Neurocognitive and behavioral impact of sleep disordered breathing in children

Pediatric Pulmonology - Tập 44 Số 5 - Trang 417-422 - 2009
Judith Owens1
1Department of Ambulatory Pediatrics, Rhode Island Hospital, Providence, Rhode Island 02903

Tóm tắt

AbstractThe consequences of poor quality and/or inadequate sleep in children and adolescents have become a major public health concern, and one in which pediatric health care professionals have become increasingly involved. In particular, insufficient and/or fragmented sleep resulting from primary sleep disorders such as obstructive sleep apnea (OSA), often compounded by the presence of comorbid sleep disorders as well as by voluntary sleep curtailment related to lifestyle and environmental factors, has been implicated in a host of negative consequences. These range from metabolic dysfunction and increased cardiovascular morbidity to impairments in mood and academic performance. The following review will focus on what is currently known about the effects of sleep disordered breathing (SDB) specifically on neurobehavioral and neurocognitive function in children. Because of the scarcity of literature on the cognitive and behavioral impact of sleep disorders in infants and very young children, this review will target largely the preschool/school‐aged child and adolescent populations. In addition, the focus will be on a review of the most recent literature, as a supplement to several excellent previous reviews on the topic.1–4 Pediatr Pulmonol. 2009; 44:417–422. © 2009 Wiley‐Liss, Inc.

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Tài liệu tham khảo

10.1093/sleep/29.9.1115

10.1016/j.smrv.2005.10.002

10.1097/MCP.0b013e3282ef6880

10.1513/pats.200708-138MG

10.1053/smrv.2001.0192

10.1542/peds.2004-0103

10.1093/sleep/24.3.313

10.1093/sleep/20.12.1185

10.1542/peds.107.6.1394

10.1542/peds.114.1.44

10.1542/peds.108.3.693

10.1093/sleep/16.3.258

Randazzo AC, 1998, Cognitive function following acute sleep restriction in children ages 10–14, Sleep, 21, 861

10.1017/S1355617703970056

10.1016/j.ijporl.2005.10.020

10.1016/j.jpeds.2005.01.043

Hamasaki Uema SF, 2007, Assessment of cognitive learning function in children with obstructive sleep breathing disorders, Rev Bras Otorrinolaringol (Engl Ed), 73, 315

10.1542/peds.102.3.616

10.1542/peds.111.3.554

Goodwin JL, 2003, Clinical outcomes associated with sleep‐disordered breathing in Caucasian and Hispanic children–the Tucson Children's Assessment of Sleep Apnea study (TuCASA), Sleep, 26, 587, 10.1093/sleep/26.5.587

10.1542/peds.109.3.449

10.1136/adc.71.1.74

10.1136/adc.68.3.360

10.1097/MLG.0b013e318063e866

Constantin E, 2007, Adenotonsillectomy improves sleep, breathing, and quality of life but not behavior, Arch Otolaryngol Head Neck Surg, 133, 216

Baldassari CM, 2008, Pediatric obstructive sleep apnea and quality of life: a meta‐analysis, Proc Am Thorac Soc, 5, 274

10.1097/00004703-200508000-00011

10.1097/chi.0b013e31814b8eb2

10.1097/01.mlg.0000217542.84013.b5

10.1016/j.sleep.2007.06.004

10.1097/01.mcp.0000143689.86819.c2

10.1016/j.sleep.2007.05.001

10.1212/01.WNL.0000134671.99649.32

10.1212/01.wnl.0000265818.88703.83

10.1016/j.smrv.2005.11.003

10.1542/peds.2006-1969

10.1038/oby.2007.118

10.1016/S0022-3476(95)70164-8

10.1001/archpedi.162.4.313

10.1097/MLG.0b013e318093edd7

10.1007/BF02115629

Wei JL, 2007, Improved behavior and sleep after adenotonsillectomy in children with sleep‐disordered breathing, Curr Opin Pulm Med, 13, 505

10.1097/MLG.0b013e318123ee56

10.1542/peds.2005-1837

10.1016/j.otohns.2004.04.015

10.1016/j.ijporl.2006.04.006

10.1093/sleep/26.8.999

10.1203/01.pdr.0000214992.69847.6f

10.1001/archotol.126.4.494

10.1183/09031936.05.00082904

10.1016/j.ijporl.2004.04.026

10.1016/j.otohns.2007.06.738

10.1203/01.PDR.0000057206.14698.47

10.1093/sleep/30.4.450

10.1542/peds.2004-0227

10.1016/j.sleep.2007.04.013

10.1164/rccm.200610-1519OC

10.1002/ppul.20732

Gozal D, 2008, Plasma IGF‐1 levels and cognitive dysfunction in children with obstructive sleep apnea, Otolaryngol Head Neck Surg, 138, 265

10.1161/CIRCULATIONAHA.107.696823

10.1111/j.1651-2227.2007.00278.x

10.1093/sleep/31.1.71