Differential sleep subtypes in children with OSA of different ages

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-11-15 DOI:10.1016/j.ijporl.2024.112168

Chenxi Luo, Wenbo Chen, Qi Li

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引用次数: 0

Abstract

Objective

The aim of this study was to evaluate the variations in sleep architecture and types of sleep disturbances in preschool and school-age children diagnosed with obstructive sleep apnea (OSA).

Methods

Children who underwent polysomnography (PSG) were enrolled and divided into two groups based on age: a preschool group and a school-age group. We analyzed differences in sleep architecture and types of sleep disturbances between these groups.

Results

Total sleep time was significantly higher in the preschool group compared to the school-age group (P < 0.05). The percentage of Stage N1 sleep (N1%) was also higher in the preschool group (p < 0.05). Conversely, the percentage of Stage N2 sleep (N2%) was lower in the preschool group (p < 0.05). Additionally, the average and minimum heart rates were higher in the preschool group, while the minimum oxygen saturation, including during non-rapid eye movement (NREM) and REM stages, was lower compared to the school-age group (P < 0.05). The prevalence of positional OSA (P-OSA) was lower, and the prevalence of REM OSA (R-OSA) was higher in the preschool group (P < 0.05).

Conclusion

The prevalence of P-OSA was lower, and R-OSA was higher in preschool children compared to school-age children. Furthermore, the types of sleep disturbances in preschool children with OSA showed significant differences from those in school-age children with OSA.

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不同年龄段 OSA 患儿的睡眠亚型差异

本研究旨在评估被诊断患有阻塞性睡眠呼吸暂停（OSA）的学龄前儿童和学龄期儿童的睡眠结构和睡眠障碍类型的变化。方法对接受多导睡眠图（PSG）检查的儿童进行登记，并根据年龄分为两组：学龄前组和学龄期组。结果学龄前组的总睡眠时间明显高于学龄组（P <0.05）。学龄前组的 N1 阶段睡眠百分比（N1%）也较高（P < 0.05）。相反，学龄前组的 N2 阶段睡眠百分比（N2%）较低（P < 0.05）。此外，与学龄组相比，学龄组的平均心率和最低心率更高，而最低血氧饱和度（包括非快速眼动（NREM）和快速眼动阶段）更低（P <0.05）。结论与学龄儿童相比，学龄前儿童的体位性 OSA（P-OSA）患病率较低，而快速动眼期 OSA（R-OSA）患病率较高（P <0.05）。此外，学龄前儿童 OSA 患者的睡眠障碍类型与学龄儿童 OSA 患者的睡眠障碍类型存在显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.