Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis
Itching due to atopic dermatitis causes sleep disorders in children, but its pathology is unknown. The aim of this study is to investigate nocturnal scratching as an indirect index of itching during sleep and its relationship with depth of sleep in children with atopic dermatitis. Nocturnal scratchi...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2023-10-01
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| Series: | Acta Dermato-Venereologica |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/actadv/article/view/12345 |
| _version_ | 1827786699530305536 |
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| author | Akiko Sugiyama Yoko Murakami Kazuaki Okamoto Hiroshi Nakano Masatoshi Wakatsuki Toshiaki Kawano Yuko Akamine Mihoko Iwata Chikako Motomura Kaoru Kojima Makiko Oda Satoshi Honjo Hiroshi Odajima Takeshi Nakahara Masutaka Furue Akihiko Ikoma |
| author_facet | Akiko Sugiyama Yoko Murakami Kazuaki Okamoto Hiroshi Nakano Masatoshi Wakatsuki Toshiaki Kawano Yuko Akamine Mihoko Iwata Chikako Motomura Kaoru Kojima Makiko Oda Satoshi Honjo Hiroshi Odajima Takeshi Nakahara Masutaka Furue Akihiko Ikoma |
| author_sort | Akiko Sugiyama |
| collection | DOAJ |
| description | Itching due to atopic dermatitis causes sleep disorders in children, but its pathology is unknown. The aim of this study is to investigate nocturnal scratching as an indirect index of itching during sleep and its relationship with depth of sleep in children with atopic dermatitis. Nocturnal scratching was measured in a total of 20 children with atopic dermatitis, using a smartwatch installed with the application Itch Tracker. Depth of sleep was analysed using polysomnography. The severity of atopic dermatitis was scored using Eczema Area and Severity Index (EASI) and Patient-Oriented Eczema Measure (POEM). The number and time of nocturnal scratching measured by Itch Tracker had a significantly positive correlation with EASI scores, whereas POEM scores were not correlated with EASI scores. Mean sleep efficiency was 90.0% and scratching episodes (n = 67) started mainly during the awake stage or light sleep stages. In the scratching episodes that started during sleep stages (n = 34), the sleep stage changed to a lighter one or to the awake stage in 35.5% of episodes. Itch Tracker is applicable to measure nocturnal scratching in children. Nocturnal scratching can deteriorate quality of sleep by changing the sleep stage to a lighter one or to the awake stage.
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| first_indexed | 2024-03-11T16:37:56Z |
| format | Article |
| id | doaj.art-3c6c2bbfa527494fbb33f71d112dc282 |
| institution | Directory Open Access Journal |
| issn | 0001-5555 1651-2057 |
| language | English |
| last_indexed | 2024-03-11T16:37:56Z |
| publishDate | 2023-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Dermato-Venereologica |
| spelling | doaj.art-3c6c2bbfa527494fbb33f71d112dc2822023-10-23T10:29:46ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572023-10-0110310.2340/actadv.v103.12345Nocturnal Scratching and Quality of Sleep in Children with Atopic DermatitisAkiko Sugiyama0Yoko Murakami1Kazuaki Okamoto2Hiroshi Nakano3Masatoshi Wakatsuki4Toshiaki Kawano5Yuko Akamine6Mihoko Iwata7Chikako Motomura8Kaoru Kojima9Makiko Oda10Satoshi Honjo11Hiroshi Odajima12Takeshi Nakahara13Masutaka Furue14Akihiko Ikoma15Department of Allergology and Dermatology, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanMaruho Co. Ltd. Osaka, JapanSleep Disorders Center, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan Sleep Disorders Center, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan Sleep Disorders Center, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan Sleep Disorders Center, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Clinical Research, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Clinical Research, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan, Department of Clinical Research, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Pediatrics, National Hospital Organization, Fukuoka National Hospital, Fukuoka, JapanDepartment of Dermatology, Kyushu University, Fukuoka, JapanDepartment of Dermatology, Kyushu University, Fukuoka, JapanMaruho Co. Ltd. Osaka, JapanItching due to atopic dermatitis causes sleep disorders in children, but its pathology is unknown. The aim of this study is to investigate nocturnal scratching as an indirect index of itching during sleep and its relationship with depth of sleep in children with atopic dermatitis. Nocturnal scratching was measured in a total of 20 children with atopic dermatitis, using a smartwatch installed with the application Itch Tracker. Depth of sleep was analysed using polysomnography. The severity of atopic dermatitis was scored using Eczema Area and Severity Index (EASI) and Patient-Oriented Eczema Measure (POEM). The number and time of nocturnal scratching measured by Itch Tracker had a significantly positive correlation with EASI scores, whereas POEM scores were not correlated with EASI scores. Mean sleep efficiency was 90.0% and scratching episodes (n = 67) started mainly during the awake stage or light sleep stages. In the scratching episodes that started during sleep stages (n = 34), the sleep stage changed to a lighter one or to the awake stage in 35.5% of episodes. Itch Tracker is applicable to measure nocturnal scratching in children. Nocturnal scratching can deteriorate quality of sleep by changing the sleep stage to a lighter one or to the awake stage. https://medicaljournalssweden.se/actadv/article/view/12345atopic dermatitiitchingItch Trackerpediatric patientspolysomnographyscratching |
| spellingShingle | Akiko Sugiyama Yoko Murakami Kazuaki Okamoto Hiroshi Nakano Masatoshi Wakatsuki Toshiaki Kawano Yuko Akamine Mihoko Iwata Chikako Motomura Kaoru Kojima Makiko Oda Satoshi Honjo Hiroshi Odajima Takeshi Nakahara Masutaka Furue Akihiko Ikoma Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis Acta Dermato-Venereologica atopic dermatiti itching Itch Tracker pediatric patients polysomnography scratching |
| title | Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis |
| title_full | Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis |
| title_fullStr | Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis |
| title_full_unstemmed | Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis |
| title_short | Nocturnal Scratching and Quality of Sleep in Children with Atopic Dermatitis |
| title_sort | nocturnal scratching and quality of sleep in children with atopic dermatitis |
| topic | atopic dermatiti itching Itch Tracker pediatric patients polysomnography scratching |
| url | https://medicaljournalssweden.se/actadv/article/view/12345 |
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