Bisexual Adults Have Highest Prevalence of Sleep Problems in NYC Survey

MedicalResearch.com Interview with:

Dustin T. Duncan, ScD Associate Professor Director, NYU Spatial Epidemiology Lab Department of Population Health NYU School of Medicine NYU Langone Health

Dr. Duncan

Dustin T. DuncanScD
Associate Professor
Director, NYU Spatial Epidemiology Lab
Department of Population Health
NYU School of Medicine
NYU Langone Health

MedicalResearch.com: What is the background for this study?

Response: Sleep and sleep hygiene have emerged as one of the major determinants of health and wellbeing (alongside good diet, regular exercise, and not smoking). However, a small number of studies have used population-representative samples to examine sexual orientation disparities in sleep. Our study aimed to fill this gap in knowledge.
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Structural Brain Changes in Sleep Apnea Linked to Cognitive Decline

MedicalResearch.com Interview with:
“Woman sleeping” by Timothy Krause is licensed under CC BY 2.0Nathan E. Cross PhD, first author
School of Psychology.
Sharon L. Naismith, PhD, senior author
Leonard P Ullman Chair in Psychology
Brain and Mind Centre
Neurosleep, NHMRC Centre of Research Excellence
The University of Sydney, Australia 

MedicalResearch.com: What is the background for this study? What are the main findings? 

Response: Between 30 to 50% of the risk for dementia is due to modifiable risk factors such depression, hypertension, physical inactivity, obesity, diabetes and smoking.

In recent years, multiple longitudinal cohort studies have observed a link between sleep apnoea and a greater risk (1.85 to 2.6 times more likely) of developing cognitive decline and dementia.  Furthermore, one study in over 8000 people also indicated that the presence of obstructive sleep apnoea (OSA) in older adults was associated with an earlier age of cognitive decline, and that treatment of OSA may delay the onset of cognitive impairment.

This study reveals important insights into how sleep disorders such as OSA may impact the brain in older adults, as it is associated with widespread structural alterations in diverse brain regions. We found that reduced blood oxygen levels during sleep are related to reduced thickness of the brain’s cortex in both the left and right temporal areas – regions that are important in memory and are early sites of injury in Alzheimer’s disease. Indeed, reduced thickness in these regions was associated with poorer ability to learn new information, thereby being the first to link this structural change to memory decline. Continue reading

Why Does Driving Make Us Sleepy?

MedicalResearch.com Interview with:
“Driving...” by Stig Nygaard is licensed under CC BY 2.0Prof. Stephen R Robinson PhD
Discipline Leader, Psychology
School of Health and Biomedical Sciences
RMIT University
Australia

MedicalResearch.com: What is the background for this study?

Response: Around the world, driver drowsiness and fatigue are estimated to contribute to 250,000 deaths on the road per year. Current research in this area has focused on detecting when drivers become drowsy, by examining their eye movements or steering patterns, and then alerting the driver with a warning tone or vibration of the steering wheel. Rather than this reactive approach, we are interested in helping to prevent drivers from becoming drowsy in the first place.

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REMfresh® Study (CRA-melatonin™) Advances Use of Melatonin for Sleep Complaints

MedicalResearch.com Interview with:
David C. Brodner, M.D.
Founder and Principle Physician, The Center for Sinus, Allergy, and Sleep Wellness
Double Board-Certified in Otolaryngology (Head and Neck Surgery) and Sleep Medicine
Assistant Clinical Professor, Florida Atlantic University College of Medicine
Medical Director, Good Samaritan Hospital Sleep Laboratory
Senior Medical Advisor, Physician’s Seal, LLC®

MedicalResearch.com: What is the background for this study?

Response: Melatonin is produced by the pineal gland in the brain and is the body’s natural sleep ingredient. Melatonin levels normally begin to rise in the mid-to late evening and remain high for the majority of the night. Levels begin to decline towards early morning, as the body’s wake cycle is triggered. Research shows that as people age, melatonin levels can drop by as much as 70 percent and their bodies may no longer produce enough melatonin to ensure adequate sleep.

