{
    "abstract": "Children with snoring and mild sleep-disordered breathing may be at increased risk for neurocognitive deficits despite few obstructive events. We hypothesized that actigraphy-based sleep duration and continuity associate with neurobehavioral functioning and explored whether these associations vary by demographic and socioeconomic factors.\n298 children enrolled in the Pediatric Adenotonsillectomy Trial, ages 3 to 12.9 years, 47.3% from racial or ethnic minority groups, with habitual snoring and an apnea-hypopnea index < 3 were studied with actigraphy (mean 7.5\u2009\u00b1\u20091.4 days) and completed a computerized vigilance task (Go-No-Go) and a test of fine motor control (9-Hole Pegboard). Caregivers completed the Behavior Rating Inventory of Executive Function. Regression analyses evaluated associations between sleep exposures (24-hour and nocturnal sleep duration, sleep fragmentation index, sleep efficiency) with the Behavior Rating Inventory of Executive Function Global Executive Composite index, pegboard completion time (fine motor control), and vigilance (d prime on the Go-No-Go), adjusting for demographic factors and study design measures.\nLonger sleep duration, higher sleep efficiency, and lower sleep fragmentation were associated with better executive function; each additional hour of sleep over 24 hours associated with more than a 3-point improvement in executive function (\nSleep quantity and continuity are associated with neurocognitive functioning in children with mild sleep-disordered breathing, supporting efforts to target these sleep health parameters as part of interventions for reducing neurobehavioral morbidity.\nRegistry: ClinicalTrials.gov; Name: Pediatric Adenotonsillectomy for Snoring (PATS); URL: https://clinicaltrials.gov/ct2/show/NCT02562040; Identifier: NCT02562040.\nRobinson KA, Wei Z, Radcliffe J, et\u00a0al. Associations of actigraphy measures of sleep duration and continuity with executive function, vigilance, and fine motor control in children with snoring and mild sleep-disordered breathing. ",
    "authors": [
        {
            "affiliation": "Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.",
            "firstname": "Keith A",
            "initials": "KA",
            "lastname": "Robinson"
        },
        {
            "affiliation": "Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.\nDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.",
            "firstname": "Zhuoran",
            "initials": "Z",
            "lastname": "Wei"
        },
        {
            "affiliation": "Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.",
            "firstname": "Jerilynn",
            "initials": "J",
            "lastname": "Radcliffe"
        },
        {
            "affiliation": "Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio.",
            "firstname": "H Gerry",
            "initials": "HG",
            "lastname": "Taylor"
        },
        {
            "affiliation": "Department of Otolaryngology, Eastern Virginia Medical School, Children's Hospital of The King's Daughters, Norfolk, VA.",
            "firstname": "Cristina M",
            "initials": "CM",
            "lastname": "Baldassari"
        },
        {
            "affiliation": "Department of Neurology and Sleep Disorders Centers, University of Michigan, Ann Arbor, Michigan.",
            "firstname": "Ronald D",
            "initials": "RD",
            "lastname": "Chervin"
        },
        {
            "affiliation": "Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.",
            "firstname": "Stacey",
            "initials": "S",
            "lastname": "Ishman"
        },
        {
            "affiliation": "Departments of Otolaryngology-Head and Neck Surgery and Neurology Sleep Disorders Center, Utah Southwestern Medical Center, Children's Medical Center, Dallas, Texas.",
            "firstname": "Ron B",
            "initials": "RB",
            "lastname": "Mitchell"
        },
        {
            "affiliation": "Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.",
            "firstname": "Ignacio E",
            "initials": "IE",
            "lastname": "Tapia"
        },
        {
            "affiliation": "Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.",
            "firstname": "Susan",
            "initials": "S",
            "lastname": "Garetz"
        },
        {
            "affiliation": "Department of Neurology and Sleep Disorders Centers, University of Michigan, Ann Arbor, Michigan.",
            "firstname": "Fauziya",
            "initials": "F",
