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Multiple system morbidities associated with children with snore symptom

Xiao-Hong Cai1, Xiu-Cui Li, Qing-Qing Hu

  • 1Department of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical College, Wenzhou 325027, China. caixh839@sina.com

Pediatric Pulmonology
|August 23, 2012
PubMed

Insights

Childhood obstructive sleep apnea hypopnea syndrome (OSAHS) is linked to growth delays, cognitive issues, and metabolic changes. Primary snoring (PS) in children shows maxillofacial issues but normal growth and cognition.

Area of Science:

  • Pediatric Medicine
  • Sleep Medicine
  • Otolaryngology

Background:

  • Snoring in children can range from primary snoring (PS) to obstructive sleep apnea hypopnea syndrome (OSAHS).
  • Understanding the systemic morbidities associated with these conditions is crucial for diagnosis and management.

Purpose of the Study:

  • To investigate the relationship between snoring, specifically PS and OSAHS, and various systemic morbidities in children.
  • To compare the health parameters of children with PS and OSAHS to those of healthy children.

Main Methods:

  • Children were categorized into PS, OSAHS, and control groups based on polysomnography.
  • Growth parameters, maxillofacial development, blood chemistry, electrocardiogram, echocardiogram, and intelligence testing (for children ≥6 years) were assessed.

Main Results:

  • OSAHS children exhibited lower weight and height, higher incidence of adenoidal face and dental malocclusion, abnormal lipid profiles, potential pulmonary hypertension, and lower IQ scores with increased attention deficits compared to controls.
  • PS children showed similar growth and cognitive function to controls but had a higher incidence of maxillofacial malformations.

Conclusions:

  • Pediatric OSAHS is associated with significant multi-system morbidities including growth impairment, maxillofacial abnormalities, cognitive deficits, dyslipidemia, and altered pulmonary artery pressures.
  • While PS children also present with maxillofacial malformations, they maintain normal growth and cognitive function, distinguishing them from OSAHS patients.
Abstract

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