儿童阻塞性睡眠呼吸暂停:患病率和与超重和肥胖相关
Ingibjorg Ingolfsdottir1,2, Laufey Hrolfsdottir1,3, Groa Bjork Johannesdottir1
1Akureyri Hospital, Akureyri, Iceland.
概括
阻塞性睡眠呼吸暂停 (OSA) 在幼儿中很常见,超重和肥胖显著增加了风险. 早期发现和管理对于儿童健康至关重要.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童肥胖研究儿童肥胖研究
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童的一种诊断不足的疾病,可能会影响长期健康.
- 虽然肥胖是已知的OSA风险因素在成年人中,其儿童的关联需要进一步调查.
研究的目的:
- 评估4-9岁幼儿的OSA患病率.
- 在这个儿科群体中确定体重增加,超重,肥胖和OSA之间的关联.
主要方法:
- 一项涉及371名儿童 (4-9岁) 一年多的横截面研究.
- 使用儿科睡眠问卷 (PSQ) 和家庭睡眠测试来评估睡眠.
- 用于评估超重/肥胖的身体质量指数 (BMI) z-score;多变量回归分析了OSA相关性.
主要成果:
- 未诊断的OSA的患病率为22.7%,中度至重度OSA分别为16.2%和6.5%.
- 增加的BMI z-score与中度/重度OSA的更高几率相关 (OR=1.35每单位增加).
- 超重和肥胖与与正常体重相比,中度/重度OSA的风险几乎增加了三倍.
结论:
- 在幼儿中OSA的患病率高于以前估计的.
- 体重增加,超重和肥胖与儿童的OSA诊断有显著的联系.
- 研究结果强调了体重管理在儿童OSA预防和治疗中的重要性.
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