            "lastname": "Hassan"
        },
        {
            "affiliation": "Department of Pediatrics, Rainbow Babies and Children's of University Hospitals Cleveland, Case Western Reserve University, Cleveland, Ohio.",
            "firstname": "Sally",
            "initials": "S",
            "lastname": "Ibrahim"
        },
        {
            "affiliation": "Division of Pediatric Otolaryngology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.",
            "firstname": "Lisa M",
            "initials": "LM",
            "lastname": "Elden"
        },
        {
            "affiliation": "Department of Pediatrics, Rainbow Babies and Children's of University Hospitals Cleveland, Case Western Reserve University, Cleveland, Ohio.",
            "firstname": "Carolyn E",
            "initials": "CE",
            "lastname": "Ievers-Landis"
        },
        {
            "affiliation": "Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.",
            "firstname": "Ariel A",
            "initials": "AA",
            "lastname": "Williamson"
        },
        {
            "affiliation": "Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.",
            "firstname": "Michelle",
            "initials": "M",
            "lastname": "Hjelm"
        },
        {
            "affiliation": "Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.",
            "firstname": "Erin",
            "initials": "E",
            "lastname": "Kirkham"
        },
        {
            "affiliation": "Department of Otolaryngology, Eastern Virginia Medical School, Children's Hospital of The King's Daughters, Norfolk, VA.",
            "firstname": "Addy",
            "initials": "A",
            "lastname": "Tham"
        },
        {
            "affiliation": "Department of Pediatrics, Utah Southwestern Medical Center, Dallas, Texas.",
            "firstname": "Kamal",
            "initials": "K",
            "lastname": "Naqvi"
        },
        {
            "affiliation": "Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.",
            "firstname": "Michael",
            "initials": "M",
            "lastname": "Rueschman"
        },
        {
            "affiliation": "Department of Pediatrics, Rainbow Babies and Children's of University Hospitals Cleveland, Case Western Reserve University, Cleveland, Ohio.",
            "firstname": "Carol L",
            "initials": "CL",
            "lastname": "Rosen"
        },
        {
            "affiliation": "Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.\nDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.\nDepartment of Population Medicine, Harvard Pilgrim Healthcare Institute and Harvard Medical School, Boston, Massachusetts.",
            "firstname": "Rui",
            "initials": "R",
            "lastname": "Wang"
        },
        {
            "affiliation": "Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.\nDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.",
            "firstname": "Susan",
            "initials": "S",
            "lastname": "Redline"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2023 American Academy of Sleep Medicine.",
    "doi": "10.5664/jcsm.10620",
    "journal": "Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine",
    "keywords": [
        "actigraphy",
        "health disparities",
        "neurobehavior",
        "pediatrics",
        "sleep duration",
        "sleep fragmentation",
        "sleep quality",
        "sleep-disordered breathing",
        "snoring"
    ],
    "methods": null,
    "publication_date": "2023-05-15",
    "pubmed_id": "37185231\n22926176\n28303917\n35554588\n31697711\n21600347\n28515433\n16449068\n21324739\n26347434\n26930303\n17689143\n21905262\n11389263\n27464674\n23692173\n35554583\n16585288\n15574628\n32179560\n19489909\n12759822\n16161093\n22533453\n36633982\n10883762\n25845697\n25687438\n7939118\n26678071\n35858412\n24497655\n20093054\n26781184\n23720415\n12705565\n35779333\n35815417\n11949899\n25441747\n11875140\n35250138\n20438143\n16707360\n27091520",
    "results": "Longer sleep duration, higher sleep efficiency, and lower sleep fragmentation were associated with better executive function; each additional hour of sleep over 24 hours associated with more than a 3-point improvement in executive function (",
    "title": "Associations of actigraphy measures of sleep duration and continuity with executive function, vigilance, and fine motor control in children with snoring and mild sleep-disordered breathing.",
    "xml": "<Element 'PubmedArticle' at 0x788503d87e20>"
}