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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Related biomarkers of neurocognitive impairment in children with obstructive sleep apnea
Yewen Shi1, Huanan Luo1, Haiqin Liu1
1Department of Otorhinolaryngology, The Second Affiliated Hospital of Xi'an Jiaotong University, No.157, Xiwu Road, Xi'an, 710004, Shaanxi, China.
Insights
Biomarkers like plasma insulin growth factor-1 (IGF-1) and Alzheimer's disease (AD)-related markers show promise in identifying neurocognitive impairment in children with obstructive sleep apnea (OSA). Further research is needed to confirm their effectiveness.
Area of Science:
- Pediatric Sleep Medicine
- Neuroscience
- Biomarker Research
Background:
- Obstructive sleep apnea (OSA) in children is linked to neurocognitive and behavioral deficits.
- Identifying reliable biomarkers for these deficits is crucial for early intervention.
Purpose of the Study:
- To review and categorize potential biomarkers for neurocognitive impairment associated with pediatric OSA.
- To assess the utility of various markers in identifying cognitive deficits in children with OSA.
Main Methods:
- A scoping review of studies evaluating biomarkers in children with OSA.
- Categorization of biomarkers by research method: brain imaging, serological indicators, and urine markers.
Main Results:
- Plasma insulin growth factor-1 (IGF-1) and Alzheimer's disease (AD)-related biomarkers show potential in distinguishing between children with and without neurocognitive impairment.
- Brain imaging studies and urinary neurotransmitters may also aid in screening for cognitive issues in pediatric OSA.
Conclusions:
- Limited research methods in children hinder the study of OSA-related cognitive susceptibility.
- Multi-center prospective studies are essential to identify biomarkers for timely prediction and intervention of neurocognitive impairment in pediatric OSA.
Objectives:
Different experiment approaches have demonstrated that children with obstructive sleep apnea (OSA) exhibit neurocognitive and behavioral deficits. This review summarized the potential biomarkers of OSA-associated neurocognitive impairment in children.
Methods:
A scoping review of studies on children with OSA that evaluated the potential value of different markers in identifying neurocognitive impairment was undertaken. Additionally, the biomarkers were categorized according to the different research methods, including brain imaging studies, serological indicators and urine markers.
Results:
Majority of the studies that evaluated blood biomarkers, plasma insulin growth factor-1 (IGF-1) and Alzheimer's disease (AD)-related biomarkers appeared to exhibit a favorable profile, and could discriminate between OSA children with or without neurocognitive impairments. Brain imaging studies and urinary neurotransmitters could also be helpful for screening OSA cognitive morbidity in children.
Conclusion:
Due to limited research methods available in children, the cognitive susceptibility of children with OSA has been rarely studied. The main reason for this may be the limited research methods in children. Numerous study populations of children and complex psychological tests are required, which involve major labor and costs.Multi-center prospective studies are needed to identify suitable biomarkers for the timely prediction and effective intervention to prevent neurocognitive impairment in children with OSA and to explore further opportunities in this arena.
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