If childhood primary snoring resolves, do neurocognition and behaviour also improve?

如果儿童原发性打鼾得到解决，神经认知和行为也会改善吗？

• 批准号: nhmrc : 453636
• 负责人: Dr Alfred Martin
• 金额: $ 37.88万
• 依托单位: The University of Adelaide
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2007
• 资助国家: 澳大利亚
• 起止时间: 2007-01-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/childhood-primary-snoring-behaviour-improve/78455
• 关键词: childhood; primary; snoring; resolves; do

Sleep breathing disorders (SBD) are common and affect around 10% of all children. Previous research however has shown that sleep disorders are often not recognised or considered important enough to report to general practitioners. Thus, the true incidence of sleep disorders in Australian children is not known. Nevertheless, even the mildest SBD, primary snoring, has been associated with significant deficits in daytime learning, memory, intelligence, attention and problematic behaviour. In severe cases of childhood SBD (i.e. sleep apnoea syndrome), removal of the tonsils and adenoids has been shown to improve the learning and behaviour problems. Thus there is increasing pressure on doctors to treat primary snoring in children with surgery to improve their intellectual functioning. However, recent evidence in children has shown that snoring may resolve naturally in up to 50% of cases over one to two years. In addition to the risks of surgery, the large number of children who may have a natural resolution of snoring suggestst that the pressure to treat primary snoring in may not be justified. This study will be the first to determine the prevalence of childhood snoring and associated problems in the Australian community. We also aim to discover whether snoring and the associated intellectual deficits persist over time during childhood. We will identify frequent snorers and healthy non-snorers in children aged 5-10 years old, using parental questionnaires. We will then study 75 snorers and 75 non-snorers in more detail, monitoring them with overnight sleep studies and questionnaires 2 years apart, to see if snoring, intellectual function and behavioural problems persist over time. This information will improve the health of Australian children by determining the prevalence of childhood SBD and persistence of associated deficits such as in learning, memory and behaviour.

睡眠呼吸障碍 (SBD) 很常见，影响约 10% 的儿童。然而，之前的研究表明，睡眠障碍往往没有被认识到或被认为足够重要，以至于无法向全科医生报告。因此，澳大利亚儿童睡眠障碍的真实发病率尚不清楚。然而，即使是最轻微的 SBD（原发性打鼾）也与日间学习、记忆、智力、注意力和问题行为的严重缺陷有关。在严重的儿童 SBD（即睡眠呼吸暂停综合征）病例中，切除扁桃体和腺样体已被证明可以改善学习和行为问题。因此，医生面临越来越大的压力，要求通过手术治疗儿童原发性打鼾，以改善他们的智力功能。然而，最近针对儿童的证据表明，多达 50% 的打鼾病例可能在一到两年内自然消退。除了手术风险之外，大量打鼾的儿童可能会自然消退，这表明治疗原发性打鼾的压力可能不合理。这项研究将首次确定澳大利亚社区儿童打鼾及相关问题的流行程度。我们还旨在发现打鼾和相关的智力缺陷是否会在童年时期持续存在。我们将通过家长问卷调查来识别 5-10 岁儿童中的经常打鼾者和健康的不打鼾者。然后，我们将更详细地研究 75 名打鼾者和 75 名不打鼾者，通过隔夜睡眠研究和每隔 2 年的问卷调查来监测他们，看看打鼾、智力功能和行为问题是否会随着时间的推移持续存在。该信息将确定儿童 SBD 的患病率以及学习、记忆和行为等相关缺陷的持续存在，从而改善澳大利亚儿童的健康。