Gastroesophageal reflux and obstructive sleep apnea in childhood

Alessandra Caland Noronha1, Veralice Meireles Sales de Bruin, Miguel Angelo Nobre e Souza

  • 1Department of Medicine, Federal University of Ceará, Brazil.

Insights

Gastroesophageal reflux (GER) is common in children with obstructive sleep apnea syndrome (OSAS). GER severity correlates with emotional distress and daytime issues in pediatric OSAS patients.

Area of Science:

  • Pediatric Sleep Medicine
  • Gastroenterology

Background:

  • Obstructive sleep apnea syndrome (OSAS) is prevalent in children with adenotonsillar hypertrophy.
  • Gastroesophageal reflux (GER) is a common comorbidity in pediatric populations.

Purpose of the Study:

  • To investigate the relationship between GER and OSAS in children.
  • To assess polysomnographic alterations and symptom severity in relation to GER.

Main Methods:

  • Eighteen children (6-12 years) with OSAS underwent polysomnography and esophageal pH monitoring.
  • Evaluations included the OSA-18 questionnaire and nasofibrolaryngoscopy.

Main Results:

  • All children had OSAS (Apnea-index >= 1/hour).
  • GER parameters did not correlate with OSAS severity or apnea events.
  • GER severity correlated with emotional distress (p=0.008) and daytime problems (p=0.03) via OSA-18.

Conclusions:

  • GER is frequent in children aged 6-12 with OSAS and warrants assessment.
  • Increased GER severity is linked to emotional distress and daytime difficulties in pediatric OSAS.
Abstract

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