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Associations among High Risk for Sleep-disordered Breathing, Related Risk Factors, and Attention

Kyoung Min Kim1, Jee Hyun Kim2, Dohyun Kim3

  • 1Department of Psychiatry, Dankook University College of Medicine, Cheonan, Korea.

Clinical Psychopharmacology and Neuroscience : the Official Scientific Journal of the Korean College of Neuropsychopharmacology
|October 30, 2020
PubMed

Insights

Habitual snoring in children is linked to a higher risk of sleep-disordered breathing. This study found a significant association between snoring and attention deficit/hyperactivity symptoms in children.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Public Health

Background:

  • Habitual snoring is a prevalent issue among children.
  • Sleep-disordered breathing (SDB) is a growing concern in pediatric populations.
  • Understanding the link between snoring and neurodevelopmental symptoms is crucial.

Purpose of the Study:

  • To investigate the association between a high risk for sleep-disordered breathing (SDB) and attention deficit/hyperactivity symptoms in children.
  • To identify risk factors associated with SDB in the pediatric population.

Main Methods:

  • A large-scale study involving 13,560 children aged 6 to 12 years.
  • Parental questionnaires were used to assess habitual snoring and attention deficit/hyperactivity disorder (ADHD) symptoms via the Korean ADHD Rating Scale.
  • A high risk for SDB was defined by a snoring score of 2 or more.

Main Results:

  • Significant risk factors for SDB included male sex (OR=1.47), overweight status (OR=2.20), and secondhand smoke exposure (OR=1.38).
  • A dose-response relationship was observed, with higher snoring scores correlating with increased ADHD symptom severity.
  • The Korean ADHD Rating Scale scores significantly increased with escalating snoring scores.

Conclusions:

  • The study confirms male sex, overweight, and tobacco smoke exposure as key risk factors for SDB in children.
  • A significant positive association exists between habitual snoring and attention deficit/hyperactivity symptoms.
  • These findings highlight the importance of addressing snoring in children to potentially mitigate ADHD-related issues.
Abstract

Keywords:
Attention deficit/hyperactivity disorderElementary school children.Risk factorsSleep-disordered breathing

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