Prevalence of sleep-disordered breathing and associations with orofacial symptoms among Saudi primary school children

Baidas, Laila; Al-Jobair, Asma; Alkawari, Huda; AlShehri, Aram; Al-Madani, Sarah; AlBalbeesi, Hana O

doi:10.1186/s12903-019-0735-3

Cited by 35 publications

(46 citation statements)

References 44 publications

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“…Allergic inflammation of the nasal mucosa will result in nasal congestion, which may lead to oral breathing patterns and sleep fragmentation and may also lead to an increased risk of asthma exacerbation. Chronic rhinosinusitis and adenoid hypertrophy are common accompanying diseases in children with AR, which may be one of the reasons why AR is a high risk factor for sleep disordered breathing [ 30 , 43 – 45 ]. Hence, nasal congestion is a treatable cause of SRBD in children [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A Two-Center Study

Guo

Zhang

et al. 2021

Canadian Respiratory Journal

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Objective. Asthma and sleep-related breathing disorders (SRBD) are common chronic respiratory diseases in children. The relationship between asthma and SRDB is bidirectional. However, only a few studies have analyzed the relationship between asthma control status and risk of SRBD. The aim of this study was to evaluate the relationship between asthma control and SRBD and further assess the relationship between therapy/atopy/lung function of children with asthma and SRBD. Methods. A total of 209 children aged 3–16 years were enrolled in this study. Pediatric sleep questionnaire (PSQ) scores were used to identify children at high risk of developing SRBD. Data on asthma control status, therapy, allergy, lung function, and exhaled nitric oxide were collected. Results. A significantly higher risk of SRBD was found among children with poorly controlled asthma (34.25% vs. 13.97%, P < 0.01) and allergic rhinitis (AR) (34.29% vs. 13.92%, P < 0.01) than among children with well-controlled asthma and AR. The prevalence of SRBD was also significantly higher in asthmatic children with obesity than that with just obesity (42.11% vs. 20.00%, P < 0.05). Multiple logistic regression analysis showed that poorly controlled asthma (OR, 2.746 (95% CI, 1.215–6.209); P < 0.05) and poorly controlled AR (OR, 3.284 (95% CI, 1.430–7.544); P < 0.01) increased the odds of having SRBD. Conclusion. Poorly controlled asthma and AR increase the risk of SRBD. A routine check of the level of asthma control and appropriate use of medication for AR are important because of their influence on SRBD.

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Section: Discussionmentioning

confidence: 99%

Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A Two-Center Study

Guo

Zhang

et al. 2021

Canadian Respiratory Journal

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“…The PSQ is a multi-page questionnaire that consists of closed question-items and several queries on pediatric sleep disorder symptoms. This questionnaire has frequently been used for research [1,11,12,14,16,18,[22][23][24][25]. It comprises 22 questions on snoring, sleepiness, and behavioral problems.…”

Section: Sleep and Respiratory Datamentioning

confidence: 99%

Characteristics and risk factors of children with sleep-disordered breathing in Wuxi, China

et al. 2020

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Background: Sleep-disordered breathing (SDB) is a common syndrome in children, related to their immune responses, cardiovascular function, and neurocognitive function. This study aimed to determine the prevalence of SDB among children in Wuxi, China, and to evaluate the protective and risk factors of SDB in children. Methods: A cross-sectional study was conducted on children attending different schools across Wuxi, China, aged 3-14 years old. Of a total of 5630 questionnaires distributed to the parents of the children, 3997 (71.0%) were deemed to be valid. The data on the general sociodemographic factors, children's allergy and sleep characteristics, and the parents' sleep characteristics were also collected. The Paediatric Sleep Questionnaire (PSQ) score was used to identify children at high risk of SDB. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by logistic regression. Results: The prevalence of SDB in this cohort was 13.4% (N = 534). SDB prevalence significantly differed in children with asthma (28.2% vs. 12.8%, P < 0.001), eczema (19.0% vs. 10.0%, P < 0.001), urticaria (16.4% vs. 12.9%, P < 0.01) and rhinitis (21.4% vs. 10.7%, P < 0.001). No significant differences were found in SDB prevalence with respect to pillow material or quilt material. On multivariate logistic regression analysis, asthma (OR 1.986 (95% CI 1.312-3.007), P < 0.01), eczema (OR 1.675 (95% CI 1.377-2.037), P < 0.001), rhinitis (OR 1.998 (95% CI 1.635-2.441), suffered from familial sleep sickness (OR 2.416 (95% CI 1.975-2.955), P < 0.001) and whose mothers slept for a shorter duration (6 h-8 h: OR 1.370 (95% CI 1.089-1.724), P < 0.01; <6 h: OR 3.385(95% CI 2.098-5.461), P < 0.001) increased the odds of having SDB. The incidence of SDB significantly decreased with children's age (6-11 years old: 0R 0.768 (95% CI 0.597-0.989), P < 0.05; 12-14 years old: OR 0.691 (95% CI 0.530-0.901), P < 0.01). Conclusion: The results of this study demonstrated that atopic diseases (asthma, eczema, and rhinitis) and family sleep habits were risk factors for SDB in children in Wuxi, China.

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“…This result is also consistent with the high prevalence of reported pediatric SDB symptoms among the general Saudi population. [ 7 12 ] where it reached 21% among School-children in Baidas study. [ 12 ] This study is the first study to report the prevalence of sleep-disordered breathing symptoms among the orthodontic population in Saudi Arabia.…”

Section: Discussionmentioning

confidence: 99%

“…It showed that about 21% of Saudi children are at risk of sleep-disordered breathing and the prevalence of snoring was 14.4%. [ 12 ] These two studies indicate that Saudi children, in general, have a higher risk of developing SDB symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Sleep-disordered breathing among Saudi children seeking orthodontic treatment

Ehaideb

Almufadhi

Alhassn

et al. 2021

Journal of Family Medicine and Primary Care

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Aims: The aim of this research is to assess the prevalence of sleep disordered breathing (SDB) and evaluate the risks and symptoms in children seeking orthodontic treatment in a Saudi dental center. Settings and Design: It is a cross-sectional survey-based study. Methods and Material: Pediatric sleep questionnaire (PSQ) was used to survey 285 children and adolescents aged 5 to 18 years old who are undergoing orthodontic screening in a Saudi Dental Center. Statistical Analysis Used: PSQ scores were tested with multiple variables including gender, parents' education, academic performance using Mann-Whitney-U test. Correlation of study sample scores with age were calculated using the Spearman rank correlation coefficient (rho). Results: In this study 136 (47.7%) of the participants were deemed to be high risk for developing SDB and 149 (52.3%) were low risk, males were significantly at higher risk compared to females ( P ≤ 0.05) . Participants with previous adenoidectomy surgery were more likely to be identified as high-risk for SDB (P-value = 0.000) as well as participants with a family history of snoring (P-value = 0.000) . Conclusions: Sleep disordered breathing was prevalent among Saudi children seeking orthodontic therapy, it is important to screen children and adolescents in dental pediatric and orthodontic clinics for SDB risk as this is a prevalent disorder among this population, early detection of SDB will improve patients' quality of life and prevent future complications associated to this disorder.

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Prevalence of sleep-disordered breathing and associations with orofacial symptoms among Saudi primary school children

Cited by 35 publications

References 44 publications

Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A Two-Center Study

Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A Two-Center Study

Characteristics and risk factors of children with sleep-disordered breathing in Wuxi, China

Sleep-disordered breathing among Saudi children seeking orthodontic treatment

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