Other available products, such as immediate-release melatonin, help initiate the onset of sleep but are usually unable to sustain prolonged sleep maintenance due to an immediate burst of melatonin, which is quickly degraded due to its relatively short half-life (60 minutes). Absorption in the lower digestive tract is limited by melatonin’s limited ability to be absorbed in a low acidity or neutral pH environment.

This post-marketing REMfresh® Patient Reported Outcomes DURation (REMDUR) study was designed to obtain real-world evidence about patients’ sleep patterns, duration of sleep before and after REMfresh® (CRA-melatonin), daily REMfresh® (CRA-melatonin) use, onset of action, sleep maintenance, quality of sleep, and overall satisfaction with REMfresh® (CRA-melatonin). Patients with sleep disturbances in the general population who received a sample of CRA-melatonin (REMfresh®) from their physicians were invited to complete a 12-question survey. Survey responses were received from 500 patients.

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Allergic Rhinitis Can Impair Adolescent Sleep and School Performance

MedicalResearch.com Interview with:

Michael S. Blaiss, MD, FACAAI Executive Medical Director American College of Allergy, Asthma & Immunology Arlington Heights, IL 60005

Dr. Blaiss

Michael S. Blaiss, MD, FACAAI
Executive Medical Director
American College of Allergy, Asthma & Immunology
Arlington Heights, IL 60005

MedicalResearch.com: Is this research important? Why or why not?

Response: There has not been a comprehensive review of how allergic rhinitis impacts the adolescent population. Most studies put adolescents in with children and yet we know that how disease affects adolescents may be dramatically different than children. Adolescents is a difficult enough time with a chronic condition

MedicalResearch.com: What is the key take-home message?

Response: The symptoms associated with nasal and eye allergies can be different in adolescents compared with adults and children and lead to poor quality of life and impair learning in school. Adolescents with AR/ARC may experience difficulties falling asleep, night waking, and snoring, and generally have poorer sleep. Therefore health care providers need to aggressively control the adolescent’s allergic rhinitis.  Continue reading

Sleep Deprivation Leads to Build Up of Junk Amyloid in Brain

MedicalResearch.com Interview with:

Nora D. Volkow MD Senior Investigator Laboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism National Institutes of Health, Bethesda, MD 20892

Dr. Nora Volkow

Nora D. Volkow MD
Senior Investigator
Laboratory of Neuroimaging, National Institute on Alcohol Abuse and Alcoholism
National Institutes of Health, Bethesda, MD 20892

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Findings from animal studies had shown that sleep deprivation increased the content of beta-amyloid in brain, which is a risk factor for Alzheimer’s disease.  We wanted to test whether this also happened in the human brain after one night of sleep deprivation. We found that indeed one night of sleep deprivation led to an accumulation of beta amyloid in the human brain, which suggest that one of the reasons why we sleep is to help clean our brain of degradation products that if not removed are toxic to brain cells.  Continue reading

Night Owls Risk Dying Early

MedicalResearch.com Interview with:
“Sleep” by Spencer Smith is licensed under CC BY 2.0Kristen L. Knutson, PhD

Associate Professor
Center for Circadian and Sleep Medicine
Department of Neurology
Northwestern University Feinberg School of Medicine
Chicago, IL  60611​

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Previous research has shown that “night owls” (people who prefer the evening) have higher rates of diseases such as diabetes or high blood pressure.  We wanted to determine whether mortality risk was also higher in night owls. We used data from the UK Biobank of almost a half million people who were asked whether they were morning or evening types.

We found that the night owls had a 10% increased risk of dying over a 6 ½ year period compared to the morning types, even after taking into account existing health problems.

