Anuntaseree W, Sangsupawanich P, Mo-suwan L, Ruangnapa K, Pruphetkaew N
Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, HatYai, Songkhla, Thailand.
Clin Otolaryngol. 2014 Jun;39(3):164-8. doi: 10.1111/coa.12249.
To determine the association between the change in weight status and newly developed snoring in children.
This was a prospective cohort study.
Structured interviews were conducted at participants' homes, and physical examinations were performed at The-pa Community Hospital in Southern Thailand.
Cohort subjects (n = 1076) were recruited from children born over a 1-year period between November 2000 and October 2001 in The-pa District of Songkhla Province, Southern Thailand. Data collection was performed when the child was 5 and 8.5 years old.
The child's snoring, weight, height and tonsillar size were examined. The change in weight status was categorised into four groups: not obese, became not obese, became obese and persistently obese.
Of 1076, 983 subjects (91.4%) completed both surveys. The overall prevalence of habitual snoring decreased from 13% at age 5 to 10.9% at age 8.5 years. Of the 855 children who reported not snoring in the first survey, 61 (7.1%) had become habitual snorers. After adjusting for tonsillar size, children who had become obese or were persistently obese had a significant association with becoming a new snorer with an odds ratio of 5.8 (Confidence interval, CI, 1.3-25.8) and 11.7 (CI, 2.5-54.9), respectively.
Children with newly developed obesity at 8.5 years old were strongly associated with new snoring occurrence, which is similar to the findings of long-term follow-up studies in adults. Our findings support the idea that the patterns of changes in weight status and snoring development in adults begin as early as the primary school years.
确定儿童体重状况变化与新出现的打鼾之间的关联。
这是一项前瞻性队列研究。
在参与者家中进行结构化访谈，并在泰国南部的帕社区医院进行体格检查。
队列研究对象（n = 1076）从2000年11月至2001年10月在泰国南部宋卡府帕区出生的儿童中招募。在儿童5岁和8.5岁时进行数据收集。
检查儿童的打鼾情况、体重、身高和扁桃体大小。体重状况变化分为四组：非肥胖、变为非肥胖、变为肥胖和持续肥胖。
1076名研究对象中，983名（91.4%）完成了两项调查。习惯性打鼾的总体患病率从5岁时的13%降至8.5岁时的10.9%。在第一次调查中报告不打鼾的855名儿童中，61名（7.1%）成为了习惯性打鼾者。在调整扁桃体大小后，变为肥胖或持续肥胖的儿童与成为新的打鼾者有显著关联，优势比分别为5.8（置信区间，CI，1.3 - 25.8）和11.7（CI，2.5 - 54.9）。
8.5岁时新出现肥胖的儿童与新出现的打鼾密切相关，这与成人长期随访研究的结果相似。我们的研究结果支持这样一种观点，即成人体重状况变化和打鼾发展的模式早在小学阶段就开始了。
