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Correlations between pediatric obstructive sleep apnea and longitudinal growth
- Source :
- International journal of pediatric otorhinolaryngology. 106
- Publication Year :
- 2017
-
Abstract
- Objectives Pediatric obstructive sleep apnea has a relatively high prevalence and has various negative health and behavioral consequences. Among the various complications of pediatric obstructive sleep apnea, growth disturbance is still controversial. Method 745 pediatric subjects with obstructive sleep apnea diagnosed by in-lab polysomnography were enrolled, after excluding ineligible subjects with abnormal growth related factors. Height, weight, and BMI of enrolled patients were measured and statistically converted to z-scores, and the converted data were analyzed statistically with the polysomnographic results. Multiple linear regression were used to analyze the relationships between age, gender, z-score for weight, polysomnography results, and z-score for height. Results Patients with higher respiratory related index or lower mean/lowest oxygen saturation of PSG showed smaller z-score for height. Mean apnea hypopnea index and standard deviation of enrolled patients was 7.46 ± 12.92, with moderate severity. And mean z-score for height and standard deviation was 0.21 ± 1.15. Apnea hypopnea index, respiratory disturbance index, obstructive apnea index, and hypopnea index, respiratory related results of polysomnography, were statistically negative correlated with a z-score for height. And mean oxygen saturation and lowest oxygen saturation, oxygen saturation results of polysomnography, were statistically positive correlated with a z-score for height. Conclusions Respiratory related results and oxygen saturation results of polysomnography show negative and positive correlation with z-score for height. Therefore, pediatric obstructive sleep apnea have a negative effect on longitudinal growth.
- Subjects :
- Male
medicine.medical_specialty
Polysomnography
03 medical and health sciences
0302 clinical medicine
Child Development
030225 pediatrics
Internal medicine
Respiratory disturbance index
Medicine
Humans
Child
Growth Disorders
Oxygen saturation (medicine)
Retrospective Studies
Sleep Apnea, Obstructive
medicine.diagnostic_test
Anthropometry
business.industry
Retrospective cohort study
General Medicine
medicine.disease
respiratory tract diseases
Obstructive sleep apnea
030228 respiratory system
Otorhinolaryngology
Apnea–hypopnea index
Pediatrics, Perinatology and Child Health
Cardiology
Regression Analysis
Female
business
Hypopnea
Subjects
Details
- ISSN :
- 18728464
- Volume :
- 106
- Database :
- OpenAIRE
- Journal :
- International journal of pediatric otorhinolaryngology
- Accession number :
- edsair.doi.dedup.....1a64b51b81802243c62e5760272ba607