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Published on: December 6, 2016
Perinatal risk factors for obstructive sleep apnea syndrome in children
Yafei Tan1, Dan Zhang1, Hui Mei1
1Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, No. 100 Hongkong Road, Jiangan District, Wuhan, China.
Insights
Specific perinatal factors like preterm birth and cesarean delivery are linked to childhood obstructive sleep apnea syndrome (OSAS). Maternal smoking and older maternal age also increase OSAS risk in children.
Area of Science:
- Pediatrics
- Sleep Medicine
- Public Health
Background:
- Obstructive sleep apnea syndrome (OSAS) is a prevalent condition in children.
- Identifying risk factors for pediatric OSAS is crucial for early diagnosis and intervention.
Purpose of the Study:
- To investigate the association between specific perinatal factors and the development of obstructive sleep apnea syndrome in children.
Main Methods:
- A retrospective case-control study involving 823 children diagnosed with OSAS and 823 matched controls.
- Logistic regression models were employed to analyze perinatal risk factors.
Main Results:
- Preterm birth, cesarean section, and maternal smoking were significantly associated with increased risk of childhood OSAS.
- Advanced maternal age (≥35 years), manual labor, and suburban living also increased OSAS risk.
- Multiparous mothers showed a decreased risk of childhood OSAS.
Conclusions:
- Perinatal factors play a significant role in predicting childhood OSAS.
- Findings highlight key factors for physicians to consider in diagnosing pediatric OSAS.
Objective:
The aim of this study was to determine whether specific perinatal factors are associated with obstructive sleep apnea syndrome (OSAS) in children.
Methods:
A retrospective case-control study was conducted. All cases of OSAS were obtained from a tertiary pediatric hospital between April 2013 and April 2016. A total of 823 children who had been diagnosed with OSAS were designated as the case group, and 823 children without OSAS were selected with strict criteria to match with the case group by age, gender and body mass index. Logistic regression models were used to determine the perinatal factors associated with childhood OSAS.
Results:
Preterm birth (adjusted odds ratio (aOR): 1.87, 95% confidence interval (CI): 1.13-3.08) and cesarean section (aOR: 1.32, 95% CI: 1.03-1.68) were significantly associated with OSAS. Exposure of the mother to smoke (aOR: 2.59, 95% CI: 1.57-4.26) was also associated with an increased risk of childhood OSAS. Mothers aged 35 years and above, performing manual labor, and living in suburban areas significantly increased the risk of childhood OSAS. Multiparous mothers decreased the risk of childhood OSAS (aOR: 0.59, 95% CI: 0.42-0.83). Maternal education, gravidity, prenatal care times, pregnancy-induced hypertension, multiple pregnancies, sex of the child and birth weight were not significantly associated with OSAS in children.
Conclusion:
Perinatal risk factors are important for predicting childhood OSAS. Our findings provide evidence regarding several potentially useful factors for recognizing OSAS in children, which could be important in diagnosis of pediatric OSAS by physicians.
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