Parasomnias and sleep disordered breathing in Caucasian and Hispanic children – the Tucson children's assessment of sleep apnea study

Goodwin, James L.; Kaemingk, Kristine L.; Fregosi, Ralph F.; Rosen, Gerald M.; Morgan, Wayne J.; Smith, T.; Quan, Stuart F.

doi:10.1186/1741-7015-2-14

Cited by 119 publications

(99 citation statements)

References 46 publications

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“…Thus, a major bias related to test-re-test reliability is unlikely in the present study. The participation rate is similar to that reported previously in a population-based cohort study [9], and higher than those reported in previous follow-up [22] and cross-sectional studies [23]. This is an important strength of the present study because long time intervals have generally been negatively related to response rates [24].…”

Section: Discussionsupporting

confidence: 65%

Clinical and polygraphic evolution of sleep-related breathing disorders in adolescents

Sánchez‐Armengol

Ruiz-García²,

Carmona-Bernal³

et al. 2008

Eur Respir J

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It has been suggested that sleep-related breathing disorders (SRBD) involve a continuum that develops over the course of life. If modifiable factors could be identified, the progression of SRBD could perhaps be addressed early in life. Although some studies have looked at the evolution of SRBD in pre-pubertal children, very few studies obtained data in adolescents.Anthropometric, clinical and polygraphic variables were collected during a 4-yr follow-up study among 148 normal adolescents after initial cross-sectional analysis.From a total of 267 adolescents studied at baseline (mean¡SD age 14.3¡2.1 yrs), 148 (55.4%) were followed up for 4 yrs. During follow-up, there were no significant changes in snoring and polygraphic parameters. However, a tendency toward weight gain with centrally distributed fat was observed. Habitual snorers had a significantly higher body mass index and more centrally distributed fat than nonsnorers. Males had a higher snoring prevalence and a higher number of respiratory events than females. Snoring at baseline, male sex and poor academic performance were significant predictors of snoring at follow-up.Snoring tends to persist during adolescence and male sex acts as a risk factor. A relationship between snoring and academic performance was observed. These findings may have implications for long-term management of sleep-related breathing disorders.

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Section: Discussionsupporting

confidence: 65%

Clinical and polygraphic evolution of sleep-related breathing disorders in adolescents

Sánchez‐Armengol

Ruiz-García²,

Carmona-Bernal³

et al. 2008

Eur Respir J

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“…Consecutive children who underwent tonsillectomy for either OSA or RI were identified before surgery and recruited into the study. The diagnosis of OSA syndrome was established by overnight polysomnography in the sleep laboratory and required the presence of apnea-hypopnea index Ͼ5 events/h of sleep (23). Patients who were referred for RI were selected on the basis of a history of at least five tonsillar infections in Ͻ6 mo, and because the absence of any symptoms suggestive of OSA essentially negates the presence of this condition (11), they were not evaluated by an overnight polysomnogram, because our questionnaire-based evaluation is highly sensitive and specific in ruling out sleep-disordered breathing in children (11).…”

Section: Methodsmentioning

confidence: 99%

Glucocorticoid Receptor Subunit Expression in Adenotonsillar Tissue of Children with Obstructive Sleep Apnea

et al. 2005

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“…Morbidity from the central nervous system a) The association between excessive daytime sleepiness and OSAS is supported mainly by studies of low methodological quality (class IV) [90][91][92][93]. Few studies have employed multiple sleep latency tests (class I and III) [94][95][96].…”

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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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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Parasomnias and sleep disordered breathing in Caucasian and Hispanic children – the Tucson children's assessment of sleep apnea study

Cited by 119 publications

References 46 publications

Clinical and polygraphic evolution of sleep-related breathing disorders in adolescents

Clinical and polygraphic evolution of sleep-related breathing disorders in adolescents

Glucocorticoid Receptor Subunit Expression in Adenotonsillar Tissue of Children with Obstructive Sleep Apnea

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

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