Habitual snoring in school-aged children: environmental and biological predictors.
Habitual snoring in school-aged children: environmental and biological predictors.
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学龄儿童习惯性打鼾：环境和生物预测因素
DOI：
10.1186/1465-9921-11-144
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发表时间：
2010-10-19
影响因子：
5.8
通讯作者：
Shen X
中科院分区：
文献类型：
--
作者：
Li S;Jin X;Yan C;Wu S;Jiang F;Shen X
背景习惯性打鼾是睡眠呼吸障碍的突出症状，是儿童许多健康问题的重要指标。与成人相比，关于儿童习惯性打鼾及相关诱发因素的大型流行病学研究极其缺乏。本研究旨在评估中国学龄儿童习惯性打鼾的患病率及其相关因素。方法在中国8个城市随机抽取20152名5.08至11.99岁儿童进行横断面调查。通过家长填写的问卷来收集有关儿童打鼾频率和可能的相关性的信息。结果在我们的样本儿童中，习惯性打鼾的患病率为 12.0%（男孩为 14.5%，女孩为 9.5%）。以下因素与习惯性打鼾的风险增加相关：家庭收入较低（调整后优势比[OR] = 1.46）、父亲受教育程度较低（初中或以下和高中教育水平的OR = 1.38和1.14）、母乳喂养时间<6个月（OR = 1.17）、孕期母亲吸烟（OR = 1.51）、肥胖（OR = 1.50）、超重（OR = 1.35），一些与特应性和感染相关的呼吸系统问题，如慢性/过敏性鼻炎（OR = 1.94）、哮喘（OR = 1.43）、腺样体扁桃体肥大（OR = 2.17）和慢性中耳炎（OR = 1.31），以及习惯性打鼾家族史（OR = 1.70）。结论中国儿童习惯性打鼾的患病率相似与其他国家观察到的情况相比。潜在的诱发因素包括社会经济特征、环境暴露、慢性健康问题和家庭易感性。与社会经济地位和家庭易感性相比，环境暴露和慢性健康问题的影响更大，表明儿童习惯性打鼾可以通过健康促进和环境干预得到部分预防。
BackgroundHabitual snoring, a prominent symptom of sleep-disordered breathing, is an important indicator for a number of health problems in children. Compared to adults, large epidemiological studies on childhood habitual snoring and associated predisposing factors are extremely scarce. The present study aimed to assess the prevalence and associated factors of habitual snoring among Chinese school-aged children.MethodsA random sample of 20,152 children aged 5.08 to 11.99 years old participated in a cross-sectional survey, which was conducted in eight cities of China. Parent-administrated questionnaires were used to collect information on children's snoring frequency and the possible correlates.ResultsThe prevalence of habitual snoring was 12.0% (14.5% for boys vs. 9.5% for girls) in our sampled children. Following factors were associated with an increased risk for habitual snoring: lower family income (adjusted odds ratio [OR] = 1.46), lower father's education (OR = 1.38 and 1.14 for middle school or under and high school of educational level, respectively), breastfeeding duration < 6 months (OR = 1.17), pregnancy maternal smoking (OR = 1.51), obesity (OR = 1.50), overweight (OR = 1.35), several respiratory problems associated with atopy and infection, such as chronic/allergic rhinitis (OR = 1.94), asthma (OR = 1.43), adenotonsillar hypertrophy (OR = 2.17), and chronic otitis media (OR = 1.31), and family history of habitual snoring (OR = 1.70).ConclusionThe prevalence of habitual snoring in Chinese children was similar to that observed in other countries. The potential predisposing factors covered socioeconomic characteristics, environmental exposures, chronic health problems, and family susceptibility. Compared to socioeconomic status and family susceptibility, environmental exposures and chronic health problems had greater impact, indicating childhood habitual snoring could be partly prevented by health promotion and environmental intervention.
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DOI：
10.1513/pats.200708-135mg
发表时间：
2008-02-15
期刊：
Proceedings of the American Thoracic Society
影响因子：
--
作者：
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通讯作者：
Chervin, Ronald D
影响因子：
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作者：
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影响因子：
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作者：
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DOI：
10.1067/mod.2003.85
发表时间：
2003-03-01
影响因子：
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作者：
Nelson, S;Cakirer, B;Lai, YY
通讯作者：
Lai, YY
影响因子：
9.6
作者：
Ng, DK;Cheung, JM;Ho, JC
通讯作者：
Ho, JC