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As We Age, Our Circadian Clock Becomes Less Sensitive To Light, Leading To Sleep Problems

MedicalResearch.com Interview with:
“Woman sleeping” by Timothy Krause is licensed under CC BY 2.0Dr Gurprit S. Lall BSc, MSc, PhD, PGCHE, FHEA

Medway School of Pharmacy
Interim Deputy Head of School
Senior Lecturer in Pharmacology
Director of Graduate Studies (Research),
University of Kent at Medway
Chatham Maritime, Chatham, Kent

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Medical advancement in prevention and diagnosis of disease has increased life expectancy significantly, thus generating an ageing population far greater than previously seen.  Because of this, it is essential that we begin to understand the ageing process, together with the health implications associated with senescence.  Recent research has found that changes in the circadian clock, located in the brain, play a contributing role in the decline of many physiological and behavioural traits observed through the ageing process.  One example of this, which is commonly seen in the elderly is a decline in sleep-wake cycle regulation; typically presenting as disrupted sleeping patterns.

The circadian clock, in mammals, possesses the ability to integrate our social lifestyle choices with the environmental day-night cycle to generate a 24-hour rhythm to which our physiological functions are synchronised.  It is this synchronisation that plays a vital role in regulating many of our behavioural outputs, such as sleeping-wake patterns.  This clock takes its strongest timing cue from the natural day night cycle governed by the duration of daily sunlight.

Our study investigated the changes in the interpretation of this light signal by the circadian clock as we age and its impact on function.  We found that the clock became less responsive to light stimuli at both the level of clock cells and at driving behavioural activity.  We were able to narrow this down to changes in the proteins within cells that relay light information to the molecular time setting machinery.  In detail, light signals are relayed to the clock through an excitatory neurotransmitter called glutamate and this signal is predominantly relayed through NMDA receptors located on the surface of clock cells.  It is the configuration of the NMDA receptor that alters as we age and this leads to the clock becoming less responsive to light.

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Perimenopause: Oral Micronized Progesterone May Reduce Hot Flashes, Night Sweats and Sleep Problems

MedicalResearch.com Interview with:

Jerilynn C. Prior, MD Professor in the Department of Medicine Division of Endocrinology and Metabolism University of British Columbia in Vancouver

Dr. Prior

Jerilynn C. Prior, MD
Professor in the Department of Medicine
Division of Endocrinology and Metabolism
University of British Columbia in Vancouver

Dr. Prior has written the second edition of the award-winning book, Estrogen’s Storm Season—Stories of Perimenopause this year as an ebook on Google Play.


MedicalResearch.com: What is the background for this study?

Response: There is an urgent need for an effective therapy for perimenopausal hot flushes/flashes and night sweats (vasomotor symptoms, VMS). Although often considered “estrogen deficiency symptoms” VMS are common and very problematic for women in the menopause transition and who have not yet been one year without flow. About 23% of North American women are now in the perimenopausal age range. Surprisingly VMS are more common in perimenopause than in menopause; 9% of perimenopausal women have severe VMS as classified by the FDA, meaning more than 50 VMS per week of moderate to intense severity.

The commonly used therapies for VMS in midlife women have not been proven more effective than placebo! That includes combined hormonal contraceptives (CHC) and menopausal-type hormone therapy (MHT) as well as the SSRI/SNRI anti-depressants and gabapentin.  Continue reading

Does Caffeine Really Affect Your Sleep?

MedicalResearch.com Interview with:
Coffee being poured Coffee pot pouring cup of coffee. copyright American Heart AssociationJulia F. van den Berg, PhD

Leiden University, Department of Clinical Psychology
Leiden, The Netherlands 

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Caffeine is the most used psychoactive substance worldwide, mostly consumed via coffee, energy drinks, tea and chocolate. Experimental studies have shown that caffeine can negatively affect sleep quality. The timing of caffeine consumption may play a role; the closer to bedtime, the more caffeine consumption is  likely to have a negative effect on sleep. We also wondered if chronotype, being a morning or evening person, would make a difference in the effect of caffeine on sleep.

