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[Analysis of neurobehavioral function of school-aged children with sleep disordered breathing]

X D Guo1, Y H Wang2, W J Yao1

  • 1Department of Otolaryngology, the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,450000,China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|October 5, 2018
PubMed

Insights

Children with sleep-disordered breathing (SDB), including obstructive sleep apnea hypopnea syndrome (OSAHS) and primary snoring (PS), exhibit significant attention and behavioral deficits. These findings highlight the need to address even milder forms of SDB.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Pediatrics
  • Behavioral Science

Context:

  • Sleep-disordered breathing (SDB) encompasses conditions like obstructive sleep apnea hypopnea syndrome (OSAHS) and primary snoring (PS).
  • Neurobehavioral functions, including attention, executive skills, and behavior, are crucial for school-aged children's development.
  • Previous research has primarily focused on severe SDB, often overlooking milder forms like PS.

Purpose:

  • To investigate and compare the neurobehavioral function of school-aged children with varying degrees of SDB and healthy controls.
  • To assess attention, executive function, and behavioral patterns using validated rating scales.

Summary:

  • One hundred sixty-three children (7-12 years) were categorized into four groups: primary snoring (PS), mild OSAHS, moderate/severe OSAHS, and controls based on polysomnography (PSG).
  • Children with all severities of SDB demonstrated significantly higher rates of behavioral and executive dysfunction, including internalizing and externalizing problems, compared to controls.
  • Total sleep time was reduced in the moderate/severe OSAHS group compared to controls.

Impact:

  • The study reveals that neurobehavioral difficulties are prevalent in children with both OSAHS and PS.
  • These findings challenge the perception of PS as benign and suggest the need for early intervention.
  • Implications for clinical practice include considering neurobehavioral assessments for children with any form of SDB.

Keywords:
behaviorexecutive functionprimary snoringsleep apnea hypopnea syndrome,obstructive

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