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Parent report of children's sleep disordered breathing symptoms and limited academic progress in reading, writing,
Rebecca Harding1, Jillian J Haszard2, Elizabeth Schaughency3
1Department of Women's & Children's Health, University of Otago, New Zealand; Department of Psychology, University of Otago, New Zealand.
Insights
Sleep disordered breathing (SDB) affects 17.5% of children aged 6-10. Parent-reported SDB symptoms are linked to higher risks of academic difficulties in reading, writing, and math.
Area of Science:
- Pediatric sleep health
- Childhood academic performance
- Public health research
Background:
- Sleep disordered breathing (SDB) is a prevalent condition in children.
- Academic difficulties can significantly impact a child's educational trajectory.
- Understanding the relationship between SDB and academic struggles is crucial for early intervention.
Purpose of the Study:
- To estimate the prevalence of SDB and academic difficulties in New Zealand children aged 6-10 years.
- To identify health and demographic risk factors associated with SDB symptoms and academic challenges.
- To explore potential shared risk factors between SDB and academic difficulties.
Main Methods:
- A cross-sectional study involving an online questionnaire administered to parents/caregivers of children aged 6-10.
- Data collection included child's health, demographic factors, SDB symptoms (Pediatric Sleep Questionnaire), and academic performance ratings.
- Academic performance was assessed relative to national curriculum expectations in reading, writing, and math.
Main Results:
- The study included 1205 children (mean age 8 years 2 months).
- The prevalence of SDB was 17.5%.
- SDB was associated with increased odds of academic difficulties in reading (OR 1.9), writing (OR 1.8), and math (OR 2.4). No shared risk factors were identified.
Conclusions:
- Parent-reported SDB symptoms in children are linked to a higher risk of poor academic progress.
- Further research is warranted to investigate if treating SDB can mitigate learning barriers.
- Intervention for SDB may help reduce educational risks in children.
Objectives:
To estimate via questionnaire within a population sample of New Zealand (NZ) children aged 6-to-10 years, the prevalence of sleep disordered breathing (SDB) and those struggling academically, and to identify individual and shared risk factors (health and demographic) for parent-reported SDB symptoms and academic difficulties.
Methods:
In this cross-sectional study, parents/caregivers of children were recruited through schools and social media to complete an online questionnaire covering health and demographic factors, their children's SDB symptoms (Pediatric Sleep Questionnaire; PSQ) and parental ratings of academic performance based on teacher feedback relative to expected progress in the national curriculum (well below/below/at/above) in reading, writing, and math.
Results:
A total of 1205 children (53% male) aged (mean) eight years two months were included, comprising 79.4% NZ European/other and 15.0% Māori. The survey-weighted prevalence of SDB (based on the PSQ) was 17.5%. This was higher amongst those with academic difficulties rated 'below/well below' expected progress for reading, writing and math (estimated at 24.0%, 31.0% and 27.5% respectively), with increased odds (adjusted odds ratios) for poor progress of 1.9 (95% CI: 1.2, 3.0), 1.8 (95% CI: 1.2, 2.7) and 2.4 (95% CI: 1.6, 3.7) respectively. There were no shared risk factors common to both SDB and academic difficulties identified from multivariate analyses.
Conclusions:
The findings suggest that children with parent-reported SDB symptoms may be at high risk for poor progress in reading, writing, and math. Future research could examine whether treatment of SDB reduces barriers to learning and offsets educational risk.
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