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Sleep problems in children and adolescents at pediatric clinics
Dong Soon Kim1, Cho Long Lee1, Young Min Ahn2
1Department of Medicine, Graduate School, Eulji University, Daejeon, Korea.
Insights
Childhood sleep problems like snoring and insomnia are common in Korean pediatric clinics. Snoring in children increases the risk of other sleep issues, highlighting the need for clinical attention to sleep habits.
Area of Science:
- Pediatric Sleep Medicine
- Child Health Research
- Public Health
Background:
- Sleep problems are a significant concern in pediatric populations.
- Understanding the prevalence of various sleep disorders in children is crucial for early intervention and management.
Purpose of the Study:
- To determine the frequency of childhood sleep problems in pediatric clinics in Seoul and Gyeonggi, Korea.
- To identify associations between specific sleep problems and demographic factors.
Main Methods:
- A cross-sectional study involving 936 children (aged 0-18 years) visiting pediatric outpatient clinics.
- Utilized the Pediatric Sleep Questionnaire to collect data on habitual snoring, sleep disordered breathing, insomnia, sleepwalking, night terrors, and bruxism.
Main Results:
- Habitual snoring was reported in 16.9% of children, with higher prevalence in younger children (<2 years: 9%, 2-5 years: 18%).
- Sleep disordered breathing affected 15.1% of children over 2 years, and insomnia was present in 13.2%.
- Snoring was linked to increased risks of sleepwalking, night terrors, and bruxism, and was more common in boys.
Conclusions:
- Sleep problems are prevalent among Korean children seeking pediatric care.
- Children experiencing snoring are at higher risk for other sleep disturbances, including sleepwalking, night terrors, and bruxism.
- Pediatric clinicians should routinely assess children's sleep habits to promote overall health.
Purpose:
To investigate the frequency of childhood sleep problems at pediatric clinics in Seoul and Gyeonggi provinces.
Methods:
Children (n=936) and their parents who visited 5 primary and 1 secondary pediatric outpatient clinics were invited to complete a Pediatric Sleep Questionnaire.
Results:
Among patients, 901 (96.3%) answered questionnaires in sufficient detail for evaluation. The participant's mean age was 4.35±3.02 years (range, 0-18 years). The male to female ratio was 1:0.93 (466 boys, 435 girls). Habitual snoring (>3 day/week) was reported in 16.9% of the participants. The prevalence of habitual snoring in children <2 years and those between 2-5 years was 9% and 18%, respectively. Sleep disordered breathing was found in 15.1% (106 of 700) of children >2 years. Insomnia was reported in 13.2% of children. The prevalence of sleepwalking, night terrors, and bruxism, is 1.6%, 19%, and 21.1%, respectively. Snoring was associated with increased incidence of sleepwalking, night terrors, and bruxism. Age was associated with insomnia and habitual snoring (P<0.05). Insomnia was more prevalent in younger (21%) than in older children (6%). Snoring was more frequent in both preschool (34%) and school-aged children (33%). The frequency of sleep disordered breathing and insomnia did not vary significantly with gender. However, snoring was more prevalent in boys.
Conclusion:
Sleep problems are frequent among children in Korea. Children with snoring have an increased risk of sleepwalking, night terror, and bruxism. Primary clinicians should consider children's sleep habits to improve their health.
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