Prevalence of habitual snoring and associated neurocognitive consequences among Chilean school aged children
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Published on: July 29, 2020
Pablo E Brockmann1, Pablo Bertrand, Trinidad Pardo
1Division of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Chile. pbrockmann@med.puc.cl
Insights
Habitual snoring and symptoms of sleep disordered breathing (SDB) are common in Chilean children and linked to neurocognitive issues. These conditions are associated with hyperactivity and lower school performance, highlighting a need for early detection and intervention.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Pediatrics
- Public Health
Background:
- Sleep disordered breathing (SDB) and habitual snoring are prevalent in school-aged children.
- These conditions may have significant neurocognitive and academic consequences.
- Limited data exists on the prevalence and impact of SDB in low-income urban settings.
Purpose of the Study:
- To determine the prevalence of habitual snoring and SDB symptoms in Chilean school-aged children.
- To investigate the association between habitual snoring, SDB symptoms, and neurocognitive outcomes, including behavior and academic performance.
Main Methods:
- A population-based cross-sectional study was conducted in Santiago, Chile.
- A validated parental questionnaire assessed SDB symptoms in 7-17 year olds.
- Hyperactive behavior was measured using the Conner's rating scale; academic performance was assessed via school grades.
Main Results:
- The prevalence of habitual snoring was 18% among 523 participants.
- Habitual snoring and abnormal SDB questionnaire scores correlated with hyperactivity and lower school grades.
- Children with abnormal SDB scores had a significantly higher risk for poor academic performance in Spanish language and physical education.
Conclusions:
- Habitual snoring and SDB symptoms are highly prevalent in this Chilean child population.
- These sleep issues are significantly associated with adverse neurocognitive consequences, including hyperactivity and poor academic outcomes.
- Findings underscore the importance of screening for SDB in children, particularly in underserved communities.
Objective:
To assess the prevalence of habitual snoring and symptoms of sleep disordered breathing (SDB) and their association with neurocognitive consequences in school-aged children.
Methods:
A population based cross-sectional study was carried out in a low income urban setting in Santiago, Chile. A parental SDB-questionnaire was adapted and applied to a community based sample of children aged 7-17 years. Hyperactive/inattentive behavior was assessed using the Conner's rating scale. School grades were obtained and the associations between questionnaire's results and risks for poor academic performance were investigated.
Results:
Of 700 questionnaires sent; 523 (75%) returned correctly filled in. Mean age of the subjects was 11.0±2.5 years; 246 (47%) were boys. Prevalence of habitual snoring was 18%. The Conner's rating scale correlated significantly with the SDB-questionnaire's score (r(s)=0.47). Children with habitual snoring showed significantly lower (mean±standard deviation) school grades in Spanish language (5.6±1.2 vs. 5.4±0.9, p-value=0.04) and general average school grades (5.9±0.6 vs. 5.7±0.6, p-value=0.05). After adjustment for possible confounding factors, children with an abnormal SDB questionnaire score had significantly higher risk for poor academic performance in Spanish language, odds ratio (95% confidence interval): 1.82 (1.01-3.27) and physical education 1.85 (1.05-3.26).
Discussion:
There was a high prevalence of habitual snoring and symptoms of SDB in this survey of Chilean children, being among the highest reported. The presence of habitual snoring and an abnormal SDB questionnaire were associated with poor academic performance and hyperactive behavior.
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