Related Experiment Video
Updated: May 17, 2026
07:54
Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Habitual snoring and atopic state: correlations with respiratory function and teeth occlusion
Anna Maria Zicari1, Giuseppe Marzo, Anna Rugiano
1Department of Paediatric Science, University La Sapienza, Rome, Italy.
BMC Pediatrics
|November 9, 2012
Summary
Atopy is not a direct cause of pediatric sleep-disordered breathing. However, impaired nasal breathing is linked to conditions like adenotonsillar hypertrophy and obesity, contributing to sleep-disordered breathing in children.
Area of Science:
- Pediatric Sleep Medicine
- Allergy and Immunology
- Orthodontics and Craniofacial Development
Background:
- Allergy, particularly atopy, is recognized as a potential risk factor for pediatric sleep-disordered breathing (SDB).
- SDB is also associated with craniofacial morphology in orthodontic contexts.
- This study investigates the link between atopy and SDB in children, examining risk factors like nasal obstruction and obesity.
Purpose of the Study:
- To compare atopic children with sleep-disordered breathing (test group) to non-atopic children with SDB (control group).
- To investigate the prevalence of dento-skeletal alterations and other SDB risk factors in atopic vs. non-atopic children.
- To assess the relationship between atopy and SDB, considering factors like adenotonsillar hypertrophy, obesity, and oxygen saturation.
Main Methods:
- A cohort of 110 children (6-12 years) with SDB was divided into atopic (60) and non-atopic (50) groups.
- Evaluations included skin allergy tests, rhinoscopy, rhinomanometry, home pulse oximetry, BMI, and dento-facial assessments.
- Data from the test and control groups were compared for various parameters.
Main Results:
- Atopy was not found to be a direct risk factor for pediatric sleep-disordered breathing.
- However, children with SDB showed a higher prevalence of adenotonsillar hypertrophy, odontostomatological alterations, reduced oxygen saturation, and obesity compared to general pediatric populations.
- These findings highlight the critical role of physiological nasal respiration in SDB pathogenesis.
Conclusions:
- Physiological nasal respiration is crucial in the pathogenesis of pediatric sleep-disordered breathing.
- While atopy may not be a direct cause, factors associated with impaired nasal breathing significantly contribute to SDB.
- The study underscores the importance of addressing nasal obstruction and related issues in managing pediatric SDB.
More Related Videos
04:53Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Published on: October 18, 2024
05:34Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
Published on: August 18, 2023
Related Concept Videos
01:21Sleep Apnea
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
01:17Other Pulmonary Disorders
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
01:24Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
01:27Physical Assessment of the Respiratory Tract II: Inspection
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...
Chest Configuration
The chest configuration can...
01:28Physical Assessment of the Respiratory Tract I: Health History
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...