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[PMID]:28898295
[Au] Autor:Del Pozo-Cruz B; Gant N; Del Pozo-Cruz J; Maddison R
[Ad] Endereço:Department of Exercise Sciences, Faculty of Science, University of Auckland (Auckland, New Zealand). TAMAKI BUILDING 731 -, Level 3, Tamaki Campus Gate 1,St Johns, Auckland, New Zealand.
[Ti] Título:Relationships between sleep duration, physical activity and body mass index in young New Zealanders: An isotemporal substitution analysis.
[So] Source:PLoS One;12(9):e0184472, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The evidence regarding the unique effect of sedentary behaviour on obesity among children is unclear. Moreover, the effect of substituting sedentary behaviour with physical activity of different intensities on the body composition of children has received limited empirical study. OBJECTIVE: To examine the mathematical effects on Body Mass Index (BMI) of substituting sedentary behaviours with physical activities of different intensities on children and youth aged 5-14 years old in New Zealand. METHODS: Secondary analysis of accelerometer data from the National Survey of Children and Young People's Physical Activity and Dietary Behaviours in New Zealand (2008/09) was conducted. A total of 1812 children and youth aged 5-24 years provided accelerometer-derived data on daily sedentary time (SB), light intensity physical activity (LPA) and moderate to vigorous physical activity (MVPA). Sleep time was assessed with a validated computerised use-of-time tool. BMI was assessed using anthropometric measurements. Multiple linear regression models were used to examine the independent associations of SB, Sleep time, LPA, and MVPA on BMI. The isotemporal substitution approach was used to ascertain the mathematical effect of substituting each of the other behaviours on BMI. Analyses were stratified by age groups. RESULTS: SB showed a unique (inverse) association with BMI across all age groups (p<0.05) but 20-24 years (p>0.05). Similarly, MVPA was positively associated (p<0.001) across all age groups. Among age groups 5-9 years, 10-14 years and 15-19 years, the estimated impact of replacing 60 min/day of SB with the same amount of MVPA time resulted in decreased BMI for all age groups (p<0.001), ranging from -1.26 (5-9 years) to -1.43 units (15-19 years). Similar results were achieved when SB was replaced with LPA or sleeping time for children (5-19 years). In young people (age group 20-24), the impact of replacing 30 min/day of SB with MVPA resulted in an estimated -1 BMI units decrease (p<0.001). CONCLUSION: MVPA and SB have a unique effect on BMI. Further, substituting SB with LPA or MVPA was associated with a favourable effect on BMI across all age groups; with MVPA having the strongest association.
[Mh] Termos MeSH primário: Índice de Massa Corporal
Exercício
Obesidade/epidemiologia
Higiene do Sono
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
Nova Zelândia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170913
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184472


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[PMID]:28845960
[Au] Autor:Burman D
[Ad] Endereço:Latterman Family Health Center, 2347 Fifth Ave, McKeesport, PA 15132.
[Ti] Título:Sleep Disorders: Circadian Rhythm Sleep-Wake Disorders.
[So] Source:FP Essent;460:33-36, 2017 Sep.
[Is] ISSN:2159-3000
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Shift work sleep disorder is a common problem in industrialized countries because of the need for occupations and services to continue to function 24 hours/day. Approximately 20% of employed adults in the United States are engaged in shift work. Shift work sleep disorder is diagnosed if there is a report of insomnia or excessive sleepiness for at least 3 months associated with a recurring work schedule that overlaps the usual time for sleep. Shift work is associated with an increased occurrence of metabolic disorders, such as insulin resistance, diabetes, dyslipidemia, and metabolic syndrome, and it has been implicated in weight gain and cognitive impairment. There is evidence of increased absenteeism in night workers compared with day workers. A planned sleep schedule, timed bright light exposure, timed melatonin administration, and stimulants or drugs promoting alertness can be used to manage shift work sleep disorder. Jet lag is characterized by a misalignment between internal circadian rhythms and local time caused by rapid travel across at least two time zones. Not all travelers experience jet lag; risk factors include age, number of time zones crossed, and circadian preference. Management includes timed melatonin along with optional timed and dosed bright light exposure.
[Mh] Termos MeSH primário: Ritmo Circadiano/fisiologia
Transtornos do Sono do Ritmo Circadiano/prevenção & controle
Transtornos do Sono do Ritmo Circadiano/fisiopatologia
Higiene do Sono
Tolerância ao Trabalho Programado/fisiologia
[Mh] Termos MeSH secundário: Seres Humanos
Melatonina/metabolismo
Sono
Vigília
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
JL5DK93RCL (Melatonin)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170829
[St] Status:MEDLINE


