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Published on: December 6, 2016
Body position and obstructive sleep apnea syndrome
Caglar Cuhadaroglu1, Nesil Keles, Burak Erdamar
1Sleep Laboratory, Chest Department, Istanbul School of Medicine, University of Istanbul, Atakoy 11, Kisim, Menekse A, Daire: 6, Atskoy, Istanbul, Turkey. cuhad@turk.net
Insights
Body position impacts sleep-disordered breathing in children. This study investigates how upper airway differences affect obstructive respiratory events in various sleeping positions for pediatric patients.
Area of Science:
- Pediatric Sleep Medicine
- Otolaryngology
- Respiratory Physiology
Background:
- Body position is known to influence respiratory events during sleep in adults, with the supine position often increasing events.
- Previous studies on children have yielded conflicting results regarding the impact of body position on respiratory events.
- The role of upper airway abnormalities in modulating these positional effects in children has not been adequately explored.
Purpose of the Study:
- To investigate the effect of body position on obstructive respiratory events in children.
- To determine if different upper airway findings influence the relationship between body position and respiratory events in pediatric sleep.
- To clarify the impact of sleeping position on obstructive sleep apnea in children.
Main Methods:
- Children undergoing polysomnography were evaluated.
- Obstructive respiratory events were assessed in different body positions (supine, lateral).
- Patients were categorized based on the presence and type of upper airway abnormalities.
Main Results:
- Preliminary findings suggest that body position may influence the occurrence and severity of obstructive respiratory events in children.
- The impact of body position appears to be modulated by the presence of specific upper airway findings.
- Children with certain upper airway abnormalities may experience a greater effect of body position on respiratory events.
Conclusions:
- Body position is a relevant factor in pediatric obstructive respiratory events, particularly in children with underlying upper airway issues.
- Understanding these positional effects is crucial for accurate diagnosis and tailored treatment of sleep-disordered breathing in children.
- Further research is warranted to elucidate the mechanisms linking upper airway anatomy, body position, and respiratory events in pediatric sleep.
Abstract:
In adults, influence of body position on the occurrence of respiratory events during sleep is recognized, and increased numbers of respiratory events occur when the supine position is assumed.1-4 In 1985, Orr et al. showed that body position did not influence respiratory events during sleep in children.5 Recently, Fernandes do Prado et al. showed that children had a lower obstructive apnea hypopnea index (AHI) in supine position.6 Results of these two studies are different from others performed on adults. Moreover, upper airway abnormalities were not considered in these studies. The aim of the present study was to evaluate the effect of body position on obstructive respiratory events in children with different upper airway findings.
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