicts the other which may help bolster the sleep-behavior theory. "In research, a prospective study that follows a group over time and assesses them at two or more time points carries more weight than one that looks for risk factors and possible outcomes all at the same time," says Chervin. "That's what we set out to achieve, and we believe we've shown a clear predictive link."

The study combined two different validated survey instruments: one that asked parents about their children's behavior patterns, and one asking about snoring, sleepiness and characteristics that may indicate sleep-disordered breathing problems.

The sleep portion of the survey asked about frequency and severity of snoring, as well as the tendency to struggle to breathe or stop breathing temporarily during the night, to breathe through the mouth during the day, to wake up feeling unrefreshed, or to have a hard time waking up. All these can mean a child has sleep-disordered breathing, which can affect the quality of sleep. Scores for snoring frequency and severity, and for sleepiness and sleep-disordered breathing, were tallied for each child to allow each tendency to be considered on its own.

The behavior portion of the survey asked about attention to tasks and schoolwork, distraction, forgetfulness, fidgeting, inappropriate action and excessive talking, as well as oth
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Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
1-Jul-2005


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