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[PMID]:28845959
[Au] Autor:Burman D
[Ad] Endereço:Latterman Family Health Center, 2347 Fifth Ave, McKeesport, PA 15132.
[Ti] Título:Sleep Disorders: Restless Legs Syndrome.
[So] Source:FP Essent;460:29-32, 2017 Sep.
[Is] ISSN:2159-3000
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Restless legs syndrome (RLS) is a common disorder that often is underdiagnosed and undertreated. Patients with RLS describe an urge to move their legs, especially in the evenings and during periods of inactivity. The prevalence of clinically significant RLS is approximately 2% to 3% in adults in Europe and North America. RLS can be an independent disorder or may occur in conjunction with other conditions (eg, iron deficiency, pregnancy, chronic renal failure). Diagnosis is based on clinical history. Routine polysomnography typically is not recommended unless there is suspicion of other sleep disorders (eg, obstructive sleep apnea). Management includes a combination of supportive measures, dopaminergic drugs, gabapentinoids, opioids, or benzodiazepines. Good sleep hygiene can help prevent development of insomnia related to RLS. Avoiding alcohol and reducing caffeine intake is recommended. If iron stores are low, iron supplementation may improve symptoms. The main pharmacologic options for RLS management are dopaminergic agonists (eg, pramipexole and ropinirole); gabapentinoids also are good options. Patients may experience augmentation, an increase in RLS symptom severity with increasing drug dosage, which is the main complication of dopaminergic drugs. There is no evidence to support use of vibratory devices that provide stimulation to the lower extremities.
[Mh] Termos MeSH primário: Dopaminérgicos/uso terapêutico
Síndrome das Pernas Inquietas/diagnóstico
Síndrome das Pernas Inquietas/terapia
Higiene do Sono
Vibração/uso terapêutico
[Mh] Termos MeSH secundário: Europa (Continente)
Feminino
Hematínicos/uso terapêutico
Seres Humanos
Masculino
América do Norte
Modalidades de Fisioterapia
Polissonografia
Síndrome das Pernas Inquietas/tratamento farmacológico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Dopamine Agents); 0 (Hematinics)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170829
[St] Status:MEDLINE


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[PMID]:28845956
[Au] Autor:Rew KT
[Ad] Endereço:University of Michigan Health System, 24 Frank Lloyd Wright Drive Lobby H SPC 5795, Ann Arbor, MI 48109-5795, karlr@med.umich.edu.
[Ti] Título:Sleep Disorders: Foreword.
[So] Source:FP Essent;460:2, 2017 Sep.
[Is] ISSN:2159-3000
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos do Sono-Vigília/diagnóstico
Sono
[Mh] Termos MeSH secundário: Seres Humanos
Higiene do Sono
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170829
[St] Status:MEDLINE


