睡眠呼吸暂停症状及多导睡眠图作为超重儿童和青少年生活质量低下的预测指标
Symptoms of sleep apnea and polysomnography as predictors of poor quality of life in overweight children and adolescents.
作者信息
Carno Margaret-Ann, Ellis Ethan, Anson Elizabeth, Kraus Rachel, Black Jonathan, Short Renee, Connolly Heidi V
机构信息
School of Nursing, University of Rochester, 601 Elmwood Ave Box SON, Rochester, NY 14642, USA.
出版信息
J Pediatr Psychol. 2008 Apr;33(3):269-78. doi: 10.1093/jpepsy/jsm127. Epub 2007 Dec 11.
OBJECTIVE
The goal of this study was to examine the relationship between quality of life (QOL) and symptoms of obstructive sleep apnea (OSA) as well as objectively measured severity of OSA using polysomnography (PSG) in a cohort of overweight and at risk for overweight children and adolescents.
METHODS
One hundred and fifty-one overweight subjects [90 males, average ages of 12.52, mean body mass index (BMI) Z-score of 2.27) and their parent/guardian completed surveys assessing QOL and symptoms of OSA syndrome. The subjects also underwent overnight PSG.
RESULTS
Overweight patients reported poor QOL. Polysomnographic variables did not correlate with QOL. However, symptoms of OSA as reported on the Pediatric Sleep Questionnaire significantly correlated with QOL from both the parent and the subject.
CONCLUSIONS
Overweight youth with symptoms of OSA have a lower QOL both by their report and parental report. Interestingly, objective measures of OSA did not correlate with QOL.
目的
本研究的目的是在一组超重及有超重风险的儿童和青少年中，探讨生活质量（QOL）与阻塞性睡眠呼吸暂停（OSA）症状之间的关系，以及使用多导睡眠图（PSG）客观测量的OSA严重程度。
方法
151名超重受试者[90名男性，平均年龄12.52岁，平均体重指数（BMI）Z评分为2.27]及其父母/监护人完成了评估QOL和OSA综合征症状的调查。受试者还接受了夜间PSG检查。
结果
超重患者报告生活质量较差。多导睡眠图变量与生活质量无相关性。然而，儿科睡眠问卷中报告的OSA症状与父母和受试者的生活质量均显著相关。
结论
有OSA症状的超重青少年通过他们自己的报告和父母的报告显示生活质量较低。有趣的是，OSA的客观测量指标与生活质量无关。
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