Related Experiment Video
Updated: May 17, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Quality of life in children with sleep-disordered breathing
Amaury de Machado Gomes1, Otávio Marambaia dos Santos, Kleber Pimentel
1Escola Bahiana de Medicina e Saúde Pública, Salvador, BA. amauryorl@gmail.com
Insights
Sleep-disordered breathing in children significantly impacts quality of life, particularly affecting caregiver concerns and sleep disturbance. Obstructive sleep apnea syndrome showed greater physical suffering compared to primary snoring.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Quality of Life Research
Background:
- Sleep-disordered breathing (SDB) is prevalent in children and can negatively affect their well-being.
- Understanding the specific quality of life impacts is crucial for effective management.
Purpose of the Study:
- To assess the quality of life in children with SDB using the OSA-18 questionnaire.
- To compare quality of life between children with obstructive sleep apnea syndrome (OSAS) and primary snoring (PS).
- To identify which domains of the OSA-18 are most affected by SDB.
Main Methods:
- A historical cohort cross-sectional study design was employed.
- Data were collected from a consecutive sample of children with a history of snoring and adenotonsillar hyperplasia.
- Quality of life was evaluated using the OSA-18 questionnaire and diagnostic polysomnography.
Main Results:
- Fifty-nine children participated, with a mean age of 6.7 years.
- The most affected OSA-18 domains were caregiver concerns, sleep disturbance, and physical suffering.
- Children with OSAS reported significantly higher physical suffering than those with PS.
Conclusions:
- Childhood SDB leads to impaired quality of life, with caregiver concerns, sleep disturbance, and physical suffering being the most impacted areas.
- OSAS is associated with greater physical suffering compared to primary snoring in children.
- The OSA-18 is a valuable tool for assessing quality of life in pediatric SDB.
Unlabelled:
Children may present sleep-disordered breathing (SDB) and suffer with adverse effects upon their quality of life.
Objective:
This study assessed the quality of life of children with SDB, compared subjects with obstructive sleep apnea syndrome (OSAS) and primary snoring (PS), and identified which areas in the OSA-18 questionnaire are more affected.
Methods:
This is a historical cohort cross-sectional study carried out on a consecutive sample of children with history of snoring and adenotonsillar hyperplasia. The subject's quality of life was assessed based on the answers their caregivers gave in the OSA-18 questionnaire and on diagnostic polysomnography tests.
Results:
A number of 59 children participated in this study with mean age of 6.7 ± 2.26 years. The mean score of the OSA-18 was 77.9 ± 13.22 and the area most affected were "caregiver concerns" (21.8 ± 4.25), "sleep disturbance" (18.8 ± 5.19), "physical suffering" (17.3 ± 5.0). The impact was low in 6 children (10.2%), moderate in 33 (55.9%) and high in 20 (33.9%). PS was found in 44 children (74.6%), OSAS in 15 (25.6%). OSAS had higher score on "physical suffering" area than PS (p = 0.04). The AI (r = 0.22; p = 0.08) and AHI (r = 0.14; p = 0.26) were not correlated with OSA-18.
Conclusion:
Sleep disordered breathing in childhood cause impairment in quality of life and areas most affected the OSA-18 were: "caregiver concerns", "sleep disturbance" and "physical suffering". OSAS has the domain "physical suffering" more affected than primary snorers.
Related Concept Videos
Sleep Apnea
The condition is more prevalent among...
Nightmares and Night Terrors
Nightmares often...
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Other Pulmonary Disorders
Physical Assessment of the Respiratory Tract II: Inspection
Chest Configuration
The chest configuration can...
