School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
Clinical Practice at Pelotas Sleep Institute, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
Acta Odontol Scand. 2024 Sep 9;83:475-482. doi: 10.2340/aos.v83.41385.
This study investigated obstructive sleep apnea (OSA)-related risk factors in children and adolescents.
Records of 187 subjects from a private medical clinic were reviewed. Overnight polysomnography recordings and self/parent reports were gathered. Descriptive analysis of sociodemographic, anthropometric, sleep quality and sleep architecture variables and OSA diagnosis were performed. Associations between independent variables and OSA diagnosis were assessed through multivariable logistic regression with robust variance, with a significance level of 5%. Results: 132 participants were diagnosed with OSA, and 55 were classified as "no OSA" (29.41%). Those overweight or obese were 4.97 times more likely to have OSA than those with normal weight (P = 0.005). Those who reported loud snoring were 2.78 times more likely to have OSA than those who reported mild or moderate snoring intensity. A one-unit increase in arousal index leads to 1.39 increase in the odds ratio (OR) of individuals diagnosed with OSA (P < 0.001), and each one-unit increase in sleep efficiency leads to 1.09 higher odds of not having OSA (P = 0.002).
Significantly increased OSA-related risk factors among overweight/obese children and adolescents and among those who had a parental/self-report of loud snoring were found.
本研究旨在探讨儿童和青少年阻塞性睡眠呼吸暂停（OSA）相关的危险因素。
回顾了一家私人诊所的 187 名患者的记录。收集了整夜多导睡眠图记录和自我/父母报告。对社会人口统计学、人体测量学、睡眠质量和睡眠结构变量以及 OSA 诊断进行描述性分析。通过稳健方差的多变量逻辑回归评估独立变量与 OSA 诊断之间的关联，显著性水平为 5%。
132 名参与者被诊断为 OSA，55 名参与者被归类为“非 OSA”（29.41%）。超重或肥胖的人患 OSA 的可能性是体重正常的人的 4.97 倍（P = 0.005）。报告响亮鼾声的人患 OSA 的可能性是报告轻度或中度打鼾强度的人的 2.78 倍。觉醒指数每增加一个单位，个体被诊断为 OSA 的比值比（OR）增加 1.39（P < 0.001），睡眠效率每增加一个单位，不发生 OSA 的几率增加 1.09（P = 0.002）。
超重/肥胖的儿童和青少年以及报告响亮鼾声的儿童和青少年中，与 OSA 相关的风险因素显著增加。
