Inattention, hyperactivity, and symptoms of sleep-disordered breathing
Inattention, hyperactivity, and symptoms of sleep-disordered breathing
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DOI：
10.1542/peds.109.3.449
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发表时间：
2002-03-01
期刊：
影响因子：
8
通讯作者：
Guilleminault, C
中科院分区：
文献类型：
--
作者：
Chervin, RD;Archbold, KH;Guilleminault, C
客观的。患有睡眠呼吸障碍 (SDB) 的儿童经常出现注意力不集中和多动的情况，并且在治疗 SDB 后往往会得到改善。然而，注意力不集中和多动儿童中 SDB 症状的发生频率却很少受到研究。设计。横断面调查。设置。两个大学附属但以社区为基础的普通儿科诊所。患者。患者包括 N = 866 名儿童（469 名男孩），年龄 2.0 至 13.9 岁（平均：6.8 +/- 3.2 岁），均进行了诊所预约。经过验证的儿科睡眠问卷评估了习惯性打鼾（1 项）、打鼾严重程度（4 项分量表）、嗜睡（4 项）和 SDB 总体风险（16 项）。家长还完成了 2 项常见的行为测量，即来自《精神疾病诊断和统计手册》第四版的注意力不集中/多动量表 (IHS)，以及康纳斯家长评定量表的多动指数（HI，表示为 t 分数）。结果。 16%（95% 置信区间 [CI]：13, 19）的参与者报告有习惯性打鼾。 13% (95% CI: 11, 16) 的所有参与者、22% (95% CI: 15, 29) 的习惯性打鼾者和 12% (95% CI: 9, 14) 的非打鼾者的 HI 得分较高 (> 60)。 HI > 60 与以下各项之间的比值比为：习惯性打鼾，2.2（95% CI：1.4，3.6）；打鼾量表上有 1 个额外的阳性症状项目，1.3（95% CI：1.1，1.5）；嗜睡量表上有 1 个额外的阳性项目，1.6（95% CI：1.4，2.0）；总体 SDB 评分增加 1 个标准差 1.7（95% CI：1.4，2.0；所有比值比均经过年龄和性别调整）。高 IHS 分数 (> 1.25) 的结果相似。按年龄和性别分层显示，与打鼾（但不是困倦）相关的大部分来自男孩
Objective. Inattention and hyperactivity are frequent among children with sleep-disordered breathing (SDB) and often improve when SDB is treated. However, the frequency of SDB symptoms among inattentive and hyperactive children has received little study.Design. Cross-sectional survey.Setting. Two university-affiliated but community-based general pediatrics clinics. Patients. Patients consisted of N = 866 children (469 boys), aged 2.0 to 13.9 years (mean: 6.8 +/- 3.2 years), with clinic appointments.Measures. A validated Pediatric Sleep Questionnaire assessed for habitual snoring (1 item), snoring severity (a 4-item subscale), sleepiness (4 items), and overall risk of SDB (16 items). Parents also completed 2 common behavioral measures, an inattention/hyperactivity scale (IHS) derived from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and the hyperactivity index (HI, expressed as a t score) of the Conners' Parent Rating Scale.Results. Habitual snoring was reported in 16% (95% confidence interval [CI]: 13, 19) of the participants. High HI scores (> 60) were found in 13% (95% CI: 11, 16) of all participants, 22% (95% CI: 15, 29) of habitual snorers, and 12% (95% CI: 9, 14) of nonsnorers. Odds ratios between HI >60 and each of the following were: habitual snoring, 2.2 (95% CI: 1.4, 3.6); 1 additional positive symptom-item on the snoring scale, 1.3 (95% CI: 1.1, 1.5); 1 additional positive item on the sleepiness scale, 1.6 (95% CI: 1.4, 2.0); and a 1-standard deviation increase in the overall SDB score, 1.7 (95% CI: 1.4, 2.0; all odds ratios age- and sex-adjusted). Results were similar for high IHS scores (> 1.25). Stratification by age and sex showed that most of the association with snoring (but not sleepiness) derived from boys