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Review
. 2022 Aug;57(8):1944-1951.
doi: 10.1002/ppul.25462. Epub 2021 May 20.

Sleep in children with cystic fibrosis: More under the covers

Joel Reiter  1   2 , Oded Breuer  1   2 , Malena Cohen-Cymberknoh  1   2 , Erick Forno  3 , Alex Gileles-Hillel  1   2   4
Affiliations
Review

Sleep in children with cystic fibrosis: More under the covers

Joel Reiter et al. Pediatr Pulmonol. 2022 Aug.

Abstract

Cystic fibrosis (CF) is a chronic multisystem disease with manifestations from birth. It involves the entire respiratory system, with increased cough, and recurrent pulmonary infections, and it also leads to intestinal malabsorption, all of which can have an impact on sleep. In this review, we summarize the available literature on the various sleep disturbances in children with CF. Sleep quality and sleep efficiency are often impaired in children with CF. They may be accompanied by symptoms associated with sleep-disordered breathing (SDB), and objective findings, such as nocturnal hypoxemia. Importantly, a strong association has been shown between SDB and the severity of lung disease, and some studies have reported a similar association for sleep quality. Further research is needed to better characterize the association of sleep disturbances with respiratory outcomes and the impact of treatment of sleep disorders on pulmonary status in children with CF.

Keywords: cystic fibrosis; pediatrics; sleep.

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Figures

Figure 1:
Figure 1:
9 year old girl with CF with her CPAP device (with permission from the family)
Figure 2:
Figure 2:
Comparison of hypnogram before (a) and after (b) initiation of CPAP, demonstrating optimal control of sleep-disordered breathing with a pressure of 7cmH2O.
See this image and copyright information in PMC

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