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A study of sleep disorders in Indian children: Tip of the iceberg

Hardeep Kaur1, Harshita Chaudhary2, Kundan Vashishtha3

  • 1Associate Professor (Paediatrics) & Classified Specialist (Paediatrics), Paediatric Pulmonology & Intensive Care, INHS Asvini, Colaba, Mumbai, India.

Medical Journal, Armed Forces India
|October 6, 2025
PubMed

Insights

Poor sleep in children can lead to neurodevelopmental issues. This study found a significant link between asthma and obstructive sleep apnea in Indian children, highlighting the need for regular sleep screenings.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Medicine
  • Neurodevelopmental Pediatrics

Background:

  • Sleep deprivation in children has serious neurodevelopmental consequences, including poor concentration and hyperactivity.
  • There's a lack of data on sleep behaviors and disorders in Indian children.
  • This study addresses the need to understand common pediatric sleep disorders in India.

Purpose of the Study:

  • To investigate sleep behaviors in Indian children.
  • To identify prevalent pediatric sleep-related disorders.
  • To explore associations between sleep disorders and other conditions like asthma.

Main Methods:

  • 270 children aged 1-18 years were enrolled from pediatric outpatient departments.
  • The Children Sleep habit questionnaire (NICHD SECCYD) was used.
  • Children with suspected obstructive sleep apnea underwent polysomnography.

Main Results:

  • Average sleep duration was 8.58 ± 1.35 hours, shorter than the global average.
  • Prevalence rates included allergic rhinitis (30%), asthma (8-10%), obstructive sleep apnea (5.6%), snoring (10%), restless legs (30%), and mouth breathing (35%).
  • Asthma showed a statistically significant association with sleep-disordered breathing and obstructive sleep apnea (p < 0.01).

Conclusions:

  • Asthma is significantly associated with obstructive sleep apnea in children.
  • Effective asthma management may alleviate obstructive sleep apnea burdens.
  • Routine screening for sleep issues in children is increasingly necessary.
Abstract

Keywords:
Childhood sleep questionnaireHypopneaObstructive sleep apneaPolysomnographyPulse oximetry

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