Polysomnographic Characteristics of Snoring Children: A Familial Study of Obstructive Sleep Apnea Syndrome

Available evidence suggests a familial basis for OSA. The aim of the present study was to assess the potential influences of parental OSA in predicting the diagnosis and severity of OSA in snoring children. Observational study, we prospectively enrolled 84 children and their parents. A complete noct...

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Detalles Bibliográficos
Autores: Morell-Garcia, Daniel, Peña-Zarza, José Antonio, Sanchís, Pilar, Pierola Lopetegui, Javier, de la Peña-Bravo, Mónica, Bauça, Josep Miquel, Toledo-Pons, Nuria, Gimenez Carrero, Paloma, Ribot Quetglas, Caterina, Alonso Fernández, Alberto, Barceló Bennasar, Antonia
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/21693
Acceso en línea:https://hdl.handle.net/20.500.13003/21693
Access Level:acceso abierto
Palabra clave:Child
Polysomnography
Snoring
Adult
Sleep Apnea, Obstructive
Humans
Prevalence
Apnea Obstructiva del Sueño
Humanos
Prevalencia
Niño
Adulto
Ronquido
Polisomnografía
Descripción
Sumario:Available evidence suggests a familial basis for OSA. The aim of the present study was to assess the potential influences of parental OSA in predicting the diagnosis and severity of OSA in snoring children. Observational study, we prospectively enrolled 84 children and their parents. A complete nocturnal polysomnography was performed. Children were categorized into 3 severity groups according to the apnea-hypopnea index (AHI<1h-1, AHI≥1h-1 to AHI<5h-1, and AHI≥5h-1). Adults were grouped according two criteria (AHI≥5h-1 and ≥10h-1). There were no significant differences in age, gender, BMI and BMI z-score among groups. Among the children, 54.7% had an AHI≥1h-1 and 21.4% had an AHI≥5h-1. Overall, we observed that 60.7% of fathers and 23.8% of mothers of our population had OSA (AHI≥5h-1). The prevalence of fathers with OSA increases with the children's severity (83% in the group of children with moderate-severe OSA, p=0.035). The odds of having moderate-severe pediatric OSA (AHI≥5h-1) were more than 4 times higher among children with a father with AHI≥5h-1 (OR: 4.92, 95% CI: 1.27-19.06; p=0.021). There was no evidence of any maternal influence on OSA severity among the children studied. Our findings suggest a high prevalence of OSA among the family members studied with an increased association of childhood OSA with paternal OSA. Prediction of OSA risk among children can be significantly improved by adding data on paternal OSA status.