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Empirical research evaluating the effects of non-traditional approaches to enhancing sleep in typical and clinical children and young people.

Sleep medicine reviews
June 1, 2018
Karyn G France et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of non-traditional interventions, including bright light therapy, for improving sleep in children and young people (0-18 y).

Results Summary

Bright light therapy returned some positive results, though the evidence was not conclusive, and further rigorous research is warranted. The study noted that poorer quality studies were more likely to report positive outcomes.

Population

Children and young people aged 0-18 years.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (17)
InterventionDirectionEndpointPopulationDosageImpactClaim #
aromatherapy
increase
sleep
children and young people (0-18 y)
-
promising indications
#1
ketogenic diets
increase
sleep
children and young people (0-18 y)
-
promising indications
#2
an elimination diet (few foods diet)
increase
sleep
children and young people (0-18 y)
-
promising indications
#3
elimination of cow's milk
increase
sleep
children and young people (0-18 y)
-
promising indications
#4
avoidance of caffeine
increase
sleep
children and young people (0-18 y)
-
promising indications
#5
tryptophan with adenosine and uridine
increase
sleep
children and young people (0-18 y)
-
promising indications
#6
omega-3 and omega-6
increase
sleep
children and young people (0-18 y)
-
promising indications
#7
valerian
increase
sleep
children and young people (0-18 y)
-
promising indications
#8
music
increase
sleep
children and young people (0-18 y)
-
promising indications
#9
osteopathic manipulation
increase
sleep
children and young people (0-18 y)
-
promising indications
#10
white noise
increase
sleep
children and young people (0-18 y)
-
promising indications
#11
bright light therapy
increase
sleep
children and young people (0-18 y)
-
returned some positive results
#12
massage
increase
sleep
children and young people (0-18 y)
-
returned some positive results
#13
acupressure or acupuncture
no change
sleep
children and young people (0-18 y)
-
limited or no evidence to support
#14
other diets or dietary supplements
no change
sleep
children and young people (0-18 y)
-
limited or no evidence to support
#15
exercise
no change
sleep
children and young people (0-18 y)
-
limited or no evidence to support
#16
weighted blankets
no change
sleep
children and young people (0-18 y)
-
limited or no evidence to support
#17
Abstract

This paper examines the effects of non-traditional (non-behavioural and non-prescription pharmaceutical) approaches to sleep in children and young people (0-18 y). A systematic search identified 79 studies that met inclusion criteria. Seventeen percent of the studies were rated as having a conclusive level of evidence, forty-two percent with preponderant evidence and forty-one percent with only suggestive evidence. There were promising indications, with certain populations only, for aromatherapy, ketogenic diets, an elimination diet (few foods diet), elimination of cow's milk, avoidance of caffeine, tryptophan with adenosine and uridine, omega-3 and omega-6, valerian, music, osteopathic manipulation and white noise. Bright light therapy and massage returned some positive results. All of these interventions warrant further, more rigorous research. There was limited or no evidence to support acupressure or acupuncture, other diets or dietary supplements, exercise or weighted blankets. Caution is needed in interpreting some studies because poorer quality studies were more likely to return positive results. Suggestions are made for the improvement of large and smaller scale research, especially conceptualization around multiple physiological measures of sleep and the adoption of research methods which are of use in clinical settings.

Medical Subject Headings (MeSH)
AdolescentChildComplementary TherapiesEmpirical ResearchHumansSleep
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year2.1
Relative Citation Ratio0.96
NIH Percentile48.6%
Research Impact Scores
APT Score0.50
Weight Score2.00
Normalized Score0.61
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