Abstract
Objectives: Pediatric obstructive sleep apnea syndrome (OSAS), like adult OSAS, is characterized by intermittent upper airway collapse during sleep and is associated with anatomic and neuromuscular factors. However, the clinical manifestations, diagnostic criteria, and polysomnographic findings of OSAS in children are likely to be different from those in adults. The purpose of this study was to identify the characteristics that distinguish the clinical manifestations and polysomnographic findings of OSAS in children from those in adults. Methods: The study population consisted of 34 children (mean age, 7.6 years; range, 4 to 16 years) with OSAS and 33 adults (mean age, 40.1 years; range, 18 to 58 years) with OSAS. We compared various clinical manifestations, such as body mass index, tonsil size, severity of symptoms and signs, and polysomnographic data, between these groups. Results: Obesity was more common among the adults, whereas tonsillar hypertrophy was more common among the children. There were significant differences between the groups in the severity of symptoms and signs, including witnessed apnea, daytime sleepiness, morning headache, memory reduction, and daytime fatigue. In the children with OSAS, slow-wave sleep was relatively well preserved, and respiratory events such as apnea and hypopnea occurred mainly during rapid eye movement sleep. Conclusions: The clinical manifestations and polysomnographic findings in children with OSAS differ from those in adults with OSAS.
| Original language | English |
|---|---|
| Pages (from-to) | 656-661 |
| Number of pages | 6 |
| Journal | Annals of Otology, Rhinology and Laryngology |
| Volume | 119 |
| Issue number | 10 |
| Publication status | Published - 2010 Oct 1 |
Fingerprint
Keywords
- Body mass index
- Child
- Obstructive sleep apnea syndrome
- Palatine tonsil
- Polysomnography
- Sign
- Symptom
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Obstructive sleep apnea syndrome : A child is not just a small adult. / Choi, Ji Ho; Kim, Eun Joong; Choi, June; Kwon, Soon Young; Kim, Tae-Hoon; Lee, Sang Hag; Lee, Heung Man; Shin, Chol; Lee, Seung Hoon.
In: Annals of Otology, Rhinology and Laryngology, Vol. 119, No. 10, 01.10.2010, p. 656-661.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Obstructive sleep apnea syndrome
T2 - A child is not just a small adult
AU - Choi, Ji Ho
AU - Kim, Eun Joong
AU - Choi, June
AU - Kwon, Soon Young
AU - Kim, Tae-Hoon
AU - Lee, Sang Hag
AU - Lee, Heung Man
AU - Shin, Chol
AU - Lee, Seung Hoon
PY - 2010/10/1
Y1 - 2010/10/1
N2 - Objectives: Pediatric obstructive sleep apnea syndrome (OSAS), like adult OSAS, is characterized by intermittent upper airway collapse during sleep and is associated with anatomic and neuromuscular factors. However, the clinical manifestations, diagnostic criteria, and polysomnographic findings of OSAS in children are likely to be different from those in adults. The purpose of this study was to identify the characteristics that distinguish the clinical manifestations and polysomnographic findings of OSAS in children from those in adults. Methods: The study population consisted of 34 children (mean age, 7.6 years; range, 4 to 16 years) with OSAS and 33 adults (mean age, 40.1 years; range, 18 to 58 years) with OSAS. We compared various clinical manifestations, such as body mass index, tonsil size, severity of symptoms and signs, and polysomnographic data, between these groups. Results: Obesity was more common among the adults, whereas tonsillar hypertrophy was more common among the children. There were significant differences between the groups in the severity of symptoms and signs, including witnessed apnea, daytime sleepiness, morning headache, memory reduction, and daytime fatigue. In the children with OSAS, slow-wave sleep was relatively well preserved, and respiratory events such as apnea and hypopnea occurred mainly during rapid eye movement sleep. Conclusions: The clinical manifestations and polysomnographic findings in children with OSAS differ from those in adults with OSAS.
AB - Objectives: Pediatric obstructive sleep apnea syndrome (OSAS), like adult OSAS, is characterized by intermittent upper airway collapse during sleep and is associated with anatomic and neuromuscular factors. However, the clinical manifestations, diagnostic criteria, and polysomnographic findings of OSAS in children are likely to be different from those in adults. The purpose of this study was to identify the characteristics that distinguish the clinical manifestations and polysomnographic findings of OSAS in children from those in adults. Methods: The study population consisted of 34 children (mean age, 7.6 years; range, 4 to 16 years) with OSAS and 33 adults (mean age, 40.1 years; range, 18 to 58 years) with OSAS. We compared various clinical manifestations, such as body mass index, tonsil size, severity of symptoms and signs, and polysomnographic data, between these groups. Results: Obesity was more common among the adults, whereas tonsillar hypertrophy was more common among the children. There were significant differences between the groups in the severity of symptoms and signs, including witnessed apnea, daytime sleepiness, morning headache, memory reduction, and daytime fatigue. In the children with OSAS, slow-wave sleep was relatively well preserved, and respiratory events such as apnea and hypopnea occurred mainly during rapid eye movement sleep. Conclusions: The clinical manifestations and polysomnographic findings in children with OSAS differ from those in adults with OSAS.
KW - Body mass index
KW - Child
KW - Obstructive sleep apnea syndrome
KW - Palatine tonsil
KW - Polysomnography
KW - Sign
KW - Symptom
UR - http://www.scopus.com/inward/record.url?scp=77958076054&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77958076054&partnerID=8YFLogxK
M3 - Article
C2 - 21049849
AN - SCOPUS:77958076054
VL - 119
SP - 656
EP - 661
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
SN - 0003-4894
IS - 10
ER -