Prevalence and Persistence of Sleep Disordered Breathing Symptoms in Young Children: A 6-Year Population-Based Cohort Study

Bonuck, Karen; Chervin, Ronald D.; Cole, Tim J.; Emond, Alan; Henderson, John; Xu, Linzhi; Freeman, Katherine

doi:10.5665/sleep.1118

Cited by 142 publications

(146 citation statements)

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“…14 Without intervention, many very young children continue to snore for years. 13,15 The impact of persistent snoring on preschool-aged children is unknown; in older children, persistent snoring increases the chances for new or worsening behavior problems over time. 10,[16][17][18] Care decisions for preschool-aged children who snore are based on guidelines developed largely for older children and involve weighing the rare but real risks of interventions (eg, adenotonsillectomy) 19,20 against suspected but unknown risks associated with persistent SDB.…”

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confidence: 99%

“…[2][3][4][5][6][7][8] SDB treatment studies have reported encouraging short-term results in schoolaged children, 2,9 but there have been no published randomized clinical trials, and the few natural history studies have yielded mixed results on whether the resolution of snoring yields improved cognitive skills and/or behavior. [10][11][12] Little is known about SDB in very young children, even though SDB symptoms spike at ∼2 to 3 years of age, 13 and snoring-related arousals from sleep correlate with early mental development. 14 Without intervention, many very young children continue to snore for years.…”

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Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Loud snoring, which spikes at ∼2 to 3 years of age, has been associated with behavior problems in school-aged children in cross-sectional studies, but no longitudinal studies have quantified predictors and the behavioral impact of persistent snoring in preschool-aged children.WHAT THIS STUDY ADDS: Persistent loud snoring, which occurs in 9% of children 2 to 3 years of age, is linked with behavior problems. Higher socioeconomic status and a history of breastfeeding were associated with lower rates of transient and persistent snoring in young children. abstract OBJECTIVE: To clarify whether persistent snoring in 2-to 3-year-olds is associated with behavioral and cognitive development, and to identify predictors of transient and persistent snoring. METHODS:Two hundred forty-nine mother/child pairs participated in a prospective birth cohort study. Based upon parental report of loud snoring $2 times weekly at 2 and 3 years of age, children were designated as nonsnorers, transient snorers (snored at 2 or 3 years of age, but not both), or persistent snorers (snored at both ages). We compared groups by using validated measures of behavioral and cognitive functioning. Potential predictors of snoring included child race and gender, socioeconomic status (parent education and income), birth weight, prenatal tobacco exposure (maternal serum cotinine), childhood tobacco exposure (serum cotinine), history and duration of breast milk feeding, and body mass relative to norms. RESULTS:In multivariable analyses, persistent snorers had significantly higher reported overall behavior problems, particularly hyperactivity, depression, and inattention. Nonsnorers had significantly stronger cognitive development than transient and persistent snorers in unadjusted analyses, but not after demographic adjustment. The strongest predictors of the presence and persistence of snoring were lower socioeconomic status and the absence or shorter duration of breast milk feeding. Secondary analyses suggested that race may modify the association of childhood tobacco smoke exposure and snoring.CONCLUSIONS: Persistent, loud snoring was associated with higher rates of problem behaviors. These results support routine screening and tracking of snoring, especially in children from low socioeconomic backgrounds; referral for follow-up care of persistent snoring in young children; and encouragement and facilitation of infant breastfeeding. This manuscript has not been published elsewhere, and all authors approve of its submission for review. Each author made a substantive intellectual contribution to the study. Dr Beebe participated in early conceptualization and design of sleep measurement methodology, conducted preliminary analyses, and collaborated with coauthors on final analyses and data interpretation; he took the lead role with drafting and revising the manuscript. Dr Rausch provided critical contributions to formulating the data analytic plan, conducted final data analyses, assisted with data interpretation, and reviewed ...

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Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

et al. 2012

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“…1 Çocuklarda uyku apnesi görülme sıklığı %1-4 arasında rapor edilmektedir. 2,3 Çocukluk döneminde görülen uyku apnesinin en yaygın etyolojik faktörü büyümüş adenoid ve/veya tonsiller ile obezitedir. 4 Maksiller ve mandibuler retrognati, artmış yüz yüksekliği, azalmış yüz genişliği ve artmış overjet gibi kraniyofasiyal anomaliler de havayolu morfolojisindeki değişiklikler ve solunum problemleri ile ilişkilidir.…”

