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Sleep problems in low income, urban pediatric populations living at different altitudes in Colombia
Álvaro J Ruiz1, Martín Alonso Rondón Sepúlveda2, Olga Patricia Panqueva Centanaro3
1Department of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia; Department of Clinical Epidemiology and Biostatistics, School of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia; Sleep Disorders Research Group, School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia.
Insights
Pediatric sleep problems are common in low-income urban areas, with higher altitudes linked to increased risks like sleep-disordered breathing. Early detection and intervention are crucial for children's health.
Area of Science:
- Pediatric sleep medicine
- Environmental health
- Public health
Background:
- Sleep problems affect children's health and development.
- Urban pediatric populations face unique environmental exposures.
- Altitude may influence physiological processes, including sleep.
Purpose of the Study:
- To investigate the prevalence of sleep problems in low-income urban children across different altitudes in Colombia.
- To identify specific sleep disorder types associated with varying altitudes.
Main Methods:
- A descriptive, cross-sectional, population-based observational study.
- Surveyed 1989 children aged 2-12 years in Santa Marta, Bucaramanga, and Bogotá, Colombia.
- Utilized the Spanish version of the Pediatric Sleep Questionnaire.
Main Results:
- Overall prevalence of sleep problems was 39.0%.
- Higher altitude (Bogotá) showed the highest frequency of sleep-disordered breathing (17.2%).
- Parasomnias were most frequent in Santa Marta (58.0%), and attention deficit symptoms in Bucaramanga (4.0%).
Conclusions:
- Sleep problems are prevalent in urban pediatric populations, with increased frequency at higher altitudes.
- Sleep-disordered breathing is significantly associated with high-altitude environments.
- Early detection and intervention for pediatric sleep disorders are essential.
Objective:
To determine the frequency of sleep problems in low-income, urban pediatric populations in cities at different altitudes in Colombia.
Methods:
A descriptive, cross-sectional population-based observational study was conducted in children aged between 2 and 12 years in the low income, urban areas of three cities in Colombia (Santa Marta, Bucaramanga, and Bogotá) located at 15, 959, and 2640 m above sea level, respectively. Sociodemographic data were collected, and the Spanish version of the Pediatric Sleep Questionnaire was used.
Results:
1989 children were surveyed, distributed as follows: Santa Marta (32.0%), Bucaramanga (33.4%), and Bogotá (34.6%). The overall prevalence of sleep problems was 39.0%. Children from Santa Marta had the highest frequency of parasomnias (58.0%); those from Bucaramanga had the highest frequency of attention deficit symptoms (4.0%) and apneic pauses witnessed by parents or caregivers (5.7%). Finally, Bogotá, the only high-altitude location, had the highest frequency of sleep disordered breathing (17.2%).
Conclusions:
The study found a high frequency of sleep problems in the pediatric population, especially at higher altitudes when compared to lower altitude settings. Sleep disorders warrant early detection and timely therapeutic intervention.
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