We sent out questionnaires on sleep quality, chronotype, and a detailed questionnaire on type and timing of caffeine use to 880 secondary education students (mean age 21.3 years). We found that for the entire group, the amount of caffeine per week was not associated with sleep quality, regardless of chronotype. However, when we divided the group into subgroups of students who did, and students who did not usually consume caffeine in the evening (after 6PM), we found something interesting. Only for students who did not consume caffeine in the evening (20% of the total sample), a higher total caffeine consumption per week was associated with poorer sleep, in spite of the fact that these students consumed a lot less  caffeine per week than the group who did consume caffeine in the evening.

This suggests a self-regulatory mechanism: students who know they are sensitive to caffeine do not drink it in the evening, nevertheless, the caffeinated beverages they drink during the day do affect their sleep.

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Majority of Middle and High School Students Do Not Get Enough Sleep on School Nights

MedicalResearch.com Interview with:
“He isn't sleeping, he is mad. When we don't get our way pouting always works (okay.. It's worth a try at least!) #kids #dad #father #family #funny #like #parenting #photooftheday #instaphoto #instacute” by dadblunders is licensed under CC BY 2.0Anne G. Wheaton, Ph.D.
Epidemiologist
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Population Health
Epidemiology and Surveillance Branch
Atlanta, GA  30341-3717

MedicalResearch.com: What is the background for this study?

Response: Insufficient sleep among children and adolescents is associated with an increased risk for obesity, diabetes, injuries, poor mental health, and attention and behavior problems.

In previous reports, CDC had found that, nationwide, approximately two thirds of U.S. high school students report sleeping <8 hours per night on school nights. CDC conducted this study to provide state-level estimates of short sleep duration on school nights among middle school and high school students using age-specific recommendations from the American Academy of Sleep Medicine (AASM). AASM has recommended that children aged 6–12 years should regularly sleep 9–12 hours per 24 hours and teenagers aged 13–18 years should sleep 8–10 hours per 24 hours for optimal health.

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Only An Hour Of Daily Social Media Linked To Decreased Sleep in Adolescents

MedicalResearch.com Interview with:
“social media” by Jessie James is licensed under CC BY 2.0Jean-Philippe Chaput, Ph.D.

Associate Professor of Pediatrics, University of Ottawa
Research Scientist, Healthy Active Living and Obesity Research Group
Children’s Hospital of Eastern Ontario Research Institute
Ontario, Canada

 

 MedicalResearch.com: What is the background for this study? What are the main findings?

Response: No studies to date have examined the association between social media use (e.g., Facebook, Twitter, Instagram) and sleep duration in a representative sample of middle and high school students, who are a vulnerable age group that has reported high levels of social media use and insufficient sleep.

Our findings suggest an important association between the use of social media and short sleep duration among student aged 11-20 years. Using social media for at least one hour per day was associated with short sleep duration in a dose-response manner.    Continue reading

Bright Light Exposure Improved Sleep In Cancer Patients

MedicalResearch.com Interview with:

Lisa M. Wu, Ph.D. Assistant Professor Northwestern University Feinberg School of Medicine Department of Medical Social Sciences Chicago, Illinois 60611

Dr. Lisa Wu

Lisa M. Wu, Ph.D.
Assistant Professor
Northwestern University
Feinberg School of Medicine
Department of Medical Social Sciences
Chicago, Illinois 60611

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Sleep disturbances are reported by cancer patients at a significantly higher rate than in the general population. Among post‐treatment cancer survivors, 23% to 44% experience insomnia symptoms even years after treatment. Sleep disturbances are most commonly treated with medications which many cancer patients are reluctant to add to the large group of medications already prescribed. Furthermore, systematic light exposure intervention is less burdensome than other non‐pharmacologic interventions for sleep disturbance.

