Relationship between anthropometric parameters and obstructive sleep apnea in school age children

J Shults, Xanthopoulos,B Zemel,CF Piccin,JN Giordani, KC dosSantos, LM daSilva,KS Bueno

semanticscholar(2017)

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摘要
SLEEP, Volume 40, Abstract Supplement, 2017 response was collected unanimously by teachers. High risk children for sleep apnea were identified using apnea-associated symptoms related either to sleeping, anxiety, attention deficiency or emotional behavior. The participants whose information was not available were omitted from the analysis. Uni-variable and multivariable regression and logistic analyses were conducted, using SAS version 9.0 software. Results: More than 90% of care-givers responded to the questionnaire, and 75% of them revealed the STBUR score of 0, while 0.3% did STBUR score of 3 or greater. Mostly 1,800 pupils were regarded as having higher risk for sleep apnea, and thus invited for detailed examination. Data from around 700 participants were available for the subsequent analysis. The prevalence of severe sleep apnea (RDI = 5 or over) was 0.9% in those with STBUR scores of 0, 3.0% with STBUR scores of 1, 6.4% with STBUR scores of 2, and 13.3 with STBUR scores of 3, 4, and 5. According to multivariable logistic analysis odds ratio (95% confidence interval) vs STBURN score 0 were 3.54 (0.76 to 16.64) in STBURN score 1, those STBURN score 2 were 8.10 (1.71 to 38.40) after adjusted with grade, attention deficiency, hyper dyskinesia, while those of STBURN score 2 were 19.61 (3.33 to 115.47) after adjusted with grade, attention deficiency, hyper dyskinesia (p trend <.0001). Conclusion: STBUR scores and RDI values were associated, suggesting that high STBUR score (3 or over) well predicts sleep apnea (5/ hr
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