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.
Abstract

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