In a pilot study, systematic light exposure intervention (i.e., bright white light from a small light source for 30 minutes each morning for 4 weeks) with a mixed group of fatigued cancer survivors was significantly more effective than comparison dim light exposure in improving sleep efficiency (i.e., clinically large effects). Medium to large effect sizes were also seen in self‐reported sleep quality, total sleep time, and wake time. Results support the conclusion that systematic light exposure intervention has considerable promise for reducing negative side effects among cancer survivors.

MedicalResearch.com: What should readers take away from your report?

Response: Resulting improvement in sleep efficiency was sustained to 3 weeks post‐intervention. Moreover, sleep efficiency in thebright light group improved to clinically normal levels on average (>85%) by the end of the intervention; this improvement was observed even 3 weeks afterward. The comparison dim light group remained at low sleep efficiency levels on average for the entire study.

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response:Systematic light exposure using bright white light is a low cost and easily disseminable intervention that offers a feasible and potentially effective alternative to improve sleep in cancer survivors, particularly for those who are fatigued. Future large-scale studies are warranted.

MedicalResearch.com: Is there anything else you would like to add?

Response: Lisa M. Wu, Ph.D. was lead author on the manuscript. William H. Redd, Ph.D. at the Icahn School of Medicine of Mount Sinai was the principal investigator of the study itself. This study was conducted at Mount Sinai.
Lisa Wu’s Primary Job Title: Assistant Professor

Lisa Wu’s Primary Affiliation: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine and Member of the Robert H. Lurie Comprehensive Cancer Center, Northwestern University

Lisa Wu’s Secondary Affiliation: Adjunct Assistant Professor, Department of Population Health Science and Policy, Icahn School of Medicine at
Mount Sinai (where the study was conducted).
William Redd’s Affiliation: Professor, Department of Population Health Science and Policy, Icahn School of Medicine at
Mount Sinai.

Citations:

Lisa M. Wu, Ali Amidi, Heiddis Valdimarsdottir, Sonia Ancoli-Israel, Lianqi Liu, Gary Winkel, Emily E. Byrne, Ana Vallejo Sefair, Alejandro Vega, Katrin Bovbjerg, William H. Redd. The Effect of Systematic Light Exposure on Sleep in a Mixed Group of Fatigued Cancer Survivors. Journal of Clinical Sleep Medicine, 2018; 14 (01): 31 DOI: 10.5664/jcsm.6874

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Program Improves Sleep For Mothers Hospitalized For Delivery

MedicalResearch.com Interview with:
“Now I’m having contractions.” by Remus Pereni is licensed under CC BY 2.0Kathryn A. Lee, RN, CBSM, PhD
Department of Family Health Care Nursing
University of California at San Francisco
San Francisco, California 

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Sleep deprivation can adversely affect health and wellbeing in any patient population.

In pregnancy, adverse outcomes may include preterm birth, longer labor, cesarean birth, and depression.

We found that women with high-risk pregnancies were sleep deprived even prior to hospitalization. Our sample averaged 29 weeks gestation, and half reported getting only between 5 and 6.5 hours of sleep at home before hospital admission. Our sleep hygiene intervention strategies gave them more control over the environment in their hospital room, and they self-reported significantly better sleep than controls. Interestingly, both groups increased their sleep time to almost 7 hours at night, on average, in the hospital before they were discharged home.

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Parents Encouraged To Keep Screen Devices Out Of Kids’ Bedrooms At Night

MedicalResearch.com Interview with:
“Video Game Addicts” by Michael Bentley is licensed under CC BY 2.0Dr. Marsha Novick, MD

Associate professor of pediatrics and family and community medicine,
Penn State College of Medicine 

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: The results of this study solidify some well-established data concerning childhood obesity – namely that children who watch more television and have a more sedentary lifestyle are more likely to have an overweight or obese BMI compared with those who are more active. The survey results highlight some associations between increased technology use and difficulty with sleep quantity in children and adolescents.

