Sleep Research and Treatment Center, Pennsylvania State University College of Medicine, Hershey, PA 17033, USA.
Sleep. 2011 Apr 1;34(4):503-7. doi: 10.1093/sleep/34.4.503.
We investigated the prevalence and association of excessive daytime sleepiness (EDS) with a wide range of factors (e.g., medical complaints, obesity, objective sleep [including sleep disordered breathing], and parent-reported anxiety/depression and sleep difficulties) in a large general population sample of children. Few studies have researched the prevalence and predictors of EDS in young children, none in a general population sample of children, and the results are inconsistent.
Cross-sectional
Population -based.
508 school-aged children from the general population.
N/A.
Children underwent a 9-hour polysomnogram (PSG), physical exam, and parent completed health, sleep and psychological questionnaires. Children were divided into 2 groups: those with and without parent reported EDS. The prevalence of subjective EDS was approximately 15%. Significant univariate relationships were found between children with EDS and BMI percentile, waist circumference, heartburn, asthma, and parent reported anxiety/depression, and sleep difficulties. The strongest predictors of EDS were waist circumference, asthma, and parent-reported symptoms of anxiety/depression and trouble falling asleep. All PSG sleep variables including apnea/hypopnea index, caffeine consumption, and allergies were not significantly related to EDS.
It appears that the presence of EDS is more strongly associated with obesity, asthma, parent reported anxiety/depression, and trouble falling asleep than with sleep disordered breathing (SDB) or objective sleep disruption per se. Our findings suggest that children with EDS should be thoroughly assessed for anxiety/depression, nocturnal sleep difficulties, asthma, obesity, and other metabolic factors, whereas objective sleep findings may not be as clinically useful.
我们调查了大样本儿童人群中，日间嗜睡（EDS）与广泛因素（如医疗投诉、肥胖、客观睡眠[包括睡眠呼吸障碍]以及父母报告的焦虑/抑郁和睡眠困难）的患病率和相关性。很少有研究调查幼儿 EDS 的患病率和预测因素，也没有研究在一般儿童人群样本中进行，结果也不一致。
横断面研究
基于人群。
来自普通人群的 508 名学龄儿童。
无。
儿童接受了 9 小时多导睡眠图（PSG）、体检和父母完成的健康、睡眠和心理问卷。儿童分为两组：有和没有父母报告的 EDS。主观 EDS 的患病率约为 15%。在有无 EDS 的儿童中，存在显著的单变量关系，包括 BMI 百分位数、腰围、烧心、哮喘和父母报告的焦虑/抑郁以及睡眠困难。EDS 的最强预测因素是腰围、哮喘以及父母报告的焦虑/抑郁和入睡困难的症状。所有 PSG 睡眠变量，包括呼吸暂停/低通气指数、咖啡因摄入量和过敏，与 EDS 无显著相关性。
似乎 EDS 的存在与肥胖、哮喘、父母报告的焦虑/抑郁和入睡困难的关系比与睡眠呼吸障碍（SDB）或客观睡眠障碍本身更密切。我们的研究结果表明，有 EDS 的儿童应全面评估焦虑/抑郁、夜间睡眠困难、哮喘、肥胖和其他代谢因素，而客观睡眠发现可能没有临床价值。
