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Published on: December 6, 2016
Sleep Disordered Breathing in Children
Christopher Grime1,2, Hui-leng Tan3,4
1Department of Pediatric Respiratory Medicine, Royal Brompton Hospital, London, SW3 6NP, UK.
Insights
Sleep-disordered breathing (SDB) encompasses various sleep respiration issues, with obstructive sleep apnea (OSA) being common in children. Understanding OSA
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Physiology
- Genomics and Proteomics
Background:
- Sleep-disordered breathing (SDB) comprises a range of respiratory abnormalities during sleep.
- Obstructive sleep apnea (OSA) is the most common SDB in children, impacting neurocognitive, cardiovascular, and metabolic systems.
- Phenotypic variation in OSA morbidity suggests interplay between genetic and environmental factors.
Purpose of the Study:
- To review recent advancements in the etiology, pathophysiology, and treatment of pediatric obstructive sleep apnea (OSA).
- To explore the role of genomics and proteomics in understanding OSA.
- To emphasize the importance of patient phenotyping for personalized medicine in OSA management.
Main Methods:
- Literature review focusing on recent developments in pediatric OSA.
- Exploration of genomic and proteomic research related to OSA.
- Discussion of personalized medicine approaches for OSA.
Main Results:
- Recent research is enhancing the understanding of OSA's causes and effects.
- Genomics and proteomics offer insights into complex OSA pathological pathways.
- Phenotypic variation necessitates tailored treatment strategies.
Conclusions:
- Personalized medicine, driven by phenotyping, is crucial for effective OSA management.
- Further research into genetic and environmental factors will refine treatment.
- Advances in understanding OSA pathophysiology are paving the way for targeted therapies.
Abstract:
Sleep-disordered breathing (SDB) refers to a group of disorders characterized by abnormalities of respiration or ventilation during sleep. It encompasses obstructive sleep apnea (OSA), central sleep apnea (CSA) syndromes, sleep-related hypoventilation and sleep-related hypoxemia disorders. This review will concentrate on the disorder most prevalent in pediatrics, i.e., OSA, highlighting the most recent developments in our understanding of the etiology, pathophysiology and treatment options of this condition. OSA morbidities primarily involve the neurocognitive, cardiovascular and metabolic systems. However, there can be significant phenotypic variation in terms of end organ morbidity for the same OSA severity. This is likely due to the interplay between genetic and environmental factors; recent developments in the fields of genomics and proteomics have the potential to shed light on these complex pathological cascades. As we enter the era of personalized medicine, phenotyping patients to enable clinicians to tailor bespoke clinical management plans will be of crucial importance.
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