Comorbid Sleep Disturbance in Adolescents with Functional Abdominal Pain
BEHAVIORAL SLEEP MEDICINE
Authors: Murphy, Lexa K.; Palermo, Tonya M.; Tham, See Wan; Stone, Amanda L.; Han, Gloria T.; Bruehl, Stephen; Garber, Judy; Walker, Lynn S.
Abstract
Objective/Background Sleep disturbances have been commonly reported as comorbid in youth with pain conditions, but prior research specific to functional abdominal pain (FAP) is limited. This study describes individual factors associated with increased risk for sleep disturbance and characterizes the relationship between sleep disturbance and pain-related variables. Participants Participants included 278 adolescents (age 11 to 17 years, M age = 15 years; 89% Caucasian; 65% female) with FAP. Methods Participants reported on sleep disturbances, abdominal pain severity, functional disability, somatic symptoms, and healthcare utilization. Results Female adolescents reported greater sleep disturbance than male adolescents (t(276) = 5.52,p< .001, Cohen'sd= 0.70) and increased age was associated with greater sleep disturbance (r=.20,p=.001). In hierarchical regressions controlling for age, sex, and abdominal pain, greater sleep disturbance was significantly associated with greater functional disability (beta =.32), non-gastrointestinal somatic symptoms (beta =.35), and emergency department visits (beta =.29). Conclusions Results suggest that sleep disturbance is common and should be assessed in youth presenting with FAP and may be a potential target for intervention.
Season and Cooking May Alter Fatty Acids Profile of Polar Lipids from Blue-Back Fish
LIPIDS
Authors: Farabegoli, Federica; Nesci, Salvatore; Ventrella, Vittoria; Badiani, Anna; Albonetti, Sabrina; Pirini, Maurizio
Abstract
Polar lipids (PoL) represent a new promising dietary approach in the prevention and treatment of many human diseases, due to their potential nutritional value and unique biophysical properties. This study investigates the effects of catching season and oven baking on the fatty acid profiles (FAP) of PoL in four species of blue-back fish widely present in the North Adriatic Sea: anchovy (Engraulis encrasicholus), sardine (Sardina pilchardus), sprat (Sprattus sprattus), and horse mackerel (Trachurus trachurus). PoL levels (427-652 mg/100 g flesh) varied among the four species, with no significant seasonal variations within species. FAP of raw fillets were particularly high in polyunsaturated fatty acid (PUFA), especially docosahexaenoic acid (DHA) and EPA; total PUFA was constant in all species throughout the year, while long-chain n-3 polyunsaturated fatty acid (n-3 PUFA) rose in spring (except in sprat), especially due to the contribution of DHA. The FAP response for PoL to oven baking was species-specific and, among n-3 PUFA, DHA exhibited the greatest heat resistance; the influence of oven baking on FAP was found to be correlated with the catching season, especially for anchovy and sardine, while sprat PoL were not affected by cooking processes. The four species analyzed in this study presented very low n-6/n-3 fatty acid ratios and highly favorable nutritional indices, emphasizing their PoL qualities and promoting their role in increasing human n-3 PUFA intake. The four species can be considered as superior sources of n-3 PUFA and can be employed as supplements in functional food manufacturing and in pharmaceutical and cosmetic industries.