Sleep Study

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Phoenix Children’s Hospital is out with a new pediatric sleep study. Dr. Matthew Troester of PCH will tell us more about the study.

TED: THE AMERICAN ACADEMY OF SLEEP MEDICINE IS OUT WITH A FIRST OF ITS KIND SET OF SLEEP RECOMMENDATIONS FOR CHILDREN. DR. TROESTER, A PHYSICIAN WITH BARROW NEUROLOGICAL INSTITUTE AT PHOENIX CHILDREN'S HOSPITAL HELPED TO CREATE THEM, HE JOINS US NOW. WELCOME TO ARIZONA HORIZON.
MATHEW TROESTER: THANK YOU FOR HAVING ME.
TED: BASED ON A NATIONAL SLEEP STUDY, CORRECT?
MATHEW TROESTER: A GROUPING OF 13 EXPERTS THAT GOT TOGETHER AND REVIEWED ALL THE LITERATURE WORLDWIDE. IT WAS A REVIEW OF THE DATA WE HAVE NOW.
TED: AND YOU WERE ONE OF THE 13.
MATHEW TROESTER: YES, SIR.
TED: AND LOOKED OVER THE STUFF -- I FOUND THAT HARD TO BELIEVE. THERE'S NEVER BEEN A SET OF SLEEP RECOMMENDATIONS FOR KIDS?
MATHEW TROESTER: PROBABLY 32 OVER THE YEARS. TED: WHERE DID I GET THE FIRST ONE? MATHEW TROESTER: IT'S THE FIRST OF ITS KIND. SEVERAL OF THEM OVER THE YEARS HAVEN'T HAD A GOOD EVIDENCE BASED WHERE THEY WERE DERIVED. SO THE RECOMMENDATIONS WOULD BE JUST THE THOUGHTS OF THE EXPERT THAT DIDN'T NECESSARILY REVIEW THE MEDICAL LITERATURE. THIS IS THE FIRST TIME IT WAS REVIEWED BY 13 INDEPENDENT EXPERTS IN SLEEP IN ORDER TO COME UP WITH RECOMMENDATION TO PROMOTE OPTIMAL HEALTH.
TED: AND DID YOU SEE A WIDE VARIAITION AS FAR AS THOSE REPORTS ARE CONCERNED?
MATHEW TROESTER: VERY MUCH.
TED: HOW DID YOU COME DOWN TO A CONSENSUS?
MATHEW TROESTER: IT TOOK A YEAR AND STARTED BY REVIEWING ALMOST 900 ARTICLES AND WENT THROUGH THEM ONE BY ONE AND SUMMARIZED THEM AND TRIED TO COME UP WITH THE RECOMMENDATIONS BASED OFF THAT.
TED: HOW MUCH SLEEP FOR EACH KIDS EACH DAY. LET'S START WITH THE LITTLE ONES- FOUR MONTHS TO 12 MONTHS, HOW MANY HOURS.
MATHEW TROESTER: IDEALLY, SOMEWHERE BETWEEN 12 TO 16 HOURS OF SLEEP IN A DAY. OBVIOUSLY, THERE'S VARIATIONS ONE WAY OR THE OTHER. BUT THAT'S THE IDEAL NUMBER.
TED: THAT'S A PRETTY GOOD RANGE.
MATHEW TROESTER: THAT INCLUDES NAPS.
TED: IF JUNIOR DOESN'T WANT TO SLEEP, 12 IS GOOD, AND IF HE'S A HEAVY SLEEPER, 16 CAN WORK.
MATHEW TROESTER: YEAH.
TED: WHAT ABOUT THOSE YOUNGER THAN FOUR MONTHS?
MATHEW TROESTER: THAT'S WHERE WE COULDN'T FIND GOOD EVIDENCE. SO I HAVE A NUMBER FOR YOU, THE NUMBER IS A RANGE, PROBABLY BETWEEN A LITTLE MORE THAN 10 AND LESS THAN 20, THE NUMBER IN THERE IS PROBABLY IN THE MIDDLE, MAYBE 15, 17 HOURS, BUT WE DIDN'T FIND EVIDENCE TO SHOW THERE WAS A SLEEP TIME THAT PROMOTED GOOD HEALTH. COULDN'T FIND THAT FOR A AGE LESS THAN FOUR MONTHS.
TED: TALKING SLEEP FOR THE FOUR MONTH AND 12 MONTH OLD. 12 AND 16 HOURS STRAIGHT THROUGH OR THROUGHOUT THE DAY.
MATHEW TROESTER: IN 24 HOURS. SOME AT NIGHT AND SOME DURING A NAP.
TED: ONE TO TWO YEAR OLDS, A LITTLE LESS?
MATHEW TROESTER: 11 TO 14, WAS OUR RECOMMENDATION FOR THAT AGE GROUP.
TED: 11 TO 14. THREE TO FIVE YEAR OLDS?
MATHEW TROESTER: 10 TO 13.
TED: AND 6 TO 12 YEAR OLDS, 9 TO 12.
MATHEW TROESTER: YES.
TED: AFTER THAT, THE TEENAGER, EIGHT TO 10 HOURS OR SOME TEENAGERS, 21.
MATHEW TROESTER: EXACTLY.
TED: I MEAN, AGAIN, THERE HAS TO BE --
MATHEW TROESTER: YEAH, THERE'S A WIDE VARIATION AND TEENAGERS ARE HARD BECAUSE THEY HAVE A NATURAL CHANGE IN THEIR SLEEPING PATTERN WHERE IS THEY PREFER TO GO TO BED LATER AND WAKE UP LATER. ONE OF THE REASONS THE AMERICAN ACADEMY OF SLEEPMEDICINE ALONG WITH THE CENTER FOR DISEASE CONTROL CAME UP WITH THIS STUDY WAS BECAUSE THEY'RE LOOKING AT SCHOOL START TIMES AND IS THERE A NEED TO PUSH THOSE BACK WHEN THE KIDS ARE OLDER.
