Adventures in the No-Fly Zone: Toddler Sleep Problems

Does your child struggle with falling asleep? Sometimes, changing the time you put her to bed can make it much easier. But you may need to go later or earlier to get the full benefit. Even though it sounds complicated, it doesn’t need to be. Fixing bedtime is one of the best ways to fix toddler sleep problems. Note that I have a whole chapter on finding your child’s ideal bedtime in my book, It’s Never Too Late to Sleep Train. 

Later bedtimes work for a lot of kids

If you’ve read my work for a while, you know I’m a big fan of matching your child’s bedtime very closely to the time she falls asleep. For a lot of kids, this means moving the bedtime later.

Imagine a 3 yo whose parents put her to bed every night at 7pm. This typically produces a short tantrum, then multiple trips out her her room where she demands a cup of water, a cuddle, or another story. In the sleep field, we call these field trips “curtain calls” and they are the hallmark of behavioral insomnia due to limit setting. (For the best curtain call ever, read about a boy you used to throw his glass eye out of his crib).

Eventually, she falls asleep by 8 pm, sweaty and tired. Perhaps her parents feel guilty for yelling at her.

This is a situation where a later bedtime will be helpful. …

New Study Establishes Normative Polysomnographic Values in Healthy Adults

A study recently published in The Lancet produced normative values for sleep data in healthy adults, which may help aid in future research, particularly when obtaining polysomnographic control data is difficult.

Researchers included 5273 participants from 169 studies that were published between 2007 and 2016 in this meta-analysis. These studies included data on polysomnographic parameters collected overnight using recent American Academy of Sleep Medicine scoring criteria.

Any studies including participants with treatments or conditions that might affect sleep were excluded. Pooled estimates of 14 polysomnographic factors constituted the study end points, using a random-effects generic inverse meta-analysis to estimate each factor. Multivariate mixed-effects meta-regressions were used to assess the effects of sex and age.

from Sleep Review…

Solve The Snoring Problem To Save A Loving Relationship

Why let snoring destroy a loving relationship? It’s totally absurd to let go of the one you love simply because of snoring.

Keep in mind that true love comes only once in a lifetime. Heck, it might not even come at all for some people. So, if it does come to you in the in the form of someone who snores, accept it wholeheartedly. Don’t let snoring break up your loving relationship. Sad to say, that’s a lot easier said than done. Truth be told, snoring can really put a strain in a relationship.

Being in the relationship itself is quite a challenge, but being in a relationship with a snorer is even harder. The same problem every night puts a great strain on the relationship. It disturbs both partners’ sleep. As a result, they feel exhausted during the day.

Snoring also leads to frustration between the couple since partner who can’t sleep well tends to blame a snorer. According to research conducted by Ohio State University, partners who don’t get at least seven hours of sleep tend to fight more. No wonder, restless nights lead to negative mood. It makes partners irritated and hostile towards each other.


Snoring not only affects the non-snorer partner. The thing about snoring is that it actually affects both the snorer and the non-snorer.

Snoring is also associated with different health risks such as chronic headaches, fatigue, obesity, and

Mets First Baseman Discovers Sleep Apnea To Blame For Underperformance On The Field

Dominic Smith was a first round draft pick for the New York Mets a couple of years ago, but the young first baseman turned out to be somewhat of a disappointment, reports CBS New York.

Then Dominic got a clue from his teammates as to what might be the problem.

“People would tell me that I would stop breathing throughout the night when I sleep, my roommates in the minor leagues and stuff like that,” said Smith.

from Sleep Review…

Study Affirms Self-reported Sleep Duration as Useful Health Measure in Children

While sleep questionnaires are commonly completed by children and their parents, there has been a lack of data comparing the validity of these self-reported sleep parameters. A new study indicates that these sleep characteristics are relatively accurate compared to one another, and they vary only slightly from objective sleep measures.


Bland-Altman plots comparing child report (blue graph) and parent-report (red graph) of total sleep time. Credit: American Academy of Sleep Medicine. Journal of Clinical Sleep Medicine volume 15, issue number 1

Results show that when compared with objective sleep characteristics recorded during overnight polysomnography, there was strong agreement between both child report and parent report: Children overestimated their sleep duration by a median of 32 minutes, and parents overestimated their child’s sleep duration by 36 minutes. Similarly, children overestimated the time it took them to fall asleep—known as “sleep latency”- by four minutes, and parents overestimated their child’s sleep latency by two minutes.

