Changes in attention deficit and adipokine levels in children with sleep-disordered breathing

Guiman Luo1, Feiyan Long2, Canhong Yi1

  • 1Children's Medical Center, Hunan Provincial People's Hospital (the First Affiliated Hospital of Hunan Normal University), Changsha, 410000, Hunan Province, China.

Sleep Medicine
|August 2, 2025
PubMed

Insights

Children with obstructive sleep apnea (OSA) and attention-deficit hyperactivity disorder (ADHD) show more severe sleep issues and metabolic changes. ADHD symptoms correlate with higher leptin and lower adiponectin and resistin levels in OSA patients.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Metabolic Health

Background:

  • Pediatric sleep-disordered breathing (SDB) is linked to attention deficits and altered adipokine levels.
  • Investigating the connection between obstructive sleep apnea (OSA) and attention-deficit hyperactivity disorder (ADHD) is crucial for understanding pediatric health.
  • Adipokines play a role in metabolic regulation and may be implicated in the comorbidities of sleep disorders.

Purpose of the Study:

  • To examine the relationship between obstructive sleep apnea (OSA) and attention-deficit hyperactivity disorder (ADHD) in children.
  • To investigate the association between serum adipokine levels (leptin, adiponectin, resistin) and the presence of ADHD in children with OSA.
  • To identify potential biomarkers and understand the underlying mechanisms connecting sleep disturbances and neurodevelopmental issues.

Main Methods:

  • A cohort of 111 children with OSA was divided into an observation group (OG, n=58) with ADHD and a control group (CG, n=53) without ADHD.
  • A healthy blank group (BG, n=50) was included for comparison.
  • Pearson correlation analysis was used to assess the relationship between serum adipokines and ADHD symptoms.

Main Results:

  • Children with OSA and ADHD (OG) showed higher apnea-hypopnea index, lower blood oxygen saturation, elevated interleukins (IL-4, IL-12, IL-13), and lower transforming growth factor-beta (TGF-β) compared to controls.
  • The OG group exhibited higher dopamine and lower norepinephrine levels.
  • ADHD symptom presence strongly correlated with increased serum leptin and decreased adiponectin and resistin levels.

Conclusions:

  • Children with comorbid OSA and ADHD experience more severe sleep disturbances and metabolic abnormalities.
  • Abnormal neurotransmitter secretion, heightened inflammation, and altered adipokine profiles are characteristic of this group.
  • Elevated leptin and reduced adiponectin and resistin levels are associated with ADHD symptoms in children with OSA.
Abstract

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