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Objective <p>This study aims to compare problems with falling asleep in adolescents with obesity who have either atrial ectopic or sinus rhythms.</p> Patients and methods <p>The study comprised&#xa0;22 adolescents (12&#xa0;boys, 10&#xa0;girls; median age 15.0 years) with obesity due to excess calories and atrial ectopic rhythms (AER) who did not have inborn malformations, chronic diseases other than obesity, or coexisting acute disease. The control group consisted of 99&#xa0;adolescents (60&#xa0;boys and 39&#xa0;girls; median age 14.0 years) with obesity and sinus rhythm. Problems falling asleep were evaluated using the Adolescent Sleep–Wake Scale (ASWS).</p> Results <p>Adolescents with AER had significantly lower values (worse) in falling asleep quality (median 3.33&#xa0;points) compared to controls (median 3.67; <i>p</i> = 0.040). With every 1‑point increase in the falling asleep quality score, the odds of AER decreased by 2.7&#xa0;times (95% CI: 1.1–7.69). This effect remained significant after adjusting for age, sex, diagnosed obstructive sleep apnea, and body mass index.</p> Conclusion <p>Adolescents with obesity and AER had more problems in falling asleep. To maximize treatment outcomes, attention to sleep problems is required.</p>

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Sleep problems and atrial arrhythmias in adolescent patients with obesity

  • 期刊论文

  • 发表日期：

    2025年4月29日

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  • Igor A. Kelmanson

摘要

Objective

This study aims to compare problems with falling asleep in adolescents with obesity who have either atrial ectopic or sinus rhythms.

Patients and methods

The study comprised 22 adolescents (12 boys, 10 girls; median age 15.0 years) with obesity due to excess calories and atrial ectopic rhythms (AER) who did not have inborn malformations, chronic diseases other than obesity, or coexisting acute disease. The control group consisted of 99 adolescents (60 boys and 39 girls; median age 14.0 years) with obesity and sinus rhythm. Problems falling asleep were evaluated using the Adolescent Sleep–Wake Scale (ASWS).

Results

Adolescents with AER had significantly lower values (worse) in falling asleep quality (median 3.33 points) compared to controls (median 3.67; p = 0.040). With every 1‑point increase in the falling asleep quality score, the odds of AER decreased by 2.7 times (95% CI: 1.1–7.69). This effect remained significant after adjusting for age, sex, diagnosed obstructive sleep apnea, and body mass index.

Conclusion

Adolescents with obesity and AER had more problems in falling asleep. To maximize treatment outcomes, attention to sleep problems is required.