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[PMID]:28691581
[Au] Autor:Whitworth-Turner C; Di Michele R; Muir I; Gregson W; Drust B
[Ad] Endereço:a Football Exchange, Research Institute for Sport and Exercise Sciences , Liverpool John Moores University , Liverpool , UK.
[Ti] Título:A shower before bedtime may improve the sleep onset latency of youth soccer players.
[So] Source:Eur J Sport Sci;17(9):1119-1128, 2017 Oct.
[Is] ISSN:1536-7290
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:During the competitive season, soccer players are likely exposed to numerous factors that may disrupt the process of sleep. The current investigation looked to evaluate a practical sleep hygiene strategy (10-min showering at ∼40°C before lights out), within a group of 11 youth soccer players in comparison to normal sleeping conditions (control). Each condition consisted of three days within a randomised crossover trial design. Sleep information was collected using a commercial wireless bedside sleep monitor. Measures of skin temperature were evaluated using iButton skin thermistors to establish both distal and proximal skin temperatures and distal to proximal gradient. The shower intervention elevated distal skin temperature by 1.1°C (95% CI: 0.1-2.1°C, p = .04) on average prior to lights out. The elevation in distal temperature was also present during the first 30-min following lights out (1.0°C, 95% CI: 0.4-1.6°C, p < .01). The distal to proximal gradient also showed a significant effect between the conditions within the first 30-min after lights out (0.7°C, 95% CI: 0.3-1.2°C, p < .01). On average the sleep latency of the youth soccer players was -7-min lower (95% CI: -13 to -2 min, p < .01) and sleep efficiency +2% higher (95% CI: 1-3%; p < .01) in the shower condition. These findings demonstrate that a warm shower performed before lights out may offer a practical strategy to promote thermoregulatory changes that may advance sleep onset latency and improve sleep efficiency in athletes.
[Mh] Termos MeSH primário: Banhos
Higiene do Sono
Sono/fisiologia
Futebol
[Mh] Termos MeSH secundário: Adolescente
Atletas
Estudos Cross-Over
Seres Humanos
Masculino
Polissonografia
Temperatura Cutânea
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.1080/17461391.2017.1346147


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[PMID]:28414539
[Au] Autor:Andrews J
[Ad] Endereço:Director, Sedaca.
[Ti] Título:Sleep and dementia.
[So] Source:Br J Community Nurs;22(4):197-198, 2017 Apr 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cuidadores
Enfermagem em Saúde Comunitária
Demência/enfermagem
Higiene do Sono
Transtornos do Sono-Vigília/enfermagem
[Mh] Termos MeSH secundário: Agressão
Seres Humanos
Vida Independente
Noctúria/enfermagem
Enurese Noturna/enfermagem
Distribuição Espacial da População
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170418
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.4.197


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[PMID]:28267431
[Au] Autor:Fierman AH
[Ti] Título:Foreword: Sleep Regulation, Physiology and Development, Sleep Duration and Patterns, and Sleep Hygiene in Infants, Toddlers, and Preschool Age Children.
[So] Source:Curr Probl Pediatr Adolesc Health Care;47(2):27-28, 2017 02.
[Is] ISSN:1538-3199
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Higiene do Sono
Sono
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Seres Humanos
Lactente
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE


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[PMID]:28242860
[Au] Autor:Taylor BJ; Gray AR; Galland BC; Heath AM; Lawrence J; Sayers RM; Cameron S; Hanna M; Dale K; Coppell KJ; Taylor RW
[Ad] Endereço:Departments of the Dean, Dunedin School of Medicine, rachael.taylor@otago.ac.nz.
[Ti] Título:Targeting Sleep, Food, and Activity in Infants for Obesity Prevention: An RCT.
[So] Source:Pediatrics;139(3), 2017 Mar.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The few existing early-life obesity prevention initiatives have concentrated on nutrition and physical activity, with little examination of sleep. METHODS: This community-based, randomized controlled trial allocated 802 pregnant women (≥16 years, <34 weeks' gestation) to: control, FAB (food, activity, and breastfeeding), sleep, or combination (both interventions) groups. All groups received standard well-child care. FAB participants received additional support (8 contacts) promoting breastfeeding, healthy eating, and physical activity (antenatal-18 months). Sleep participants received 2 sessions (antenatal, 3 weeks) targeting prevention of sleep problems, as well as a sleep treatment program if requested (6-24 months). Combination participants received both interventions (9 contacts). BMI was measured at 24 months by researchers blinded to group allocation, and secondary outcomes (diet, physical activity, sleep) were assessed by using a questionnaire or accelerometry at multiple time points. RESULTS: At 2 years, 686 women remained in the study (86%). No significant intervention effect was observed for BMI at 24 months ( = .086), but there was an overall group effect for the prevalence of obesity ( = .027). Exploratory analyses found a protective effect for obesity among those receiving the "sleep intervention" (sleep and combination compared with FAB and control: odds ratio, 0.54 [95% confidence interval, 0.35-0.82]). No effect was observed for the "FAB intervention" (FAB and combination compared with sleep and control: odds ratio, 1.20 [95% confidence interval, 0.80-1.81]). CONCLUSIONS: A well-developed food and activity intervention did not seem to affect children's weight status. However, further research on more intensive or longer running sleep interventions is warranted.
[Mh] Termos MeSH primário: Dieta
Exercício
Obesidade Pediátrica/prevenção & controle
Higiene do Sono
[Mh] Termos MeSH secundário: Adulto
Aleitamento Materno
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Nova Zelândia
Gravidez
Sono
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE


