Snoring and obstructive sleep apnea in Thai school‐age children: Prevalence and predisposing factors

Pediatric Pulmonology - Tập 32 Số 3 - Trang 222-227 - 2001
Wanaporn Anuntaseree1, K. Rookkapan2, Surachai Kuasirikul3, Paramee Thongsuksai4
1Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkla, Thailand.
2Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Hat yai, Songkla, Thailand
3Sleep Disorder Unit, Faculty of Medicine, Prince of Songkla University, Hat yai, Songkla, Thailand
4Clinical Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat yai, Songkla, Thailand

Tóm tắt

AbstractWe studied the prevalence of habitual snoring and its associations with tonsillar size, allergic rhinitis, obesity, and parental smoking, as well as prevalence of obstructive sleep apnea (OSAS) in a sample of 1,142 children aged 6–13 years (mean, 7.25 ± 0.58) from seven randomly selected schools in Hat yai, Southern Thailand.Eighty‐five (8.5%) of the children were habitual snorers; the prevalence was the same in boys and girls. Significant and independent association was present between snoring and allergic rhinitis with an odds ratio of 5.27 (95% CI, 1.57–17.77). The odds ratio was significantly increased to 2.65 (CI, 1.31–5.39), 5.72 (CI, 2.67–12.25), and 11.06 (CI, 1.91–63.84) in children with tonsillar size of 2+ , 3+ , and 4+ , respectively. Of the 85 habitual snorers, 69 could be contacted by telephone call or by hospital visit. Eight of these were reported to have at least one of the following symptoms: difficulty breathing during sleep, stop breathing at night, restless sleeping and frequent awakening, sleeping with the head tipped back, and a tendency to breathe through the mouth rather than the nose. Polysomnographic studies in these 8 children demonstrated an apnea/hypopnea index of 0.6–4.7 per hr. Seven children met the criteria for OSAS. Thus, our estimate of the prevalence of OSAS among Thai schoolchildren was 7/1,008 (0.69%).We have shown that the prevalence of habitual snoring was 8.5%, and the prevalence of OSAS in a sample of Asian school‐age children in Southern Thailand was 0.69%, which was similar to that observed in Western populations. An association of snoring with tonsillar size or allergic rhinitis was demonstrated. All but one of the snoring children with sleep‐related symptoms had OSAS, but all were mild cases. Pediatr Pulmonol. 2001; 32:222–227. © 2001 Wiley‐Liss, Inc.

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Tài liệu tham khảo

10.1136/bmj.299.6714.1491

10.1002/ppul.1950130412

10.1136/adc.68.3.360

10.1378/chest.107.4.963

Kawashima S, 2000, Cephalometric comparisons of craniofacial and upper airway structure in young children with obstructive sleep apnea syndrome, Ear Nose Throat J, 79, 499, 10.1177/014556130007900708

10.1016/S0889-5406(96)70047-1

10.1016/S0889-5406(00)70169-7

10.1016/S0954-6111(98)90386-9

Wichaidit S, 1990, Weight, height, and anthropometric parameters of Thai children, 62

Rechtschaffen A, 1968, A manual of standardized terminology; techniques and scoring systems for sleep stages of human subjects

10.1164/ajrccm.153.2.8564147

10.1164/ajrccm/146.5_Pt_1.1235

10.1378/chest.111.1.170

Demain JG, 1995, Pediatric adenoidal hypertrophy with nasal airway obstruction: reduction with nasal beclomethasone, Pediatrics, 95, 355, 10.1542/peds.95.3.355

10.1001/jama.247.9.1229

10.1016/S0022-3476(89)80738-3

10.1164/ajrccm.159.5.9809079

10.1002/(SICI)1099-0496(200004)29:4<284::AID-PPUL8>3.0.CO;2-D

10.1002/(SICI)1099-0496(199602)21:2<121::AID-PPUL7>3.0.CO;2-U

10.1542/peds.105.2.405

10.1016/S0022-3476(84)80348-0

10.1378/chest.108.3.610

10.3109/00016489709124119

10.1007/BF02713925

10.1136/adc.71.1.74

10.1093/sleep/20.12.1185

10.1177/000992280003900205

10.1002/(SICI)1099-0496(199807)26:1<6::AID-PPUL3>3.0.CO;2-M

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Pediatric Pulmonology

Tập 32 Số 3

222-227

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