School performance, race, and other correlates of sleep-disordered breathing in children

School performance, race, and other correlates of sleep-disordered breathing in children
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DOI:
10.1016/s1389-9457(02)00243-5
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发表时间:
2003-01-01
期刊:
影响因子:
4.8
通讯作者:
Giordani, BJ
Giordani, BJ
中科院分区:
医学2区
文献类型:
--
作者:
Chervin, RD;Clarke, DF;Giordani, BJ

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目的:儿童期睡眠呼吸障碍(SDB)与学习成绩差有关。这两个问题都是常见的非洲裔美国人(AA)的孩子,但潜在的混杂因素,如低社会经济地位(SES)和肥胖还没有得到很好的study.Methods:在六个城市小学二年级和五年级的儿童进行了评估教师的评级和年终阅读和数学评估。SDB的风险进行了评估与验证的家长儿童睡眠问卷,和SES的资格,学校午餐assistance.Results:在146名儿童的父母完成了调查,SDB的风险与AA种族,低SES,差的教师评级(P < 0.01),但没有评估分数(P > 0.1)。在多元回归模型中,低社会经济地位(P < 0.01),而不是AA种族或SDB风险的预测一致和独立的学校表现不佳。SDB的风险与低SES之前,但不是身体质量指数(BMI)后被考虑到consider.Conclusions:SDB的症状,AA种族,低SES都在一定程度上不同的学校表现不佳,但唯一一致的和独立的协变量的性能是SES。SDB的风险与低SES相关,可能是因为第三个变量,即高BMI。(C)2002 Elsevier Science B.V.保留所有权利。
Objectives: Childhood sleep-disordered breathing (SDB) has been associated with poor school performance. Both problems are common among African-American (AA) children, but potential confounders such as low socioeconomic status (SES) and obesity have not been well studied.Methods: Children in second and fifth grades at six urban elementary schools were evaluated by teachers' ratings and year-end reading and math assessments. Risk for SDB was assessed with the validated parental Pediatric Sleep Questionnaire, and SES by qualification for school lunch assistance.Results: Among 146 children whose parents completed surveys, risk for SDB was associated with AA race, low SES, and poor teacher ratings (P < 0.01), but not assessment scores (P > 0.1). In multiple regression models, poor school performance was consistently and independently predicted by low SES (P < 0.01) but not by AA race or SDB risk. Risk for SDB was associated with low SES before, but not after body mass index (BMI) was taken into account.Conclusions: The SDB symptoms, AA race, and low SES all vary to some extent with poor school performance, but the only consistent and independent covariate of performance is SES. Risk for SDB is associated with low SES, perhaps because of a third variable, namely high BMI. (C) 2002 Elsevier Science B.V. All rights reserved.