The Role of Supplements and Over-the-Counter Products to Improve Sleep in Children: A Systematic Review

Author:

Innocenti Alice1,Lentini Giuliana1,Rapacchietta Serena1,Cinnirella Paola1,Elia Maurizio2ORCID,Ferri Raffaele2ORCID,Bruni Oliviero3ORCID

Affiliation:

1. Child Neurology and Psychiatry Unit, Department of Human Neurosciences, Sapienza University, 00185 Rome, Italy

2. Oasi Research Institute—IRCCS, 94018 Troina, Italy

3. Department of Developmental and Social Psychology, Sapienza University, 00185 Rome, Italy

Abstract

The sleep–wake cycle is a complex multifactorial process involving several neurotransmitters, including acetylcholine, norepinephrine, serotonin, histamine, dopamine, orexin and GABA, that can be, in turn, regulated by different nutrients involved in their metabolic pathways. Although good sleep quality in children has been proven to be a key factor for optimal cognitive, physical and psychological development, a significant and ever-increasing percentage of the pediatric population suffers from sleep disorders. In children, behavioral interventions along with supplements are recommended as the first line treatment. This systematic review was conducted, according to the PRISMA guidelines, with the purpose of assessing the principal nutrients involved in the pathways of sleep-regulating neurotransmitters in children and adolescents. Our focus was the utilization of over the counter (OTC) products, specifically iron, hydroxytryptophan, theanine and antihistamines in the management of different pediatric sleep disorders with the intention of providing a practical guide for the clinician.

Publisher

MDPI AG

Subject

Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis

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