Burden of Sleep Disturbances and Sleep Apnea Risk Among Children with Epilepsy: A Case-Control Study
Ahlam Mazi1,2
1Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. amazi@kau.edu.sa.
Insights
Children with seizures in Saudi Arabia experience significantly higher rates of sleep disturbances and obstructive sleep apnea (OSA) risk compared to healthy children. Early screening for these sleep issues is recommended in pediatric neurology care.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Epidemiology
Background:
- Sleep disturbances and obstructive sleep apnea (OSA) are common in children, impacting neurodevelopment and quality of life.
- Epilepsy in childhood is associated with various comorbidities, including sleep disorders.
Purpose of the Study:
- To compare the prevalence of sleep disturbances and OSA risk in Saudi children with seizures versus healthy controls.
- To identify clinical factors associated with sleep disturbances and OSA in children with epilepsy.
Main Methods:
- A case-control study involving 83 children with seizures and 167 healthy controls in Jeddah, Saudi Arabia.
- Sleep patterns and OSA risk assessed using the Children's Sleep Habits Questionnaire (CSHQ) and Pediatric Sleep Questionnaire (PSQ).
- Logistic regression analysis used for clinical factor assessment.
Main Results:
- Children with seizures had a significantly higher prevalence of sleep disturbances (86.7% vs. 21.6%) and OSA risk (34.9% vs. 15.6%).
- Seizure group exhibited greater impairment in all CSHQ domains, including bedtime resistance, sleep anxiety, and daytime sleepiness.
- Hospital admission and longer sleep duration were associated with sleep disturbance; recent seizure occurrence predicted OSA risk.
Conclusions:
- Sleep disturbances are substantially more common in Saudi children with epilepsy than in their healthy peers.
- Routine integration of sleep screening tools is crucial for early identification and management of sleep comorbidities in pediatric neurology.
- Addressing sleep issues in children with seizures may improve overall health outcomes.
Objective:
This study aimed to compare the prevalence of sleep disturbances and obstructive sleep apnea (OSA) risk between children with seizures and healthy controls in Saudi Arabia, while identifying clinical correlates associated with these outcomes within the epilepsy cohort.
Methods:
A case-control study was conducted at King Abdulaziz University Hospital, Jeddah, involving 83 children with seizures and 167 healthy controls. Sleep patterns and OSA risk were assessed using the Children's Sleep Habits Questionnaire (CSHQ) and the Pediatric Sleep Questionnaire (PSQ). Clinical factors were analyzed using logistic regression.
Results:
Sleep disturbance was significantly more frequent in the seizure group (86.7%) compared with controls (21.6%), with an odds ratio (OR) of 23.82 (p < 0.001). The rate of positive OSA screening was higher among children with seizures (34.9% vs. 15.6%; OR: 2.91, p < 0.001). The seizure group showed significantly higher impairment across all CSHQ domains, including bedtime resistance, sleep anxiety, and daytime sleepiness (all p < 0.001). In the adjusted model, hospital admission in the past six months (aOR: 6.477) and sleep duration ≥ 10 h (aOR: 5.847) were independently associated with sleep disturbance; the latter likely reflects underlying sleep pathology rather than a primary risk factor. Recent seizure occurrence (within 6 months) was the primary predictor for OSA risk (aOR: 2.854, p = 0.048).
Conclusions:
Sleep disturbances among Saudi children with seizures are significantly more prevalent than in healthy peers. Integration of standardized screening tools into routine pediatric neurology practice is warranted for the timely identification and management of these comorbidities.
More Related Videos
10:22Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy
Published on: December 6, 2016
07:54Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Related Concept Videos
Sleep Apnea
The condition is more prevalent among...
Epilepsy ll: Types
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Narcolepsy
