Symptoms at presentation in children with sleep-related disorders

Katja Liukkonen1, Paula Virkkula, Anu Haavisto

  • 1Department of Otorhinolaryngology and Head and Neck Surgery, Helsinki University Central Hospital and University of Helsinki, Finland. katja.liukkonen@hus.fi

Insights

Snoring children, even without major sleep-disordered breathing, show impaired cognitive and behavioral functions. These findings highlight the impact of snoring on child development and well-being.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Pediatrics
  • Otolaryngology

Background:

  • Sleep-disordered breathing (SDB) is increasingly linked to cognitive and behavioral issues in children.
  • Snoring is a common symptom that may indicate underlying airway obstruction or SDB.
  • The relationship between snoring, mild SDB, and neurocognitive function requires further investigation.

Purpose of the Study:

  • To evaluate the association between snoring and cognitive function in children.
  • To explore correlations between polysomnography (PSG) findings, upper respiratory infections (URIs), and cephalometric/rhinometric measures in snorers.

Main Methods:

  • A population-based cohort study involving 2100 children, with 44 snorers and 51 non-snorers undergoing PSG, cephalometry, and rhinometry.
  • Neurocognitive assessment included intelligence testing (WPPSI-R), a neuropsychological battery (NEPSY), and behavioral symptom questionnaires (CBCL).

Main Results:

  • Snorers exhibited lower language function scores and more internalizing behavioral problems compared to non-snorers (P<0.05).
  • PSG parameters showed poor correlation with neurocognitive test results in this cohort.
  • Recurrent URIs were more prevalent in snorers (P=0.01) and associated with more somatic complaints.

Conclusions:

  • Children who snore, even without significant SDB indicators on PSG, demonstrate neurocognitive and behavioral impairments.
  • Mild airway narrowing, as indicated by cephalometry, was observed in snorers.
  • The study suggests that snoring itself, independent of severe SDB, may negatively impact children's development.
Abstract

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