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Characteristics and risk factors of children with sleep-disordered breathing in Wuxi, China

Yun Guo1, Zhenzhen Pan1, Fei Gao2

  • 1Department of Pediatric Respiratory, Wuxi Children's Hospital, Wuxi Clinical Medical College Affiliated to Nanjing Medical University, No.299-1 at Qingyang Road, Liangxi District, 214023, Wuxi, Jiangsu Province, People's Republic of China.

BMC Pediatrics
|June 28, 2020
PubMed

Insights

Sleep-disordered breathing (SDB) affects 13.4% of children in Wuxi, China. Atopic diseases and family sleep habits are key risk factors for SDB in this population.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Health
  • Allergy and Immunology

Background:

  • Sleep-disordered breathing (SDB) is a prevalent condition in children, impacting immune, cardiovascular, and neurocognitive functions.
  • Understanding the prevalence and risk factors for SDB in diverse pediatric populations is crucial for public health initiatives.

Purpose of the Study:

  • To determine the prevalence of sleep-disordered breathing (SDB) among children aged 3-14 years in Wuxi, China.
  • To identify protective and risk factors associated with SDB in this pediatric cohort.

Main Methods:

  • A cross-sectional study involving 3997 children (aged 3-14) in Wuxi, China, utilizing parental questionnaires.
  • The Paediatric Sleep Questionnaire (PSQ) assessed SDB risk, with logistic regression analyzing sociodemographic, allergic, and sleep-related factors.
  • Data included children's allergy status, sleep patterns, and familial sleep characteristics.

Main Results:

  • The prevalence of SDB was 13.4%, with significantly higher rates in children with asthma (28.2%), eczema (19.0%), and rhinitis (21.4%).
  • Risk factors for SDB included asthma, eczema, rhinitis, familial sleep sickness, and shorter maternal sleep duration (<8 hours).
  • SDB incidence decreased with increasing age, particularly in children aged 6-14 years.

Conclusions:

  • Atopic diseases, including asthma, eczema, and rhinitis, are significant risk factors for pediatric SDB in Wuxi.
  • Family sleep habits, such as familial sleep sickness and maternal sleep duration, also play a crucial role in children's SDB risk.
  • These findings highlight the importance of addressing allergic conditions and family sleep environment in managing pediatric SDB.
Abstract

Keywords:
AsthmaPrevalenceRisk factorSleepSleep-disordered breathing

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