睡眠质量差及其相关的神经认知功能在儿童肥胖与或没有阻塞性睡眠呼吸暂停
Chun Ting Au1, Giorge Voutsas1,2, Sherri Lynne Katz3,4,5
1Translational Medicine, Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada.
Sleep & breathing = Schlaf & Atmung
|July 25, 2023
概括
肥胖儿童的睡眠质量差和白天嗜睡与执行功能和行为问题有关. 阻塞性睡眠呼吸暂停的严重程度和打与这些认知结果没有显著的关联.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 神经心理学 神经心理学
- 儿童肥胖研究儿童肥胖研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在肥胖儿童中很普遍,可能会影响认知功能.
- 执行功能对于儿童的行为调节和学业成功至关重要.
- 肥胖儿童的OSA,睡眠质量,嗜睡和执行功能之间的关系需要进一步阐明.
研究的目的:
- 研究OSA严重程度,打,主观睡眠质量和白天嗜睡与肥胖儿童的执行功能和行为之间的关联.
- 要区分OSA存在和严重程度与主观睡眠体验对认知结果的影响.
主要方法:
- 横截面研究包括85名儿童 (8-18岁) 患有肥胖和疑似OSA.
- 参与者接受了多睡眠测试,并填写了经过验证的问卷:儿科睡眠问卷 (SRBD-PSQ),匹兹堡睡眠质量指数 (PSQI),执行功能的行为评级清单 (BRIEF) 和康纳斯-3家长简短表格.
- 用多个线性回归分析来评估关联,控制共变量.
主要成果:
- 较差的主观睡眠质量和较大的白天嗜睡独立地与较差的执行功能 (行为调节,元认知,全球执行组合) 和注意力不集中/过度活动症状的增加有关.
- 具体来说,睡眠质量差与更高的BRIEF和Conners-3执行功能/注意力不集中得分相关,而嗜睡与更高的Conners-3学习问题得分相关.
- 阻塞性睡眠呼吸暂停严重程度 (轻度,中度至重度) 和打症状与任何评估的执行功能或行为结果都没有显著相关.
结论:
- 主观睡眠质量和白天嗜睡是对肥胖儿童执行功能缺陷和行为问题的重要独立预测因素.
- 单独的OSA严重程度和打似乎与该人口中的这些认知和行为障碍没有直接联系.
- 针对睡眠质量和白天嗜睡的干预措施可能有助于改善肥胖儿童的执行功能.
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