TED: AND AGAIN, THERE IS CONCERN FOR A KID WHO DOESN'T GET ENOUGH SLEEP. EVERYTHING FROM OBESITY TO DEPRESSION, DIABETES, THE WHOLE NINE YARDS.
MATHEW TROESTER: OH, YEAH, THE LACK OF SLEEP PARTICULARLY WITH BEHAVIORAL AND MENTAL HEALTH AND THE INCREASED RISK OF SUICIDE IS STRIKING AND HOW POWERFUL THE DATA WAS SUPPORTING THE NOTION THAT A LACK OF SLEEP CAN REALLY LEAD TO SIGNIFICANT PROBLEMS WITH DEPRESSION IN YOUNG KIDS.
TED: AND I IMAGINE INJURIES AS WELL.
MATHEW TROESTER: EXACTLY SO.
TED: IF A PARENT OF A THREE TO FIVE-YEAR-OLD AND YOU'RE SAYING 10 TO 15 IS OPTIMAL AND THEY'RE SAYING THE KID SLEEPS 16 HOURS OR I CAN'T GET THEM TO SLEEP MORE THAN EIGHT HOURS, SHOULD THERE BE A CONCERN?
MATHEW TROESTER: I THINK IT'S A GOOD PLACE TO START WITH A CONVERSATION WITH YOUR DOCTORS. THESE ARE JUST RECOMMENDATIONS, IF YOU FEEL YOUR CHILD ISN'T SLEEPING WELL, THAT'S A GOOD PLACE TO HAVE A CONVERSATION. THE GUIDELINES ARE MEANT TO BE A STARTING POINT. SO I THINK IF YOU AREN'T FALLING IN THAT RANGE, IT DOESN'T NECESSARILY MEAN THERE'S SOMETHING WRONG BUT IT'S A PLACE TO START A CONVERSATION AND DECIDE IF THERE'S SOMETHING ELSE THAT NEEDS TO BE DONE.
TED: AS FAR AS THE RECOMMENDATIONS, ANYTHING SURPRISE YOU?
MATHEW TROESTER: THE BEHAVIORAL HEALTH, ABOUT THE INCREASED RISK OF SUICIDE IN KIDS WHO DON'T GET ENOUGH SLEEP OF THAT WAS A SHOCKER BECAUSE I DIDN'T KNOW THAT AND IM SUPPOSED TO BE A SLEEP EXPERT. I THINK WE WERE ALL SHOCKED BY THAT.
TED: THE HOURS THEMSELVES, NOTHING TOO SURPRISING THERE?
MATHEW TROESTER: NO, I THINK -- WHAT'S INTERESTING, I THINK, EVEN OVER THE YEARS, I MENTIONED RECOMMENDATIONS GOING BACK AS FAR AS 1897. OVER THE YEARS WE'VE ALWAYS SEEMED TO RECOMMEND MORE. OVER THE COURSE OF THE LAST CENTURY, WE'VE GOTTEN LESS SLEEP PER YEAR AND SLEEPING LESS THAN 100 YEARS AGO, THE QUESTION IS DOES IT MATTER WE'RE SLEEPING LESS, ARE WE SOME WHAT BETTER ADAPTED TO IT?
TED: THE SAME FOR KIDS?
MATHEW TROESTER: YES.
TED: ANY PRECONCEIVED NOTIONS. THE OLD WIVE'S TALE, THE KID NEEDS TO DO THIS AND THIS? ARE ANY OF THEM QUASHED BY THESE RECOMMENDATIONS?
MATHEW TROESTER: AS FAR AS THINGS TO PROMOTE SLEEP, YOU MEAN? 3
TED: YES.
MATHEW TROESTER: THE BEST THING YOU CAN DO TO PROMOTE SLEEP IS TO EXERCISE IN THE MORNING IF YOU HAVE TIME. BUT -- OR EXPOSE YOURSELF TO BRIGHT LIGHT. DON'T DRINK CAFFEINE AFTER 2:00 P.M. AND USE YOUR BED ONLY FOR SLEEP AND YOUR BED ONLY FOR SLEEP AND TRY TO GO TO BED AND WAKE UP AT THE SAME TIME EVERY DAY, AND GET RID OF THE SNOOZE BUTTON.
TED: AS FAR AS EXERCISING IN THE MORNING, BETTER THAN AT NIGHT?
MATHEW TROESTER: AS LONG AS YOU'RE NOT EXERCISING, USUALLY AFTER 6:00 TO 8:00 P.M. THAT CAN MAKE IT TRICKY FOR SOME TO FALL ASLEEP.
TED: AND ONE TO TWO YEAR OLDS, FIND THE NEAREST PILLOW AND TAKE A NAP. GOOD INFORMATION GOOD TO HAVE YOU HERE.
MATHEW TROESTER: THANK YOU FOR HAVING ME.
TED: THURSDAY ON "ARIZONA HORIZON," HEAR ABOUT A GRANT TO IMPROVE HEALTHCARE FOR YOUNG ADULTS LEAVING THE JUSTICE SYSTEM AND WE'LL TALK ABOUT THE STATE OF ARIZONA'S AEROSPACE INDUSTRY. THAT'S ON THE NEXT "ARIZONA HORIZON." THAT'S IT FOR NOW, I'M TED SIMONS. THANK YOU SO MUCH FOR JOINING US. YOU HAVE A GREAT EVENING!

Dr. Matthew Troester: Phoenix Children's Hospital(PCH)

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