According to the authors, similar variances have been found in previous studies that used actigraphy to estimate sleep parameters in comparison with overnight polysomnography. In prior research, adults also have been found to overestimate their own sleep duration.

“Simple sleep measures such as sleep duration have been shown to be important predictors of health in children and adults,” says Daniel Combs, MD, lead author and assistant professor of pediatrics at the University of Arizona College of Medicine – Tucson and Banner – University Medical Center Tucson, in

9 Emerging Devices That Will Disrupt Health Care

Israel 21c predicts that’s Nyxoah’s leadless and minimally invasive neurostimulator for treating sleep apnea will disrupt healthcare.

The company is now gathering additional clinical evidence on Genio, initiating European market development and working toward FDA approval.

OSA is the most common form of sleep apnea, a condition estimated to affect at least 100 million people worldwide.

from Sleep Review…

Male Infertility Linked to Being Overweight, Sleep Apnea

Adrienne Gentry, Carilion reproductive endocrinology and infertility specialist, says she has seen sperm counts improve for some men a few months after starting CPAP, reports WSLS.

“Here, I’ve seen more and more male factor and I think it’s associated with men who are overweight or who have sleep apnea that hasn’t been diagnosed and treated. It’s crazy that treatment with a CPAP for two or three months completely improves their sperm to normal,” said Dr. Gentry.

from Sleep Review…

Cardiovascular Complications Risk Post-surgery Doubles for Those with Sleep Apnea

Patients who have severe obstructive sleep apnea have a significantly higher risk of complications related to their heart in the first 30 days after major surgery. This is according to a new study published in The Journal of the American Medical Association (JAMA).

“We found that the risk of postoperative complications related to their heart was 50% higher in patients with sleep apnea compared to those without sleep apnea,” says Frances Chung, MBBS, FRCPC, a clinician investigator with the Krembil Research Institute and a professor in the department of anesthesiology and pain management at the University Health Network and University of Toronto, in a release.

During obstructive sleep apnea, the upper airway is blocked by the tongue and surrounding tissues during sleep, which may result in a lack of oxygen to the brain. “As a result, in the general population, obstructive sleep apnea is associated with a higher risk of cardiovascular complications including high blood pressure, angina, irregular heartbeat, heart failure, and sudden death,” says Chung. “In this study, we wanted to determine whether sleep apnea would pose a similar risk to surgical patients.”

Key Findings

  • The authors identified 1,218 pre-surgical patients newly diagnosed with sleep apnea and followed them for 30 days after their surgery.
  • These surgical patients had a 50% higher risk of complications related to their heart. The authors believe this is due to the sleep apnea going undiagnosed and untreated.
  • On further analysis, patients with

Look After Your Mental Health

There’s a close relationship between sleep and mental health. Lack of sleep can affect mental health but mental health problems can also affect how well you sleep – both the quantity and the quality of it – so it’s extremely important to address both issues. This week it is Mental Health Awareness Week (13-19 May […]

The post Look After Your Mental Health appeared first on The Sleep Council.

from The Sleep Council…

Low-flow PAP System Partners with Software Platform to Add Cloud Connectivity, Develop Patient App

FRESCA Medical, which makes a low-flow positive airway pressure system for obstructive sleep apnea that expects to launch in the United States in 2020, and Galen Data have partnered to provide cloud connectivity and development of FRESCA’s patient mobile app.

The partnership will leverage the Galen Data cloud platform solution with FRESCA Medical’s PAP system, which has patented SmartValve technology that enables the system to treat sleep apnea with less airflow than conventional CPAP systems. Working together, Galen and FRESCA will launch a cloud-connected sleep platform with features for patients and providers.

“FRESCA Medical is committed to developing effective for sleep apnea sufferers who do not want or cannot tolerate the currently available therapies,” says John Cox, president and CEO of FRESCA Medical, in a release. “CPAP is effective, but is plagued by patient dissatisfaction and treatment abandonment. Quality sleep is fundamental to good health, and new treatment options are urgently needed in our healthcare armamentarium. The medical device market is already one of the largest applications for cloud-based patient monitoring and engagement. The goal of this partnership is to leverage the latest connected health technology with a patient and provider-friendly solution, to improve care, increase treatment utilization, and lower healthcare costs.”

Building custom medical device connectivity infrastructure that meets FDA regulations can potentially increase costs and add unnecessary risks for companies that lack the required knowledge, technical expertise, and internal resources. Galen Data’s configurable connectivity platform and managed solution