Prevalence of obstructive sleep apnea syndrome in Japanese elementary school children aged 6-8 years
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Published on: December 6, 2016
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.
Purpose:
We aimed to determine the prevalence of and the risk factors for obstructive sleep apnea syndrome (OSAS) in Japanese children aged 6-8 years.
Methods:
The parents of 202 children aged 6-8 years who attended a single elementary school in Shiga, Japan, were requested to complete the Child and Adolescent Sleep Checklist (CASC) and perform home Type 3 portable monitoring of their children. By using the CASC data and monitor recordings, we estimated the prevalence of pediatric OSAS with the help of different diagnostic criteria and identified the risk factors associated with OSAS.
Results:
Complete data were obtained from 170 of the 194 children whose parents participated in the study. The mean total apnea-hypopnea index and obstructive apnea hypopnea index were 1.4 ± 1.3 and 0.4 ± 0.6 h(-1), respectively, and central apnea was the most prevalent type of respiratory event, accounting for 70.4% of all events. The overall prevalence of OSAS ranged from 0.6% to 43.5%, depending on the cutoff value used, and was 3.5% when using International Criteria of Sleep Disorders version II (ICSD II) diagnostic criteria. The presence of tonsillar hypertrophy was the only parameter whose prevalence was significantly elevated in children with OSAS across all diagnostic criteria.
Conclusions:
The prevalence of pediatric OSAS varies according to the diagnostic criteria used, indicating the need for further research focusing on outcomes to define a clinically significant diagnostic threshold. The presence of tonsillar hypertrophy is an important risk factor in the development of pediatric OSAS.
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