Effect of reductions in biomass fuel exposure on symptoms of sleep apnea in children living in the peruvian andes: A preliminary field study
Effect of reductions in biomass fuel exposure on symptoms of sleep apnea in children living in the peruvian andes: A preliminary field study
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DOI：
10.1002/ppul.22720
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发表时间：
2013-10-01
影响因子：
3.1
通讯作者：
Accinelli, Roberto A.
中科院分区：
文献类型：
--
作者：
Castaneda, Jacqueline L.;Kheirandish-Gozal, Leila;Accinelli, Roberto A.
背景：多项研究评估了儿童睡眠呼吸暂停的患病率。虽然环境暴露于香烟烟雾（ECS）会增加习惯性打鼾的风险，但迄今为止还没有研究探讨室内污染对儿童的潜在影响。目的：确定暴露于传统燃木炉灶明火的儿童中与睡眠呼吸暂停相关的症状的频率，并评估实施改进的环境污染较少的炉灶后症状是否消退。方法和材料：秘鲁阿亚库乔省坎加洛省的Chucllapampa、Sayhuapata和Alparcuna社区的居民在安装改进的Inkawasi柴炉前后的12个月内接受了两次调查。与睡眠呼吸暂停相关的症状的频率在所有儿童中进行了评估，这些小村庄中97%的儿童。最常见的症状包括夜间觉醒，习惯性打鼾，睡眠期间重复动作，鼻塞和喉咙痛。在家中实施改进的炉灶后，鼻塞（52.5% vs. 18.2%，P < 0.0001）（33.9% vs. 1.8%，P < 0.0001），行为多动（28.8%vs.3.8%，P < 0.002），夜间觉醒（42.4% vs. 1.7%，P < 0.0001），咽喉痛（38.2% vs. 5.5% P < 0.0001），白天通过口呼吸治疗后，两组患者的睡眠质量（33.9% vs.1.8%，P < 0.001）、白天嗜睡（21.1% vs.1.8%，P < 0.003）、在校入睡（14.6% vs.0%，P < 0.03）均有显著改善。结论：接触传统生物质燃料炉灶的儿童出现睡眠呼吸暂停相关症状的频率较高，这些症状随着生物质污染的改善而减少。小儿肺醇。2013; 48：996-999. (C)2012 Wiley Periodicals，Inc.
Background: Multiple studies have evaluated the prevalence of sleep apnea in pediatric populations. Although environmental exposures to cigarette smoke (ECS) increase the risk of habitual snoring, no studies have thus far examined the potential contribution of indoor pollution in children. Objective: To determine the frequency of symptoms associated with sleep apnea in children exposed to traditional wood-burning stoves to open fire, and assess whether symptoms subside following implementation of improved less environmentally contaminating stoves. Methods and Materials: Residents of the communities of Chucllapampa, Sayhuapata, and Alparcuna in Cangallo province, department of Ayacucho, Peru were surveyed on two occasions within 12 months before and after the installation of an improved Inkawasi wood stove. The frequency of symptoms associated with sleep apnea was assessed in all children 97% of the children in those small villages. The most common symptoms included nighttime awakenings, habitual snoring, repetitive movements during sleep, nasal congestion, and sore throat. After implementation of improved stoves in the homes, snoring (52.5% vs. 18.2%, P < 0.0001) nasal congestion (33.9% vs. 1.8%, P < 0.0001), behavioral hyperactivity (28.8% vs. 3.8%, P < 0.002), nighttime awakenings (42.4% vs. 1.7%, P < 0.0001), sore throat (38.2% vs. 5.5% P < 0.0001), breathing through the mouth during the day (33.9% vs. 1.8%, P < 0.001), daytime sleepiness (21.1% vs. 1.8%, P < 0.003), and falling asleep at school (14.6% vs. 0%, P < 0.03) were all significantly improved. Conclusions: Children exposed to traditional biomass fuel stoves had a higher frequency of symptoms related to sleep apnea, which decrease with improvements in biomass pollution. Pediatr Pulmonol. 2013; 48: 996-999. (C) 2012 Wiley Periodicals, Inc.