Cognitive dysfunction in children with sleep disorders

Carvalho, Luciane Bizari Coin de; Prado, Lucila Bizari Fernandes do; Silva, Luciana; Almeida, Marilaine Medeiros de; Silva, Tatiana Almeida e; Vieira, Célia Maria Alcântara Machado; Atallah, Álvaro Nagib; Prado, Gilmar Fernandes do

doi:10.1590/s0004-282x2004000200004

Cited by 20 publications

(11 citation statements)

References 19 publications

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“…Learning, memory, and visuospatial skills 226 Kaemingk et al 33 Kennedy et al 34 Kurnatowski et al 227 Carvalho et al 228 III 1332 Objective measures of general intelligence, verbal skills affected by SDB Montgomery-Downs et al 50 Suratt et al 43 Friedman et al 26 II 45 Additive factors were SES and ethnicity 42 , 45 or BMI, 42 , 45 , 47 which contributed to findings of poor school performance in SDB Kaemingk et al 33 Ng et al 219 Perez-Chada et al 220 Shin et al 47 Urschitz 232 Kaemingk et al 33 Kennedy et al 34 Kurnatowski et al 227 O'Brien et al 233 Spruyt et al 234 Giordani et al 38 Halbower et al 28 233 Objective testing performed in all studies Perez-Chada et al 220 Honaker et al 235 Lundeborg et al 51 Suratt et al 43 III 236 Galland et al 237 Gottlieb et al 213 Hamasaki Uema et al 232 Kaemingk et al 33 Li et al 238 Mulvaney et al 32 Urschitz et al 229 Chervin et al 37 I 105 O'Brien et al 24 I 118 Visual and auditory attention and working memory. Executive functions are required for optimal school performance and are acquired through adolescence in developing children.…”

Section: Cognitive Deficitsmentioning

confidence: 99%

Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

Marcus¹,

Brooks²,

Ward³

et al. 2012

Pediatrics

1,412

1,460

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OBJECTIVE: This technical report describes the procedures involved in developing recommendations on the management of childhood obstructive sleep apnea syndrome (OSAS). METHODS: The literature from 1999 through 2011 was evaluated. RESULTS AND CONCLUSIONS: A total of 3166 titles were reviewed, of which 350 provided relevant data. Most articles were level II through IV. The prevalence of OSAS ranged from 0% to 5.7%, with obesity being an independent risk factor. OSAS was associated with cardiovascular, growth, and neurobehavioral abnormalities and possibly inflammation. Most diagnostic screening tests had low sensitivity and specificity. Treatment of OSAS resulted in improvements in behavior and attention and likely improvement in cognitive abilities. Primary treatment is adenotonsillectomy (AT). Data were insufficient to recommend specific surgical techniques; however, children undergoing partial tonsillectomy should be monitored for possible recurrence of OSAS. Although OSAS improved postoperatively, the proportion of patients who had residual OSAS ranged from 13% to 29% in low-risk populations to 73% when obese children were included and stricter polysomnographic criteria were used. Nevertheless, OSAS may improve after AT even in obese children, thus supporting surgery as a reasonable initial treatment. A significant number of obese patients required intubation or continuous positive airway pressure (CPAP) postoperatively, which reinforces the need for inpatient observation. CPAP was effective in the treatment of OSAS, but adherence is a major barrier. For this reason, CPAP is not recommended as first-line therapy for OSAS when AT is an option. Intranasal steroids may ameliorate mild OSAS, but follow-up is needed. Data were insufficient to recommend rapid maxillary expansion.

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Section: Cognitive Deficitsmentioning

confidence: 99%

Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

Marcus¹,

Brooks²,

Ward³

et al. 2012

Pediatrics

1,412

1,460

View full text Add to dashboard Cite

show abstract

“…Adequate sleep with regard to both quality and quantity is among the basic needs of human beings and plays a significant role in the physical, emotional, and cognitive development of children [1]. Sleep is regulated by complex and interacting biological and circadian processes, and sleep patterns also depend on physical, psychological, and environmental factors [2, 3].…”

Section: Introductionmentioning

confidence: 99%

The Association between Sleep and Injury among School-Aged Children in Iran

2013

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Background. A good night's sleep plays a key role in diseases resistance, injury prevention, and mood stability. The objective of this study was to examine relationship between sleep problems and accidental injury occurrences in school-aged children. Method. A retrospective study was conducted for comparing two groups of children. Children who have experienced injuries for at least two times during an academic year are the participants in the injury group (IG) and those who have not experienced any kind of injuries are placed in the noninjury group (NIG). Data was collected through parent-reported sleep patterns and problems using Children's Sleep Habits Questionnaire (CSHQ). Findings. The findings showed that global sleep problems were more in the IG than in the NIG. Multivariate logistic regression analysis showed that the daytime sleepiness and sleep duration are the two major reasons for accidental injury. In addition, significant difference was seen between the sleep patterns of the two groups. Sleep duration was also shorter in the IG, and this group had a greater percentage (63% versus 41.1%) of “short sleepers” (<9 h). Conclusion. There is a significant relationship between injury occurrence and sleep problems and sleep duration in Iranian school-aged children.

