The importance of social zeitgeber in paediatric type 1 narcolepsy: What we can learn from the COVID‐19 restrictions adopted in Italy?

• DOI: 10.1111/jsr.13423
• Publication Date: 2021-06-22T23:50:15Z
• Authors: Marco Filardi; Anita D'Anselmo; Alice Mazzoni; Monica Moresco; Fabio Pizza; Giuseppe Plazzi
• Keywords: Epworth Sleepiness Scale

The lockdown due to the new coronavirus pandemic (COVID-19) has led unparalleled changes in several aspects of human behaviour. During lockdown, general population delayed sleep timing and spent more time bed; however, little is known on effects COVID-19 restriction children adolescents suffering type 1 narcolepsy. In last months 2019, we performed follow-up actigraphy 18 narcolepsy under stable pharmacological treatment with sodium oxybate. We contacted these patients for a during first Italian lockdown. Actigraphs Epworth Sleepiness Scale (ESS-CHAD) have been sent participants' homes. Differences motor activity were analysed through functional linear modelling. went bed woke up later, slept daytime napped frequently. No difference emerged bed, estimated total nocturnal quality. Similarly, no ESS-CHAD body mass index. time-series analysis documented reduced early morning evening period compared pre-lockdown. Our study objectively showed that phase adolescents' behaviour provided information could pave way personalized school programme.