Section: Discussionunclassified

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Aydinatay¹,

Aksu²,

Taner³

2018

Yeditepe J Dent

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ÖZET Amaç: Bu kesitsel çalışmanın amacı ebeveynlerin pediatrik uyku apnesi ile ilgili bilgilerini ve ortodontistin bu hastalığın teşhis ve tedavisindeki yeri ile ilgili fikirlerini değerlendirme-ktir. Gereç ve Yöntem: Pediatrik uyku apnesi hakkındaki farkın-dalık ve görüşleri ölçmek üzere tasarlanmış bir anket, çocuklarının ortodontik tedavisi için bir üniversite ortodonti kliniğine başvuran uygun örneklem grubu ebeveynlere uygulandı. Elde edilen veriler ortalama ve sıklıkları içeren tanım-layıcı istatistikler ile analiz edildi. Demografik değişkenler ile sorgulanan bilgi maddeleri arasındaki korelasyonlar Pearson ki-kare testi kullanılarak incelendi. Bulgular: Anket toplam 260 ebeveyn tarafından cevaplandı. (Ortalama yaş: 40,7±6,6 yıl, 169 kadın, 91 erkek). Ebeveynlerin çoğu, diş hekimleri ve ortodontistlerin tıbbi hastalık riskleri yönünden çocuklarında değerlendirme yapmasının çok önemli olduğu görüşündeydi (sırasıyla %76,5 ve %76,2). Ebeveynler aynı zamanda ortodontistin çocuklarını uyku apnesi riski yönünden değerlendirmesini isteyeceklerini (%92,7) ve eğer ortodontist yönlendirirse uyku apnesi açısından değerlendirilmek üzere çocuklarını doktora götüreceklerini (%97,5) belirttiler. Çoğu ebeveyn pediatrik uyku apnesi hakkında temel düzeyde bir bilgiye sahip olmasına rağmen, bu hastalığın etyolojisi, semptomları, teşhisi, sonuçları ve tedavileri hakkında bilgileri yoktu. Artmış eğitim seviyesi, pediatrik uyku apnesi hakkındaki bilgi düzeyi ile anlamlı düzeyde ilişkiliydi (p<0,05). Sonuç: Sonuçlar ortodonti kliniğine başvuran ebeveynlerin çocuklarının uyku apnesi yönünden incelenmesine olumlu baktığını göstermiştir. Ancak bilgi düzeylerinin düşüklüğü, ebeveynler arasında pediatrik uyku apnesi farkındalığını arttırmak için eğitsel yöntemlerin geliştirilmesi gerekliliğini ortaya koymuştur. Anahtar kelimeler: Obstrüktif uyku apnesi, bilgi düzeyi, anket SUMMARY Aim: The purpose of this cross-sectional study was to assess parents' knowledge on pediatric sleep apnea and their attitudes regarding the role of the orthodontist in the diagnosis and management of sleep apnea. Materials and Methods: A questionnaire designed to evaluate awareness and views about pediatric sleep apnea was given to a convenience sample of parents visiting a university clinic for the orthodontic treatment of their children. Data were analyzed using descriptive statistics including means and frequencies. Pearson's chi-square statistics were used in order to determine the correlation between knowledge items questioned and demographic variables. Results: The survey was completed by 260 parents (mean age: 40.7±6.6 years, 169 female, 91 male). The majority of parents thought it was very important for dentists and ortho-ÖZGÜN ARAŞTIRMA

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“…Some factors that may justify this fact could also be investigated, such as the presence of a higher incidence of upper airway infections (28) and hypertrophic tonsils and adenoids in this age group (29) , which can aggravate respiratory symptoms (30) . Furthermore, the presence in the children's group of a caregiver or other person responsible for information about symptoms favors a detailed account of respiratory signs and symptoms during sleep, which is not available in the case of many young adults.…”

Section: Discussionmentioning

confidence: 99%

Dimensões nasofaríngeas e sintomas respiratórios após a cirurgia de retalho faríngeo em crianças e adultos

Fukushiro

Zwicker

Genaro

et al. 2013

Audiol., Commun. Res.

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Purpose: To investigate the influence of age on nasopharyngeal dimensions and respiratory symptoms in patients undergoing surgery to correct velopharyngeal insufficiency using the pharyngeal flap technique. Methods: A sample comprising 103 individuals divided into three groups: children (6-12 years old), young adults (18-30 years old) and middle-aged adults (≥ 40 years old). This was a retrospective study that analyzed the values for the nasopharyngeal area (pressure-flow technique, reference value: 0.570 cm 2 ) and the symptoms of oral respiration, snoring and respiratory difficulties during sleep. The values were obtained, on average, 12 months after surgery. The nasopharyngeal area was compared between the groups using analysis of variance, and respiratory symptoms were compared using the chi-squared test (p<0.05). Results

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Prevalence and Persistence of Sleep Disordered Breathing Symptoms in Young Children: A 6-Year Population-Based Cohort Study

Cited by 142 publications

References 45 publications

Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

Knowledge and attitudes about pediatric sleep apnea among parents in an orthodontic clinic

Dimensões nasofaríngeas e sintomas respiratórios após a cirurgia de retalho faríngeo em crianças e adultos

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