Increased severity of sleep-disordered breathing is associated with insomnia and excessive somnolence in primary school children

W. Kukwa, E. Migacz, S. Ishman, A. Wichniak

Research output: Contribution to journalArticle

Abstract

Objective The aim of the study was to investigate the prevalence of difficulty with initiation or maintenance of sleep (DIMS) and excessive daytime sleepiness (EDS) in a general pediatric population, and to evaluate the relationship between these conditions and sleep-disordered breathing (SDB) symptom intensity. Methods This population-based cross-sectional study from 27 primary schools in a medium-sized city in Poland was based on use of a questionnaire regarding demographic data, symptoms of SDB, DIMS, and EDS. Data were collected between September and December 2014. In all, 2940 caregivers were recruited and were asked to fill-out questionnaires and written consent. Results A total of 68% of the questionnaires (n = 1987) were returned and analyzed. Habitual snoring (HS) was reported in 104 (5.3%) children. DIMS and EDS were seen in 137 children (6.9%) and 117 children (5.9%), respectively. The prevalence of DIMS increased from 3.5% in children who never snored to 28.6% in children who snored very often or always. Similarly, the prevalence of EDS was 2.7% in children who did not snore and increased to 19% in children who snored very often or always. No correlation was seen between increasing DIMS (r = 0.006, p > 0.05) or EDS (r = −0.031, p > 0.05) scores and body mass index. Conclusions This study is the first to measure the symptoms of both DIMS and EDS in a general pediatric population and to assess the relationship between both DIMS and EDS and SDB in children. We found that children with more frequent snoring had a higher prevalence of DIMS as well as EDS; however, there was no correlation between body mass index and either DIMS or EDS symptom severity.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalSleep Medicine
Volume23
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

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Sleep Apnea Syndromes
Sleep Initiation and Maintenance Disorders
Sleep
Maintenance
Snoring
Body Mass Index
Pediatrics
Population
Poland
Caregivers
Cross-Sectional Studies
Demography

Keywords

  • Children
  • Insomnia
  • Questionnaire
  • Sleep-disordered breathing
  • Sleepiness
  • Snoring

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Increased severity of sleep-disordered breathing is associated with insomnia and excessive somnolence in primary school children. / Kukwa, W.; Migacz, E.; Ishman, S.; Wichniak, A.

In: Sleep Medicine, Vol. 23, 01.07.2016, p. 1-5.

Research output: Contribution to journalArticle

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abstract = "Objective The aim of the study was to investigate the prevalence of difficulty with initiation or maintenance of sleep (DIMS) and excessive daytime sleepiness (EDS) in a general pediatric population, and to evaluate the relationship between these conditions and sleep-disordered breathing (SDB) symptom intensity. Methods This population-based cross-sectional study from 27 primary schools in a medium-sized city in Poland was based on use of a questionnaire regarding demographic data, symptoms of SDB, DIMS, and EDS. Data were collected between September and December 2014. In all, 2940 caregivers were recruited and were asked to fill-out questionnaires and written consent. Results A total of 68{\%} of the questionnaires (n = 1987) were returned and analyzed. Habitual snoring (HS) was reported in 104 (5.3{\%}) children. DIMS and EDS were seen in 137 children (6.9{\%}) and 117 children (5.9{\%}), respectively. The prevalence of DIMS increased from 3.5{\%} in children who never snored to 28.6{\%} in children who snored very often or always. Similarly, the prevalence of EDS was 2.7{\%} in children who did not snore and increased to 19{\%} in children who snored very often or always. No correlation was seen between increasing DIMS (r = 0.006, p > 0.05) or EDS (r = −0.031, p > 0.05) scores and body mass index. Conclusions This study is the first to measure the symptoms of both DIMS and EDS in a general pediatric population and to assess the relationship between both DIMS and EDS and SDB in children. We found that children with more frequent snoring had a higher prevalence of DIMS as well as EDS; however, there was no correlation between body mass index and either DIMS or EDS symptom severity.",
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