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Differences in attention abilities, growth, development, and quality of life between Chinese children with
Shan Shan1, Li Zhang2, Shuyu Wang3
1Department of Otolaryngology Head and Neck Surgery, The No. 980 Hospital, Joint Logistics Support Force, PLA, China.
Insights
Children with obstructive sleep apnea (OSA) experience significant impairments in growth, quality of life, and cognitive functions, including attention and learning abilities, compared to healthy peers.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Developmental Psychology
Background:
- Obstructive sleep apnea (OSA) is a growing concern in pediatric populations.
- The impact of pediatric OSA on overall development and cognitive function requires further elucidation.
Purpose of the Study:
- To compare growth, quality of life, and attention abilities in Chinese children with and without obstructive sleep apnea.
- To assess the developmental and cognitive consequences of pediatric OSA.
Main Methods:
- A cross-sectional study involving 127 children (67 with OSA, 60 controls).
- Utilized validated scales: Pupil Rating Scale, Inventory of Subjective Life Quality, Self-Rating Anxiety Scale, Parent Symptom Questionnaire, and Continuous Performance Task.
- Assessed growth, development, quality of life, anxiety, and attention functions.
Main Results:
- Children with OSA showed significantly lower quality of life and higher anxiety levels.
- Impaired learning abilities, increased impulsivity, hyperactivity, and abnormal hyperactivity index were observed in children with OSA.
- Sustained visual and auditory attention were significantly impaired in the pediatric OSA group.
Conclusions:
- Pediatric obstructive sleep apnea is associated with significant detriments in growth, quality of life, and cognitive functions.
- Findings underscore the critical need for early diagnosis and intervention for OSA in children.
- Further research should explore broader implications across diverse pediatric populations.
Abstract:
ObjectivesThis study aimed to compare growth, development, quality of life, and attention abilities between Chinese children with and without obstructive sleep apnea.MethodsA cross-sectional study was conducted at the 980th Hospital, Joint Logistics Support Force. Validated scales, including the Pupil Rating Scale, Inventory of Subjective Life Quality, Self-Rating Anxiety Scale, Parent Symptom Questionnaire, and Continuous Performance Task, were used to assess children with obstructive sleep apnea and healthy controls.ResultsChildren with obstructive sleep apnea (n = 67) showed significantly poorer outcomes than controls (n = 60). They exhibited lower Pupil Rating Scale and Inventory of Subjective Life Quality scores (p < 0.001), higher anxiety levels (p < 0.001), abnormal learning (p = 0.028), increased impulsivity and hyperactivity (p = 0.003), and an abnormal hyperactivity index (p = 0.004). Sustained visual (p = 0.010) and auditory attention (p < 0.001) were also impaired.DiscussionThis study highlighted the significant negative impact of obstructive sleep apnea on children's growth, development, and cognitive functions. Further research is warranted to examine the broader implications of obstructive sleep apnea on children's well-being across diverse populations.ConclusionsChildren with obstructive sleep apnea demonstrate significant impairments in growth, quality of life, and cognitive functions compared with controls.
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