The data suggest:

  • ​​Increased technology use at bedtime, namely television, cell phones, video games and computers, is associated with a decrease in the amount of sleep children are getting. These children were more likely to be tired in the morning and less likely to eat breakfast.
  • Specifically, children who reported watching TV or playing video games before bed got an average of 30 minutes less sleep than those who did not, while kids who used their phone or a computer before bed averaged an hour less of sleep than those who did not.
  • The data also suggests that children with overweight or obesity were more likely to have trouble falling asleep and trouble staying asleep than their normal BMI counterparts
  • When children were reported by their parents to use one form of technology at bedtime, they were more likely to use another form of technology as well.

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Starting School Before 8:30 AM Associated With More Anxiety and Depression in Adolescents

MedicalResearch.com Interview with:
Jack Peltz, Ph.D.

Clinical assistant professor in Psychiatry
Rochester Medical Center

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Approximately 90% of high-school aged adolescents get either
insufficient sleep during school nights or barely meet the required
amount of sleep (ie, 8–10 hours) expected for healthy functioning.(1)

In fact, sleep problems and insufficient sleep are so pervasive for
adolescents that they could be considered an epidemic due to their
adverse impact on adolescent mental and physical health.(2–5)

As a result,addressing insufficient adolescent sleep represents a critical
point of study and intervention. The growing body of evidence suggests
that later school start times (SST), 8:30 AM or later as recommended
by the American Academy of Pediatricians,6 convey
multiple benefits on adolescents, including improved sleep, better
mental and physical health, and improved academic outcomes.(7–10)

This research, however, has focused on the direct effects of delaying
school start times, or specifically how moving SST back directly predicts changes
in an outcome (eg, mental health, academic achievement). This
type of analysis precludes examining the important role that SST
might play as a condition or context under which other sleeprelated
processes take place. For instance, earlier school start times might exacerbate
the impact of sleep-related processes on adolescent behavioral
health outcomes. Thus, incorporating school start times as a larger contextual variable
that might moderate models of sleep and adolescent functioning
represents a gap in the literature and a unique opportunity to advance
conceptual models. Accordingly, the current study examines
the moderating role of school start times on the associations between sleep hygiene,
sleep quality, and mental health.

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Half of Menopausal Women Report Getting Insufficient Quality Sleep

MedicalResearch.com Interview with:
Dr. Anjel Vahratian PhD MPH Maternal and Child Health Epidemiologist Branch Chief at the National Center For Health Statistics   Centers for Disease Control and PreventionDr. Anjel Vahratian PhD MPH

Maternal and Child Health Epidemiologist
Branch Chief at the National Center For Health Statistics
Centers for Disease Control and Prevention

MedicalResearch.com: Why did you conduct this study?

Response: Our research focuses on the health of women as they age and transition from the childbearing period. During this time, women may be at increased risk for chronic health conditions such as diabetes and cardiovascular disease.

As insufficient sleep is a modifiable behavior that is associated with these chronic health conditions, we wanted to examine how sleep duration and quality varies by menopausal status.

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Despite Sleep Benefits To Teens, Only Half of Parents Support Later School Start Times

MedicalResearch.com Interview with:

Galit Dunietz, Ph.D., MPH Doctor of Philosophy Department of Neurology University of Michigan  Ann Arbor MI

Dr. Dunietz

Galit Dunietz, Ph.D., MPH
Epidemiologist, Sleep Disorders Center
Department of Neurology
University of Michigan
Ann Arbor MI

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Insufficient sleep has a negative impact on health, cognition and mood and is linked to motor vehicle accidents. However, sleep loss in adolescents has become an epidemic and arises in part from biological processes that delay sleep and wake timing at the onset of puberty. This biology does not fit well with early school start times (before 8:30 a.m.). Despite recommendations from the American Academy of Pediatrics and the American Academy of Sleep Medicine to delay school start times, most schools in the U.S. have current start times before 8:30 a.m.

