Speaker 1: Good morning everybody, and welcome. It is June ninth, twenty
Speaker 1: twenty sixth. Today we're going to talk about an article
Speaker 1: that came in a journal of children's Health real quick.
Speaker 1: It says some children's ADHD might be a sleep problem.
Speaker 1: And here's why we're going to take a look at
Speaker 1: this in case you have a child that's in that
Speaker 1: category or you know somebody that does. Stay tuned, Hi,
Speaker 1: and welcome to Health Talk with Doctor Lynn. Your daily dose.
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Speaker 1: with your primary care physician. Get ready for the good
Speaker 1: news of the day. God bless you, folks, and here
Speaker 1: is doctor Lynn. Our daily devotional today comes from the
Speaker 1: Book of First Peter, Chapter four. Seek to live in
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Speaker 1: great thoughts, stay tuned seven two, seven, nine, one, six
Speaker 1: four two went five to reach me off air. You
Speaker 1: cannot explain expect a brain to perform at its best,
Speaker 1: but sleep is being interrupted hundreds of times at night,
Speaker 1: said doctor Muhammad Usama, a sleep medicine physician for children
Speaker 1: diagnosed with a tension deficit hyperactivity disorder. Sleep disordered breathing
Speaker 1: breathing is often an overlooked explanation, yet it's rarely checked.
Speaker 1: Sleep disordered breathing is abnormal breathing during sleep, raging from
Speaker 1: habitual snoring to sleep apnea, in which the airways reportedly
Speaker 1: narrow and collapse. This leads to either a disruption to
Speaker 1: sleep or a decreased in body oxygen levels, often both,
Speaker 1: said David Macintosh and ear nose and throat specialists James
Speaker 1: Cook University. The effects can extend to and affect multiple
Speaker 1: body symptoms, sometimes in obvious ways, sometimes more subtly, and
Speaker 1: children to two systems most commonly affected are the cardiovascular
Speaker 1: system and the brain. The connection between disrupted sleep and
Speaker 1: ADHD behavior is striking. Sleep disorders have been diagnosed and
Speaker 1: up to seventy percent of children with ADHD. Some estimates
Speaker 1: put the cooccurrence of sleep disordered breathing and ADHD as
Speaker 1: high as fifty percent. Poor sleep quality leads to difficulties
Speaker 1: with attention, impulse control, emotional regulation, and behavior during the day,
Speaker 1: symptoms that closely overlap with ADHD. This is from Athenaea Fae,
Speaker 1: a clinical psychologist specializing in neurodevelopmental disorders and ADHD. The
Speaker 1: mechanism is reasonably well understood. Reduced oxygen levels, repeated sleep interruptions,
Speaker 1: brain development, cognitive functions suffer Children with sleep disorder breathing
Speaker 1: also have elevated levels of inflammation, which may further contribute
Speaker 1: to poor attention span when sleep is disrupted. So are
Speaker 1: the vital physiological processes that regulate behavior. ADHD broadly includes
Speaker 1: two main components, hyperactivity and inattention. Sleep disordered breathing appears
Speaker 1: to drive both on the hyperactivity side. The children in particular,
Speaker 1: sleep disordered breathing impairs the prefrontal cortex, which is the
Speaker 1: brain's break on impulsive behavior. The inattention side is often
Speaker 1: driven by a simple brain fatigue. Sleep is a restorative
Speaker 1: process that supports focus and concentration. It's also when learning
Speaker 1: is consolidated into memory and the brain is reset for
Speaker 1: the day ahead. The effects can build over time. What
Speaker 1: bad night may have a subtle impact, but ongoing disrupted
Speaker 1: sleep can compound in significant cognitive consequences. Because sleep disordered
Speaker 1: breathing can closely mimic ADHD, misdiagnosis is a genuine and
Speaker 1: documented problem. When sleep disordered breathing is missed, the underlying
Speaker 1: disruption to multiple body symptoms continue. At the same time,
Speaker 1: medications that further impair sleep quality can be prescribed. Most
Speaker 1: of the medications are amphetamine based. Part of the issue
Speaker 1: lies in training and awareness. Many E and T conditions
Speaker 1: sleep disorders are not well covered in medical education DAH.
