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[Correlation of snoring with attention deficit and hyperactivity-impulsivity in school age children from Changsha
Jie-Min Li1, Jin-Tao Hu, Xue-Mei Luo
1Second Xiangya Hospital, Central South University, Changsha 410011, China.
Insights
Frequent snoring affects 5.7% of school-aged children in Changsha. Snoring is linked to attention deficit and hyperactivity-impulsivity in children, highlighting the need for attention to sleep-related behavioral issues.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Public Health
Context:
- Snoring is a common sleep issue in children.
- Understanding its prevalence and associated conditions is crucial for early intervention.
- This study focuses on school-aged children in Changsha City.
Purpose:
- To determine the prevalence of snoring in school-aged children in Changsha.
- To investigate the correlation between snoring and attention deficit and hyperactivity-impulsivity.
- To identify associated sleep-related symptoms in children who snore.
Summary:
- A study of 1,736 children (6-12 years) in Changsha found a 5.7% incidence of frequent snoring.
- Boys and younger children (6-9 years) exhibited higher snoring rates.
- Frequent snoring was significantly associated with daytime sleepiness, sleep apnea, mouth breathing, and behavioral issues like attention deficit and hyperactivity-impulsivity.
Impact:
- Highlights a significant public health concern regarding pediatric snoring in Changsha.
- Emphasizes the link between snoring and neurodevelopmental issues, suggesting a need for integrated screening.
- Underscores the importance of addressing snoring to support children's overall mental and behavioral well-being.
Objective:
To investigate the prevalence of snoring in school age children from Changsha City, and study the correlation of snoring with attention deficit and hyperactivity-impulsivity.
Methods:
A total of 1 736 children aged 6 to 12 years were randomly sampled from five districts in Changsha City. Their parents completed the questionnaires about children's sleep conditions and the Attention Deficit Hyperactivity Disorder Diagnostic Scale-Parent Version.
Results:
The total incidence rate of frequent snoring was 5.7%. Boys had higher incidence of frequent snoring than girls (7.5% vs 3.8%; x2=18.782, p<0.01). The incidence of snoring in the 6-to 9-year-old group was higher than that of the 10-to 12-year-old group (x2=9.666, P<0.01). The incidence of daytime sleepiness in the snoring group was higher than that in the non-snoring group (31.5% vs 25.9%; x2=6.678, p<0.01). The incidences of larynx choking, sleep apnea, mouth breathing, hyperhidrosis, and awaking for unknown reasons or awaking by choke in the frequent snoring group were significantly higher than in the occasional snoring and the non-snoring groups (x2=37.035, 27.745, 51.341, 30.975, 45.972 respectively; all P<0.01). The incidences of attention deficit (31.3%) and hyperactivity-impulsivity (18.2%) in the frequent snoring group were the highest, followed by the occasional snoring (16.2% and 9.9% respectively) and the non-snoring groups (13.9% and 8.8% respectively). There were significant differences in the incidence of both attention deficit (x2=20.592, p<0.01) and hyperactivity-impulsivity (x2=9.067, p<0.05) between groups.
Conclusions:
There is a high incidence of snoring in school age children from Changsha City. Snoring is correlated to attention deficit and hyperactivity-impulsivity. It is essential to pay attention to the mental growth and behavioral problems in children with sleep snoring.
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