Sleep architecture and obstructive sleep apnea in obese children with and without metabolic syndrome: a case control

Shabnam Jalilolghadr1, Zohreh Yazdi2, Manoochehr Mahram1

  • 1Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

Insights

Obese children with metabolic syndrome experience worse sleep quality, including more awakenings and altered sleep stages. Severe obstructive sleep apnea (OSA) is independently linked to metabolic syndrome in these children.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Metabolic Disorders

Background:

  • Obesity and metabolic disorders are linked to obstructive sleep apnea (OSA).
  • Understanding the relationship between metabolic syndrome and sleep in obese children is crucial.

Purpose of the Study:

  • To compare sleep architecture and OSA prevalence in obese children with and without metabolic syndrome.
  • To investigate the association between metabolic syndrome and sleep disturbances in pediatric obesity.

Main Methods:

  • Case-control study involving 42 obese children with metabolic syndrome and 38 matched controls.
  • Utilized questionnaires (BEARS, Children's Sleep Habits Questionnaire) and polysomnography (PSG).
  • Statistical analysis included chi-square, T test, Mann-Whitney U, and logistic regression.

Main Results:

  • Children with metabolic syndrome showed longer non-rapid eye movement (NREM) sleep and N1 stage, and shorter REM sleep.
  • Increased waking after sleep onset (WASO) was observed in the metabolic syndrome group.
  • Severe OSA was more frequent in controls, but severe OSA and shorter REM sleep were independently associated with metabolic syndrome.

Conclusions:

  • Obese children with metabolic syndrome exhibit disrupted sleep architecture, including increased WASO and N1 sleep, potentially due to OSA severity.
  • Severe OSA and altered REM sleep are independently associated with metabolic syndrome in obese children.
  • Further longitudinal research is required to confirm the link between metabolic syndrome and OSA in this population.
Abstract

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