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“…Instead, symptoms like behavioral changes, cognitive abnormalities, concentration difficulties and learning difficulties generally occur 8,12 . Facial growth abnormalities are observed among children with OSAS 7 and among mouth breathing children 13,14 , in addition to poor growth due to increased energy expenditure during sleep 15 , hyperactivity and antisocial behavior, and symptoms of depression 16 , cognitive difficulty 17,18 and motor dysfunction 19 . Children with abnormal craniofacial patterns show a predisposition towards some types of respiratory sleep disorder, as do children with tonsillar and adenoid hypertrophy.…”

mentioning

confidence: 99%

Mouth breathing children have cephalometric patterns similar to those of adult patients with obstructive sleep apnea syndrome

Juliano

Machado

Carvalho

et al. 2009

Arq. Neuro-Psiquiatr.

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-Objective: To determine whether mouth breathing children present the same cephalometric patterns as patients with obstructive sleep apnea syndrome (OSAS). Method: Cephalometric variables were traced and measured on vertical lateral cephalometric radiographs. The cephalometric measurements of 52 mouth and 90 nose breathing children were compared with apneic patients. The children had not undergone adenoidectomy or tonsillectomy and had not had or were not receiving orthodontic or orthopedic treatment. Results: Mouth breathing children showed same cephalometric pattern observed in patients with OSAS: a tendency to have a retruded mandible (p=0.05), along with greater inclination of the mandibular and occlusal planes (p<0.01) and a tendency to have greater inclination of the upper incisors (p=0.08). The nasopharyngeal and posterior airway spaces were greatly reduced in mouth breathing children, as observed in patients with apnea (p<0.01). Conclusion: Mouth breathing children present abnormal cephalometric parameters and their craniofacial morphology resembles that of patients with OSAS.Key WOrdS: cephalometry, mouth breathing, obstructive sleep apnea.crianças respiradoras bucais apresentam padrão cefalométrico semelhante àquele observado em pacientes adultos com síndrome da apnéia obstrutiva do sono resumo -Objetivo: determinar se crianças respiradoras bucais apresentam o mesmo padrão cefalométrico que os pacientes que tem síndrome da apnéia obstrutiva do sono (SAOS). Método: Foram traçadas radiografias laterais verticais da cabeça para a mensuração das variáveis cefalométricas. As medidas cefalométricas de 52 crianças respiradoras bucais e de 90 crianças respiradoras nasais foram comparadas à de pacientes com apnéia. Foram excluídas as crianças que haviam sido submetidas à cirurgia de remoção de amídalas ou adenóides, ou que haviam recebido tratamento ortodôntico prévio ou em andamento. Resultados: As crianças respiradoras bucais apresentaram o mesmo padrão cefalométrico observado em pacientes com SAOS: tendência a ter retrusão de mandíbula (p=0,05), assim como uma maior inclinação dos planos mandibular e oclusal (p<0,01) e tendência a ter maior inclinação dos incisivos superiores (p=0,08). O espaço da nasofaringe e o espaço aéreo posterior se apresentaram muito diminuídos nas crianças respiradoras bucais, como é observado em pacientes com SAOS (p<0,01). Conclusão: Crianças respiradoras bucais apresentam padrão cefalométrico alterado e sua morfologia craniofacial é semelhante àquela observada em pacientes com SAOS.PAlAvrAS-ChAve: cefalometria, respiração bucal, apnéia obstrutiva do sono. Obstructive sleep apnea syndrome (OSAS) in adults is characterized by repeated episodes of cessation of breathing during sleep. These episodes result from obstruction of the upper airways, which collapse at different levels ranging from the nasal fossae to the lower portion of the hypopharynx 1 . The nocturnal symptoms include snoring, restless sleep, frequent arousals, apneas and excessive sweating. The daytime problems...

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Cognitive dysfunction in children with sleep disorders

Cited by 20 publications

References 19 publications

Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome

The Association between Sleep and Injury among School-Aged Children in Iran

Mouth breathing children have cephalometric patterns similar to those of adult patients with obstructive sleep apnea syndrome

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