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http://dx.doi.org/10.5933/JKAPD.2022.49.2.180

A Study on Factors Related to Sleep Disordered Breathing in Children  

Nawoon, Kim (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
Daewoo, Lee (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
Jaegon, Kim (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
Changkeun, Lee (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
Yeonmi, Yang (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.49, no.2, 2022 , pp. 180-187 More about this Journal
Abstract
The aim of this study was to investigate the risk factors associated with sleep disordered breathing (SDB) by comparing intraoral factors, body mass index (BMI), and medical history with pediatric sleep questionnaire (PSQ) findings. Seven hundred eighty-seven subjects aged between 7 to 11 years old were included. Their caregivers were asked to complete questionnaires. Oral manifestations including Angle's classification, overjet, and Brodsky tonsil grade were examined. Children with PSQ scores of more than 0.33 points were classified into the SDB high-risk group. Among the 787 subjects, 34 (4.3%) were classified into the SDB high-risk group. Children with allergic rhinitis, atopic dermatitis, excessive overjet, or large tonsil size had a significantly higher risk for SDB versus those without. Also, there was a significant difference in SDB risk according to BMI status. Gender, gestational age, breastfeeding, and Angle's classification were not associated with SDB. Children at high risk for SDB were predisposed to tonsillar hypertrophy, allergic rhinitis, obesity, and atopic dermatitis. Children with these factors could be candidates for early intervention to prevent the progression of SDB.
Keywords
Sleep disordered breathing; Pediatric sleep questionnaire; Risk factor;
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1 Panossian L, Daley J : Sleep-disordered breathing. Continuum, 19:86-103, 2013.    DOI
2 Chang SJ, Chae KY : Obstructive sleep apnea syndrome in children: Epidemiology, pathophysiology, diagnosis and sequelae. Korean J Pediatr, 53:863-871, 2010.    DOI
3 Tan HL, Gozal D, Kheirandish-Gozal L : Obstructive sleep apnea in children: a critical update. Nat Sci Sleep, 25:109-123, 2013. 
4 American Academy of Pediatrics : Clinical practice guideline. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 130:576-684, 2012.    DOI
5 Rohra AK Jr, Demko CA, Palomo JM, et al. : Sleep disordered breathing in children seeking orthodontic care. Am J Orthod Dentofacial Orthop, 154:65-71, 2018.    DOI
6 Chervin RD, Hedger K, Dillon JE, Pituch KJ : Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med, 1:21-32, 2000.    DOI
7 Lumeng JC, Chervin RD : Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc, 5:242-252, 2008.    DOI
8 Shin C, Joo SJ, Kim JK, Kim T : Prevalence and correlates of habitual snoring in high school students. Chest, 124:1709-1715, 2003.    DOI
9 Schwengel DA, Dalesio NM, Stierer TL : Pediatric obstructive sleep apnea. Anesthesiol Clin, 32:237-261, 2014.    DOI
10 Ikavalko T, Narhi M, Pahkala R, et al. : Predictors of sleep disordered breathing in children: the PANIC study. Eur J Orthod, 40:268-272, 2018. 
11 Marcus CL : Sleep-disordered breathing in children. Am J Respir Crit Care Med, 164:16-30, 2001.    DOI
12 Ahn YM : Treatment of obstructive sleep apnea in children. Korean J Pediatr, 53:872-879, 2010.    DOI
13 Lee HW : Role of history taking and questionnaires when approaching sleep disorders. J Korean Sleep Res Soc, 6:1-3, 2009.    DOI
14 Spruyt K, Gozal D : Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev, 15:19-32, 2011.    DOI
15 Bertran K, Mesa T, Brockmann PE, et al. : Diagnostic accuracy of the Spanish version of the pediatric sleep questionnaire for screening of obstructive sleep apnea in habitually snoring children. Sleep Med, 16:631-636, 2015.    DOI
16 Xu Z, Cheuk DK, Lee SL : Clinical evaluation in predicting childhood obstructive sleep apnea. Chest, 130:1765-1771, 2006.    DOI
17 Yuksel H, Sogut A, Yilmaz O, Kutluay E : Reliability and validity of the Turkish version of the pediatric sleep questionnaire: a tool for prediction of sleep related breathing disorder. Tuberk Toraks, 59:236-241, 2011.    DOI
18 Tomas Vila M, Miralles Torres A, Beseler Soto B : Spanish version of the Pediatric Sleep Questionnaire (PSQ). A useful instrument in investigation of sleep disturbances in childhood. Reliability analysis. An Pedatr (Barc), 66:121-128, 2007.    DOI
19 Dayyat E, Kheirandish-Gozal L, Gozal D, et al. : Obstructive sleep apnea in children: relative contributions of body mass index and adenotonsillar hypertrophy. Chest, 136:137-144, 2009.    DOI
20 Kramer MF, De La Chaux R, Rasp G, et al. : Allergic rhinitis does not constitute a risk factor for obstructive sleep apnea syndrome. Acta Otolaryngol, 121:494-499, 2001.    DOI
21 Je Ming Hu, Chin Sheng Lin, Sy Jou Chen, et al. : Association of between obstructive sleep apnea and atopic dermatitis in children: A nationwide, population-based cohort study. Pediatr. Allergy Immunol, 29:260-266, 2018.    DOI
22 Kai Jen Tien, Chien Wen Chou, Shang Yu Lee, et al. : Obstructive sleep apnea and the risk of atopic dermatitis: A population-based case control study. PLoS One, 9:e89656, 2014.