Obesity in children with different risk factors for obstructive sleep apnea: a community-based study

被引：0
作者：
Miao-Shang Su
Hai-Lin Zhang
Xiao-Hong Cai
Ying Lin
Pei-Ning Liu
Yuan-Bo Zhang
Wen-Zhen Hu
Chang-Chong Li
Yan-Feng Xiao
机构：
[1] The 2nd Affiliated Hospital of Medical College of Xi’an Jiaotong University,Department of Pediatrics
[2] The 2nd Affiliated Hospital of Wenzhou Medical University,Department of Pediatrics
[3] Center for Disease Control and Prevention in Wenzhou,Department of Public Health
来源：
European Journal of Pediatrics | 2016年 / 175卷
关键词：
Obesity; Obstructive sleep apnea; Prevalence; Risk factors;
D O I：
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中图分类号：
学科分类号：
摘要：
This study investigated the association between obesity and obstructive sleep apnea (OSA) in preschool and school-age children. Parents of obese and randomly chosen normal weight children completed a questionnaire on sleep-related symptoms, demography, family, and medical history. All subjects were invited to undergo polysomnography (PSG). OSA cases were defined as obstructive apnea hypopnea index (OAHI) ≥1. A total of 5930 children were studied with 9.5 % obese (11.9 % boys/6.1 % girls), 205/2680 preschool and 360/3250 school children. There were 1030 children (535 obese/495 normal weight) who underwent PSG. OSA was higher in obese children and obese school children had higher OAHI, arousal index, and shorter total sleep time. However, there was no positive correlation between OSA and body mass index (BMI). The main risk factors for OSA in preschool children were adenotonsillar hypertrophy and recurrent respiratory tract infection. The main cause for OSA in school children was a history of parental snoring and obesity. Mallampati scores and sleep-related symptoms were found to be associated with OSA in both preschool and school children.
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页码：211 / 220
页数：9
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