Document Detail

Sleep quality in infants with atopic dermatitis: a community-based, birth cohort study.
MedLine Citation:
PMID:  22523904     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Sleep disturbance has been reported in both pre-school and older children with atopic dermatitis (AD). There have been no studies examining whether sleep disturbance occurs at the onset of the AD, or develops later.
OBJECTIVE: To evaluate sleep characteristics in infants with AD.
METHODS: A cross-sectional survey based on interviews with parents of infants aged 1 year. AD was diagnosed by showing the parents 3 pictures of typical AD. AD was considered as mild if the rash was a single occurrence or there was only 1 lesion and severe if there were 2 or 3 recurrent or persistent lesions. The infant's sleep behavior was evaluated through information on sleep onset, sleep duration, number of night wakings and the caregivers' perception of problematic sleep behaviors.
RESULTS: Of the total sample, 96.2% (4085 of 4245) provided complete AD information and 148 infants (3.6%) had at least one AD skin lesion. Sleep duration was significantly reduced in infants with severe AD when compared to no-AD infants (542+67 vs 569+62 minutes, p 0.02). The percentage of infants who had night waking with parent intervention required to calm them down "often or always" was significantly higher in mild AD infants than in normal infants (61.7 vs 49.8%, p 0.02). No significant differences were noted between infants with or without AD for other infant sleep behavior.
CONCLUSION: In AD patients, sleep disturbances can occur early following the onset of the disease. We suggest that clinical assessment of AD infants should take these aspects into consideration.
Wanaporn Anuntaseree; Pasuree Sangsupawanich; Clive Osmond; Ladda Mo-Suwan; Punnee Vasiknanonte; Chanpen Choprapawon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Asian Pacific journal of allergy and immunology / launched by the Allergy and Immunology Society of Thailand     Volume:  30     ISSN:  0125-877X     ISO Abbreviation:  Asian Pac. J. Allergy Immunol.     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-04-24     Completed Date:  2012-05-15     Revised Date:  2014-02-20    
Medline Journal Info:
Nlm Unique ID:  8402034     Medline TA:  Asian Pac J Allergy Immunol     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  26-31     Citation Subset:  IM    
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MeSH Terms
Cohort Studies
Dermatitis, Atopic / complications*
Infant Behavior*
Residence Characteristics
Sleep Disorders / epidemiology*,  etiology*
Grant Support
MC_UP_A620_1016//Medical Research Council

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