Speaker 1: The diagnostic question, the expert said, is not either or
Speaker 1: both conditions can be present. The goal is not to
Speaker 1: explain away ADHD, but make sure a treatable sleep disorder
Speaker 1: is not being missed. How would you know whether a
Speaker 1: sleep disorder might be present. Parents rarely come into clinics
Speaker 1: complaining that the child is habitually mouthed, breathing, snoring, or
Speaker 1: stops breathing during sleep. Instead, they tend to describe the
Speaker 1: downstream effects of poor sleep, said doctor Louise all of
Speaker 1: our family doctor and functional breathing practitioner, and her view.
Speaker 1: ADHD diagnostic assessments should not take place until sleep disordered
Speaker 1: breathing has been properly evaluated and managed. Sleep disordered breathing
Speaker 1: and children is usually identified through symptoms screenings and confirmed
Speaker 1: with an overnight sleep study that measures breathing, oxygen levels,
Speaker 1: and sleep patterns. Oliver recommends that parents observe their child's sleep,
Speaker 1: I encourage audio or visual recordings, I have abnormal breathing
Speaker 1: during sleep to assist in a child's assessment. More broadly,
Speaker 1: Oliver believes frontline care needs to shift to include structured
Speaker 1: sleep screening before an initial ad HD assessment, using simple
Speaker 1: questions about mouth breathing, snoring, or witness paused and breathing.
Speaker 1: It also requires clear referral pathways from primary care to
Speaker 1: e INT to pediatric sleep services. In clinical psychiatric practice,
Speaker 1: a sleep assessment is not usually done. According to doctor
Speaker 1: Samuel Pondhuthara, a child consultant an adolescent psychiatrist at London
Speaker 1: Psychiatry Clinic, a detailed history is often enough as it
Speaker 1: captures patterns and changes over time. Some clinicians who use
Speaker 1: data from smart watches or overnight sleep observation as measurement.
Speaker 1: When sleep disorder breathing is identified, treatment depends on the
Speaker 1: interline cause or severity. In children, the first step often
Speaker 1: focus on conservative and reversible factors such as managing nasal
Speaker 1: obstruction or allergic rhinitis losing weight, as they contribute to
Speaker 1: airway narrowing. In persistent cases, positive airway pressure therapy may
Speaker 1: be used, which involves a machine to deliver gentle air
Speaker 1: pressure to keep the airways open during sleep and children
Speaker 1: wear in large tonsils and adnoids may be a major
Speaker 1: contributing factor. Adnoid removal may be considered. Two main pressures
Speaker 1: drive sleep a build up of tiredness from daily activity
Speaker 1: in the body's internal clock, which is shaped by light exposure,
Speaker 1: melatonin and ADHD. This balance is often disrupted. The hormonal
Speaker 1: rhythm may be delayed or weaker. Switching off from a
Speaker 1: stimulated state can be genuinely difficult support. You have a
Speaker 1: good routine to wind down at the end of the
Speaker 1: day that use your energy at the right time so
Speaker 1: you're not activating yourself too close to bedtime. Managing light exposure,
Speaker 1: activity levels, temperature, and evening food choices can make a difference.
Speaker 1: In some cases. Long term melatonin may be prescribed to
Speaker 1: support sleep cycles, usually alongside not instead of those more
Speaker 1: foundational changes. Practical breathing focused strategies can also reinforce change.
Speaker 1: Many symptoms resolve when a child's sleep disorder breathing is
Speaker 1: addressed early. Look at the prep called sleep time and
Speaker 1: or calm day and or thaning. That's a three pronged
Speaker 1: approach that can be put together in a very nice
Speaker 1: way to help start the treatment pathway you want to
Speaker 1: help with that, give me a call. Seven two seven
Speaker 1: nine one six four two one five God bless your folks.