Sleep Medicine

Behavioral interventions modestly reduce sleep problems in youths with ADHD

Meta-analysis of 40 RCTs (n=4361) found small but significant improvement in sleep disturbance (SMD -0.30, 95% CI -0.42 to -0.17). Sleep onset latency improved overall (SMD -0.41), with sleeping pills showing larger SOL effects but limited overall benefit. Behavioral sleep interventions produced the largest reductions in sleep disturbance (SMD -0.48). Authors recommend multi-component, tailored interventions for children and adolescents with ADHD, noting more rigorous evidence is still needed. 1

Shift work raises odds of sleep disturbances across occupations

Systematic review/meta-analysis of 22 cross-sectional studies (n=21,677) found shift work associated with higher odds of sleep disturbances (OR 1.42, 95% CI 1.24–1.62). Adjusted analyses yielded similar effect estimates (OR 1.41), with rotating shifts (OR 1.48) and night shifts ≤8 hours (OR 1.77) showing the strongest associations. Healthcare workers had higher odds (OR 1.56). Findings support workplace-targeted sleep health strategies for vulnerable shift schedules and occupations. 2

Environmental impact of OSA care is underreported but actionable opportunities exist

Systematic review identified 19 primary studies, but only one reported quantitative environmental metrics related to telemedicine CO2 savings. Available evidence implicates disposables, device electricity, and patient travel as main contributors to OSA care carbon footprint. Authors highlight opportunities from virtual care, home testing, and equipment optimization to reduce emissions and waste. They call for routine incorporation of environmental metrics into future diagnostic and treatment pathway evaluations. 3