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Published on: December 6, 2016
Risk Factors for Obstructive Sleep Apnea Syndrome in Children: State of the Art
Giampiero Gulotta1, Giannicola Iannella2,3, Claudio Vicini4,5
1Department of "Organi di Senso", University "Sapienza", 00185 Rome, Italy.
Insights
Pediatric obstructive sleep apnea syndrome (OSAS) affects 2% of children aged 2-8, often linked to adenoid tissue. This review analyzes current knowledge on childhood OSAS diagnosis and management.
Area of Science:
- Pediatric pulmonology
- Sleep medicine
- Otolaryngology
Background:
- Obstructive sleep apnea syndrome (OSAS) is a subset of respiratory sleep disorders (RSD), distinct from simple snoring and upper airway resistance syndrome (UARS).
- While adult OSAS pathogenesis is understood, pediatric OSAS remains less defined.
- Childhood OSAS prevalence is approximately 2% in children aged 2-8 years.
Purpose of the Study:
- To review the current understanding of pediatric obstructive sleep apnea syndrome.
- To discuss the specific risk factors, diagnostic approaches, and management strategies for OSAS in children.
Main Methods:
- Literature review of pediatric obstructive sleep apnea syndrome.
- Analysis of current research on prevalence, risk factors, diagnosis, and management in children.
Main Results:
- Pediatric OSAS prevalence is around 2% in children aged 2-8.
- Adenoid tissue size is a primary factor in childhood OSAS.
- Specific risk factors for pediatric OSAS are identified.
Conclusions:
- Further research is needed to fully elucidate the pathogenesis of pediatric OSAS.
- Early diagnosis and appropriate management are crucial for affected children.
- Understanding age-specific factors is key to addressing childhood OSAS effectively.
Abstract:
The obstructive sleep apnea syndrome (OSAS) represents only part of a large group of pathologies of variable entity called respiratory sleep disorders (RSD) which include simple snoring and increased upper airway resistance syndrome (UARS). Although the etiopathogenesis of adult OSAS is well known, many aspects of this syndrome in children are still debated. Its prevalence is about 2% in children from 2 to 8 years of age, mostly related to the size of the upper airways adenoid tissue. Several risk factors linked to the development of OSAS are typical of the pediatric age. The object of this paper is to analyze the state of the art on this specific topic, discussing its implications in terms of diagnosis and management.
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