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Total Sleep Time and BMI z-score Are Associated With Physical Function Mobility, Peer Relationship, and Pain

Bharat Bhushan1,2, Amanda Beneat3, Charles Ward3

  • 1Division of Otolaryngology Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|April 7, 2019
PubMed

Insights

Inadequate sleep and obstructive sleep apnea (OSA) impact children's quality of life. Total sleep time correlated with physical function and peer relationships in children with sleep issues.

Area of Science:

  • Pediatric Sleep Medicine
  • Health-Related Quality of Life (HR-QoL) Research

Background:

  • Sleep disturbances, including obstructive sleep apnea (OSA) and insufficient sleep, negatively affect health-related quality of life (HR-QoL) in adults.
  • Limited research exists on HR-QoL in children experiencing OSA or related sleep symptoms.

Purpose of the Study:

  • To investigate the relationship between obstructive sleep apnea (OSA) severity, sleep duration, and health-related quality of life (HR-QoL) domains in children.
  • To explore correlations between BMI z-score and HR-QoL in pediatric patients referred for sleep studies.

Main Methods:

  • Prospective study of 86 children (ages 5-17) undergoing polysomnography.
  • Patients categorized by OSA severity (mild, moderate, severe, none).
  • PROMIS (Patient-Reported Outcomes Measurement Information System) domains assessed, alongside BMI z-scores and total sleep time.

Main Results:

  • Obstructive sleep apnea (OSA) severity did not correlate with any PROMIS domains.
  • Higher BMI z-scores were associated with poorer physical function mobility and increased pain interference and intensity.
  • Total sleep time showed positive correlations with physical function mobility and peer relationships.

Conclusions:

  • Total sleep time is linked to physical function mobility and peer relationships in children.
  • BMI z-score demonstrated a relationship with physical function mobility and pain intensity in the study population.
  • Further research is needed to fully understand the multifaceted impact of sleep disturbances on pediatric HR-QoL.
Abstract

Keywords:
PROMIShealth-related quality of lifeobstructive sleep apneapatient reported outcomessleep duration

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