[Analysis of neurobehavioral function of school-aged children with sleep disordered breathing].

ABSTRACT

Objective: To investigate the neurobehavioral function(attention, executive skills, behavior) of school-aged with varying degrees of SDB and control children with no history of SDB recruited from the community.Method: One hundred and sixty-three children aged from 7 to 12 were enrolled in the study. Children were devided into 4 groups through the data of Routine overnight polysomnography(PSG) PS(n=71) group, mild OSAHS (n=29) group, moderate/severe OSAHS(n=21) group, and controls(n=42) group. The Behavior Rating Inventory of Executive Function(BRIEF) and the Child Behavior Checklist(CBCL) were used to assess attention, executive function and behavioral function. Result: There was significant difference of AHI, OAI, RAI, SAI and SpO 2 nadir between the mild/MS groups and the control/PS groups(F=1174.3, 1178.0, 2348.3, 34.7, 377.7, P<0.05). Total sleep time(TST) of the MS OSAHS group was significantly less than that in the control group(F=178.8, P<0.05). Increased rates of behavioral executive dysfunction were found depending on the SDB spectrum(F=181.2, 274.2, 284.5, P<0.05). Children with all severities of SDB had signicantly higher rates of total, internalizing and externalizing behavioral problems compared to control group(F=361.7, 168.3, 564.0, P<0.05). Conclusion:Our study suggests that behavioral, attention, and executive function difficulties are present in children with PS as well as OSAHS. These results have implications for the treatment of milder forms of SDB, particularly PS, which is commonly viewed as benign.