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[PMID]:28239925
[Au] Autor:Dewa LH; Hassan L; Shaw JJ; Senior J
[Ad] Endereço:INIHR Imperial Patient Safety Translational Research Centre, Imperial College London, London, UK.
[Ti] Título:Insomnia management in prisons in England and Wales: a mixed-methods study.
[So] Source:J Sleep Res;26(3):322-329, 2017 Jun.
[Is] ISSN:1365-2869
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Insomnia in prison is common; however, research is limited regarding the management strategies that prison establishments employ. To address this knowledge gap, we conducted a survey to identify how insomnia is detected, diagnosed and treated in adult prisons in England and Wales. Telephone interviews with a purposive sample of health-care managers were then conducted. The survey was sent to all establishments holding adult prisoners, covering screening and assessment methods to detect insomnia; treatment options, both pharmacological and non-pharmacological; the importance of insomnia as a treatable condition; and staff training available. Eighty-four (73%) prisons completed the survey. Few had a stepped approach to insomnia management, as recommended by National Institute for Health and Care Excellence (NICE) guidelines. The most common treatments available were sleep hygiene education and medication, offered by 94 and 88% of respondents, respectively. Analysis of telephone interviews revealed four main themes: insomnia as a normal occurrence in prison; the problem of medication in prison; the negative impact of the prison environment; and effective management of insomnia in prison. The current findings suggest that logistical, ethical and security barriers and a lack of staff knowledge and training impact negatively on the management of insomnia in prison.
[Mh] Termos MeSH primário: Prisioneiros
Prisões
Distúrbios do Início e da Manutenção do Sono/diagnóstico
Distúrbios do Início e da Manutenção do Sono/terapia
[Mh] Termos MeSH secundário: Adulto
Inglaterra
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Entrevistas como Assunto
Masculino
Guias de Prática Clínica como Assunto
Prisioneiros/psicologia
Higiene do Sono
Distúrbios do Início e da Manutenção do Sono/tratamento farmacológico
Telefone
País de Gales
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170228
[St] Status:MEDLINE
[do] DOI:10.1111/jsr.12503


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[PMID]:28202559
[Au] Autor:Rizek P; Kumar N
[Ad] Endereço:Department of Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, Ont. philippe.rizek@trilliumhealthpartners.ca.
[Ti] Título:Restless legs syndrome.
[So] Source:CMAJ;189(6):E245, 2017 Feb 13.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Anticonvulsivantes/uso terapêutico
Terapia Cognitiva
Agonistas de Dopamina/uso terapêutico
Terapia por Exercício
Síndrome das Pernas Inquietas/terapia
[Mh] Termos MeSH secundário: Anemia/epidemiologia
Cafeína/efeitos adversos
Depressores do Sistema Nervoso Central/efeitos adversos
Estimulantes do Sistema Nervoso Central/efeitos adversos
Progressão da Doença
Etanol/efeitos adversos
Seres Humanos
Insuficiência Renal Crônica/epidemiologia
Síndrome das Pernas Inquietas/induzido quimicamente
Síndrome das Pernas Inquietas/epidemiologia
Higiene do Sono
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticonvulsants); 0 (Central Nervous System Depressants); 0 (Central Nervous System Stimulants); 0 (Dopamine Agonists); 3G6A5W338E (Caffeine); 3K9958V90M (Ethanol)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.160527



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