Habitual Snoring, Intermittent Hypoxia, and Impaired Behavior in Primary School Children

Urschitz, Michael S.; S, Eitner; Guenther, Anke; Eggebrecht, Esther; Wolff, Judith; Urschitz-Duprat, Pilar M.; Schlaud, Martin; Poets, Christian F.

doi:10.1542/peds.2003-1145-l

Cited by 152 publications

(87 citation statements)

References 31 publications

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“…In these studies, PS was associated with several cognitive disabilities [4], problems in memory [5], language and visuospatial areas [6], and poor academic performance [7]. Underlying mechanisms that may explain the association between PS and the above-mentioned consequences are not well understood.…”

Section: Introductionmentioning

confidence: 99%

Primary snoring in school children: prevalence and neurocognitive impairments

et al. 2011

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Purpose: We aimed to investigate the prevalence of primary snoring (PS) (23% vs. 12%), and spelling (33% vs. 20%; all P values <0.05). PS was a significant risk factor (odds ratio; 95% CI) for hyperactive behaviour (2.8; 1.6-4.8), inattentive behaviour (4.4; 2.4-8.1), as well as daytime sleepiness (10.7; 4.0-28.4). PS was also an independent risk factor for poor school performance in mathematics (2.6; 1.2-5.8), science (3.3; 1.2-8.8), and spelling (2.5; 1.1-5.5

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Section: Introductionmentioning

confidence: 99%

Primary snoring in school children: prevalence and neurocognitive impairments

et al. 2011

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“…In addition, our findings are in line with data showing that even children with low but abnormal AHI have often memory problems, attention problems, and school difficulties. [3][4][5][6] Finally, as the total number of children is relatively limited, despite the usage of "standardized regression test" before performing correlation analyses and the inclusion of all studied children for statistical purpose, the results will need to be confirmed with larger numbers and/or evaluation of change noted with appropriate treatment.…”

Section: Huang Et Al Medicine (2016) 95:41mentioning

confidence: 99%

“…[3][4] Pediatric OSA results in long-term effects on children's health and development. [5][6][7] The factors involved in the decrease in cognition, learning, and memory are still incompletely chartered.…”

Section: Introductionmentioning

confidence: 99%

Inflammatory cytokines in pediatric obstructive sleep apnea

2015

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“…Hence, an objective, easily applicable, and lowcost screening test was considered mandatory. Secondly, we were also interested in intermittent hypoxia as an intervening factor in the relationship between SDB and several outcomes, such as impaired behaviour [43] and academic achievement [24]. Intermittent hypoxia is thought to cause prefrontal cortical dysfunction leading to impaired cognitive execution [44].…”

Section: Sleep-related Disorders Ms Urschitz Et Almentioning

confidence: 99%

Population prevalence of obstructive sleep apnoea in a community of German third graders

Urschitz

Brockmann²,

Schlaud³

et al. 2010

European Respiratory Journal

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We aimed to estimate the population prevalence of obstructive sleep apnoea (OSA) in an urban community of German third graders (age range 7.3-12.4 yrs) and the diagnostic test accuracy of two OSA screening methods.Using a cross-sectional study design with a multi-stage sampling strategy, 27 out of 59 primary schools within the city limits of Hanover, Germany, were selected. 1,144 third graders were screened for symptoms and signs of OSA using questionnaires and nocturnal home pulse oximetry. 183 children underwent abbreviated nocturnal home polysomnography (OSA definition: apnoea/hypopnoea index o1) and 22 were diagnosed to suffer from OSA.In general, sensitivity for both screening methods was low (,0.6), while specificity was moderately high (mostly .0.7). Independent predictors for OSA were body mass index, history of allergy, a composite questionnaire score, and two oximetry-based criteria. Based on these variables and logistic regression, a prediction model (accuracy; 95% confidence interval: 0.86; 0.71-0.94) was constructed and applied to children who had not successfully undergone polysomnography. This resulted in nine additional OSA cases and an overall design-adjusted population prevalence (95% confidence interval) of 2.8% (1.5-4.1%).Clinical and oximetry findings may be helpful for screening and predicting OSA in primary school children.

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Habitual Snoring, Intermittent Hypoxia, and Impaired Behavior in Primary School Children

Abstract: We suggest that impaired behavior is a key feature of HS independent of intermittent hypoxia and improves when HS ceases.

Cited by 152 publications

References 31 publications

Primary snoring in school children: prevalence and neurocognitive impairments

Primary snoring in school children: prevalence and neurocognitive impairments

Inflammatory cytokines in pediatric obstructive sleep apnea

Population prevalence of obstructive sleep apnoea in a community of German third graders

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