Blood Pressure is Elevated in Children with Primary Snoring

Li, Albert M.; Au, Chun Ting; Ho, Crover Kwok Wah; Fok, Tai Fai; Wing, Yun Kwok

doi:10.1016/j.jpeds.2009.03.041

Cited by 116 publications

(88 citation statements)

References 39 publications

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“…g) A cut-off AHI >1 episode·h −1 for the diagnosis of OSAS by polygraphy is based on the meta-analysis of two studies [146]. h) Very limited evidence supports the relationship between primary snoring and elevated blood pressure (class IV) [147]. A review article has summarised evidence on cognitive and behavioural deficits in children with primary snoring [148].…”

Section: 2mentioning

confidence: 99%

“…Although there is evidence that primary snoring is accompanied by elevated nocturnal diastolic blood pressure, cognitive deficits and behavioural abnormalities, there are no studies addressing the efficacy of treatment interventions [147,148]. Literature review a) Patients with syndromic craniosynostosis and OSAS are at risk for pulmonary hypertension and they may benefit from interventions including adenotonsillectomy (class IV) [185,186].…”

Section: Literature Reviewmentioning

confidence: 99%

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Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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Section: 2mentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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“…Considering the adverse health-related morbidities associated with habitual snoring, it would be intriguing to determine whether specific pollution control measures in future studies would lead not only to reductions in habitual snoring prevalence, but also to amelioration in some of these habitual snoring-associated morbidities, e.g. academic performance, prevalence of attention deficit hyperactivity behaviours, nocturnal enuresis or hypertension [7,8,[10][11][12][13]41]. This possibility is all the more likely, when considering that at least one-third of the risk for habitual snoring is potentially attributable to avoidable risk factors [5].…”

Section: Discussionmentioning

confidence: 99%

“…Separately, habitual snoring has been strongly and independently associated with behavioural hyperactivity, learning and behavioural problems, restless sleep and poor academic performance, even in the absence of OSA [4,7,8,[9][10][11]. Furthermore, habitual snoring has also been linked to an increased risk of elevated systemic blood pressure and nocturnal enuresis [12,13].…”

Section: Introductionmentioning

confidence: 99%

Neighbourhood air quality and snoring in school-aged children

Kheirandish‐Gozal

Ghalebandi

Salehi

et al. 2013

European Respiratory Journal

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The prevalence of habitual snoring has been extensively explored in paediatric populations. Although exposure to cigarette smoke increases the risk of habitual snoring in a dose-dependent fashion, the potential contribution of air quality to habitual snoring remains unclear. 6000 questionnaires were distributed to 6-to 12-year-old children attending public schools in five distinct neighbourhoods within the city of Tehran, Iran, that were preselected based on air quality measures. Habitual snoring was defined as loud snoring o3 nights per week. Information regarding clinical and family-related habitual snoring risk factors was also obtained. Descriptive statistics followed by adjusted risk assessments were conducted.Among the 4322 (72%) completed datasets, the prevalence of habitual snoring was 11.6%. Partition of habitual snoring rates according to neighbourhood air quality characteristics revealed significantly higher habitual snoring frequencies among children residing in neighbourhoods with greatest pollution (24.5% and 12.1% in South and Central neighbourhoods versus 7.0% and 7.7% in North and East neighbourhoods, respectively). The regional variance in habitual snoring was primarily accounted for by an integrated measure of air quality, even after controlling for other risk factors.Environmental air quality emerges as a significant and potentially modifiable contributor to the risk for developing habitual snoring during childhood. @ERSpublications Environmental pollution is an important and modifiable contributor to habitual snoring in schoolaged children

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“…7,8 Por lo tanto, es fundamental, en los niños con HAA y ronquido nocturno, determinar quiénes presentan SAOS y quiénes ronquido simple, para definir el tratamiento y la urgencia de instaurarlo.…”

Section: Artículo Originalunclassified

Monitoreo grabado de oximetría de pulso en niños con hipertrofia adenoidea/amigdalina: su utilidad en el diagnóstico del síndrome de apnea obstructiva del sueño

et al. 2013

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Monitoreo grabado de oximetría de pulso en niños con hipertrofia adenoidea/amigdalina: su utilidad en el diagnóstico del síndrome de apnea obstructiva del sueño Pulse oximetry recording in children with adenotonsillar hypertrophy: usefulness in the diagnostic of obstructive sleep apnea syndrome RESUMEN Introducción. El síndrome de apnea obstructiva del sueño (SAOS) es la consecuencia más grave de la hipertrofia adenoidea/amigdalina (HAA). El método diagnóstico de referencia es la polisomnografía nocturna con oximetría (PSG), pero se requiere un equipamiento costoso, gran consumo de tiempo, y un técnico y un médico especializados, lo que dificulta su realización. La grabación del monitoreo de oximetría durante el sueño podría servir como método diagnóstico. En pediatría se han publicado aislados trabajos con resultados contradictorios. Objetivo. Estimar el valor diagnóstico del análisis visual de la grabación del monitoreo de oximetría nocturna en relación con la PSG. Población. Niños con sospecha clínica de SAOS secundario a HAA derivados para realización de PSG. Se excluyeron los niños con otro diagnóstico asociado (miopatía, malformación craneofacial, etc.). Métodos. 1) Se realizó el análisis visual (según un algoritmo propio) de la oximetría grabada simultáneamente con la realización de la PSG; 2) se estimó el valor diagnóstico de esta en comparación con la PSG. Los análisis de ambos registros fueron efectuados a ciegas y en orden aleatorio por dos médicos. Resultados. Se incluyeron 167 PSG; 75 niños presentaban SAOS en la PSG y 92, ronquido simple; 65 oximetrías se consideraron patológicas y coincidieron con SAOS en la PSG; 10 niños con SAOS leve en la PSG presentaron una oximetría normal. La oximetría mostró una sensibilidad del 86,6% y una especificidad del 98,9% para detectar el síndrome. Conclusiones. El análisis del monitoreo grabado de oximetría durante el sueño resulta un elemento de gran utilidad para el diagnóstico y el tratamiento de este tipo de pacientes. Palabras clave: niños, síndrome de apnea obstructiva del sueño, polisomnografía, oximetría nocturna.

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Blood Pressure is Elevated in Children with Primary Snoring

Cited by 116 publications

References 39 publications

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Neighbourhood air quality and snoring in school-aged children

Monitoreo grabado de oximetría de pulso en niños con hipertrofia adenoidea/amigdalina: su utilidad en el diagnóstico del síndrome de apnea obstructiva del sueño

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