Prevalence of obstructive sleep apnea syndrome in Japanese elementary school children aged 6-8 years

Takuro Kitamura1, Soichiro Miyazaki, Hiroshi Kadotani

  • 1Department of Sleep Medicine, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan, kitamura@med.uoeh-u.ac.jp.

Insights

The prevalence of obstructive sleep apnea syndrome (OSAS) in Japanese children varies by diagnostic criteria. Tonsillar hypertrophy is a key risk factor for pediatric OSAS.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Epidemiology

Background:

  • Obstructive sleep apnea syndrome (OSAS) is a common childhood condition.
  • Accurate diagnosis and understanding risk factors are crucial for effective management.

Purpose of the Study:

  • To determine the prevalence of OSAS in Japanese children aged 6-8 years.
  • To identify risk factors associated with pediatric OSAS.

Main Methods:

  • Utilized the Child and Adolescent Sleep Checklist (CASC) and home Type 3 portable monitoring.
  • Assessed 170 children aged 6-8 years in Shiga, Japan.
  • Applied various diagnostic criteria to estimate OSAS prevalence and identify risk factors.

Main Results:

  • OSAS prevalence varied significantly (0.6% to 43.5%) based on diagnostic criteria, with 3.5% using ICSD II criteria.
  • Central apnea was the most common respiratory event (70.4%).
  • Tonsillar hypertrophy was the only significant risk factor identified across all criteria.

Conclusions:

  • Pediatric OSAS prevalence is dependent on diagnostic criteria, necessitating outcome-based research for clinical thresholds.
  • Tonsillar hypertrophy is a significant risk factor for developing pediatric OSAS.
Abstract

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