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Updated: Jun 17, 2026

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Obstructive sleep apnoea is associated with impaired pictorial memory task acquisition and retention in children
L Kheirandish-Gozal1, M R De Jong, K Spruyt
1Kosair Children's Hospital Research Institute and Division of Paediatric Sleep, Dept of Paediatrics, Medicine, University of Louisville, Louisville, KY, USA. lgozal@peds.bsd.uchicago.edu
Insights
Children with obstructive sleep apnoea (OSA) experience impaired learning and memory recall. This study found that OSA negatively impacts both the acquisition and retention of new pictorial information in children.
Area of Science:
- Pediatric Sleep Medicine
- Cognitive Neuroscience
- Child Psychology
Background:
- Obstructive sleep apnoea (OSA) is a prevalent condition in children.
- Cognitive deficits are increasingly recognized in children with OSA.
- The impact of OSA on specific memory functions, particularly pictorial memory, requires further elucidation.
Purpose of the Study:
- To investigate the association between obstructive sleep apnoea (OSA) and the acquisition and recall of pictorial-based memory tasks in children.
- To compare the learning and memory performance of children with OSA to age- and sex-matched controls.
Main Methods:
- A cohort of 54 children diagnosed with OSA and 17 healthy controls underwent overnight polysomnography.
- Participants completed a 15-minute pictorial memory task involving four learning trials.
- Memory retention was assessed via immediate free recall and delayed recall upon awakening the following morning.
Main Results:
- Children with OSA exhibited significantly higher obstructive apnoea/hypopnoea indices compared to controls.
- Learning scores across the four trials were significantly lower in children with OSA.
- Both immediate and overnight recall performances were notably worse in the OSA group, with a decline in recall absent in controls.
Conclusions:
- Obstructive sleep apnoea significantly impairs the acquisition and retention of newly learned pictorial information in children.
- Children with OSA demonstrate deficits in both learning new material and recalling it over time.
- These findings underscore the detrimental effects of OSA on cognitive functions, specifically memory, in pediatric populations.
Abstract:
The aim of our study was to evaluate whether obstructive sleep apnoea (OSA) is associated with impaired acquisition and recall of a pictorial-based memory tasks in children. 54 children with OSA and 17 controls matched for age, sex and ethnicity underwent a sleep study (overnight polysomnogram). Before the sleep study subjects completed a 15-min pictorial memory task acquisition consisting of four trials, followed by a free-recall period to assess retention after 10 min and the following morning upon awakening. Children with OSA had a higher obstructive apnoea/hypopnoea index (6.3+/-1.5 events.h(-1) TST) than controls (0.6+/-0.1 events.h(-1) TST) (p<0.0001). Mean learning scores in controls over the four consecutive trials were incrementally better than in children with OSA for the four-trial set (p<0.0001). Both immediate (p<0.0001) and overnight recall performances were worse among OSA children (p<0.0001), who also exhibited declines in recall performance that was absent in controls (p<0.001). Differences in pictorial task acquisition trajectories suggest that children with OSA require more time and an increased number of learning opportunities to reach immediate and long-term recall performances that are reduced compared with controls. Thus, both acquisition and retention of newly learned material are compromised. These findings confirm and expand on the presence of known cognitive deficits in children with OSA.
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