In this nationally representative study of US parents of teens, we examined whether parents supported or opposed later school start times (after 8:30 a.m.). We also examined what may have influenced their opinions.

We found that only about half of surveyed parents of teens with early school start times supported later school start times. Opinions appeared to depend in part on what challenges and benefits were expected to result from the change.

For example, parents who expected an improvement in their teen’s academic performance or sleep quantity tended to support the change, whereas parents that expected negative impact on afterschool activities or transportation opposed delays in school start times.  We also found that parents had misconception about sleep needs of their adolescents, as the majority perceived 7-7.5 hours of sleep as sufficient, or possibly sufficient even at this young age when 8-10 hours are typically recommended.

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Mobile Message Delivery Can Help Parents Learn Safe Infant Sleep Practices

MedicalResearch.com Interview with:

Rachel Y. Moon, M.D. Division Head, General Pediatrics Professor of Pediatrics University of Virginia School of Medicine Charlottesville, VA 22908

Dr. Moon

Rachel Y. Moon, M.D.
Division Head, General Pediatrics
Professor of Pediatrics
University of Virginia School of Medicine
Charlottesville, VA 22908

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Approximately 3500 babies die suddenly and unexpectedly during sleep in the US every year. Even though there are safe sleep recommendations, many parents do not follow them because of misinformation or misconceptions.

Therefore we tested 2 complementary interventions to promote infant safe sleep practices. The first was a nursing quality improvement intervention aimed at ensuring that mothers would hear key messages and that there was appropriate role modeling of safe sleep practices by hospital personnel.

The second was a mobile health intervention, in which mothers received videos and text messages or emails with safe sleep information during the baby’s first two months of life. We randomized mothers to receive either the safe sleep interventions or breast-feeding interventions (the control interventions). Mothers who received the mobile health intervention reported statistically significantly higher rates of placing their babies on their back, room sharing without bed sharing, no soft bedding use, and pacifier use, compared with mothers who received a control intervention. Although the nursing quality improvement intervention did not influence infant safe sleep practices, there was an interaction such that mothers who received both the safe sleep nursing quality improvement intervention and the safe sleep mobile health intervention had the highest rates of placing their babies on the back.

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SIMPONI ARIA (golimumab) Improved Sleep and Pain in Ankylosing Spondylitis Trial

MedicalResearch.com Interview with:

Atul A. Deodhar, MD, MRCP, FACP, FACR Professor of Medicine Medical Director, Rheumatology Clinics Medical Director, Immunology Infusion Center Oregon Health & Science University 

Dr. Deodhar

Atul A. Deodhar, MD, MRCP, FACP, FACR
Professor of Medicine
Medical Director, Rheumatology Clinics
Medical Director, Immunology Infusion Center
Oregon Health & Science University 

MedicalResearch.com: What is the background for this study?

Response: The GO-ALIVE study (CNTO148AKS3001) is a multicenter, randomized, double-blind, placebo-controlled study of golimumab, an anti-TNFα monoclonal antibody, administered intravenously (IV), in adult patients with active ankylosing spondylitis (AS). The primary objective is to evaluate the efficacy of golimumab 2 mg/kg in patients with active AS by assessing the reduction in signs and symptoms of AS. The secondary objectives include assessing efficacy related to improving physical function, range of motion, health-related quality of life, and other health outcomes.

A total of 208 patients who had a diagnosis of definite  ankylosing spondylitis (per modified New York criteria) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) ≥4, total back pain visual analogue scale (VAS) ≥4, and CRP ≥0.3 mg/dL were randomized.  Patients were treated with IV golimumab (n=105) at Weeks 0, 4, and every 8 weeks through Week 52 or placebo (n=103) at Weeks 0, 4, and 12, with crossover to IV golimumab at Week 16 and through Week 52.

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