Júlia Machado Saporiti, Deborah Castagno, Clarissa Delpizzo Castagno, Maria Perpétua Mota Freitas, Marília Leão Goettems, Noéli Boscato
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引用次数: 0
摘要
目的:本研究调查了儿童和青少年与阻塞性睡眠呼吸暂停(OSA)相关的风险因素:本研究调查了儿童和青少年中与阻塞性睡眠呼吸暂停(OSA)相关的风险因素:对一家私人诊所的 187 名受试者的记录进行了审查。收集了夜间多导睡眠图记录和自我/家长报告。对社会人口学、人体测量、睡眠质量和睡眠结构变量以及 OSA 诊断进行了描述性分析。通过稳健方差多变量逻辑回归评估了独立变量与 OSA 诊断之间的关联,显著性水平为 5%。 结果132 名参与者被诊断为 OSA,55 名被归类为 "无 OSA"(29.41%)。超重或肥胖者患 OSA 的几率是体重正常者的 4.97 倍(P = 0.005)。打鼾声音大的人患 OSA 的几率是打鼾声音轻微或中等的人的 2.78 倍。唤醒指数每增加一个单位,被确诊为 OSA 患者的几率比(OR)就会增加 1.39(P < 0.001),而睡眠效率每增加一个单位,未患 OSA 的几率就会增加 1.09(P = 0.002):结论:研究发现,超重/肥胖儿童和青少年以及父母/自我报告有大声打鼾的儿童和青少年的OSA相关风险因素明显增加。
Pediatric obstructive sleep apnea-related risk factors: A cross-sectional study.
Objectives: This study investigated obstructive sleep apnea (OSA)-related risk factors in children and adolescents.
Materials and methods: Records of 187 subjects from a private medical clinic were reviewed. Overnight polysomnography recordings and self/parent reports were gathered. Descriptive analysis of sociodemographic, anthropometric, sleep quality and sleep architecture variables and OSA diagnosis were performed. Associations between independent variables and OSA diagnosis were assessed through multivariable logistic regression with robust variance, with a significance level of 5%. Results: 132 participants were diagnosed with OSA, and 55 were classified as "no OSA" (29.41%). Those overweight or obese were 4.97 times more likely to have OSA than those with normal weight (P = 0.005). Those who reported loud snoring were 2.78 times more likely to have OSA than those who reported mild or moderate snoring intensity. A one-unit increase in arousal index leads to 1.39 increase in the odds ratio (OR) of individuals diagnosed with OSA (P < 0.001), and each one-unit increase in sleep efficiency leads to 1.09 higher odds of not having OSA (P = 0.002).
Conclusions: Significantly increased OSA-related risk factors among overweight/obese children and adolescents and among those who had a parental/self-report of loud snoring were found.