[The relationship between birth weight and obstructive sleep apnea in children].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(3): 230-234, 2024 Mar.
Article
in Zh
| MEDLINE
| ID: mdl-38433693
ABSTRACT
Objective:
To study the relationship between children's birth weight and obstructive sleep apneaï¼OSAï¼.Methods:
The sleep data and birth information of children who underwent polysomnography in the Department of Otorhinolaryngology-Head and Neck Surgery of Henan Children's Hospital from October 2020 to July 2022 were retrospectively analyzed. The data of OSA detection rate, OSA severity, sleep structure and respiratory parameters in different birth weight groups were analyzed.Results:
A total of 2 778 children met the inclusion criteria, including 1 833 males and 945 females. According to birth weight, the selected children were divided into three groups 122 small for gestational ageï¼SGAï¼ group, 2 313 appropriate for gestational ageï¼AGAï¼, and 343 large for gestational ageï¼LGAï¼ group. There was no significant difference in age between different groupsï¼P=0.061ï¼. In each group, boys are significantly more numerous than girlsï¼P=0.001ï¼. The difference in current body mass indexï¼BMIï¼ between groups was statistically significant the current BMI was higher in the LGA groupï¼17.51±4.01, P<0.001ï¼. The severity of OSA was different in different birth weight groupsï¼P=0.037ï¼. There was a strong positive correlation between the severity of OSA and birth weightï¼r=0.992ï¼. Children in the SGA group had shorter rapid eye movementï¼REMï¼ sleep periodï¼19.00[15.18, 23.33], P=0.012ï¼, higher obstructive apnea-hypopnea indexï¼OAHIï¼ valuesï¼1.75[0.60, 5.13], P=0.019ï¼, and had lower central apnea hypopnea indexï¼CAHIï¼ valuesï¼0.10[0.00, 0.50], P=0.020ï¼. There were no significant differences in sleep structure and respiratory parameters between the LGA group and the AGA group. Multiple regression analysis of the factors affecting the OAHI index showed that the OAHI index of boys was higher than that of girlsï¼95%CI 1.311-2.096, P<0.001ï¼, and age was negatively correlated with the OAHI indexï¼r=-0.105, 95%CI 0.856-0.946, P<0.001ï¼, current BMI and OAHI index were positively correlatedï¼r=0.037, 95%CI 1.010-1.065, P=0.007ï¼. LGA was positively correlated with OAHI indexï¼r=0.346, 95%CI 1.039-1.921, P=0.027ï¼, and the correlation between LGA and OAHIï¼r=0.346ï¼ was higher than that between SGA and OAHIï¼r=0.340ï¼.Conclusion:
There was no significant difference in the incidence of OSA in children with different birth weight groups, but the OSA severity of LGA group was higher. Gender, age, BMI index and large for gestational age were the influencing factors for the occurrence of OSA in children, which should be paid more attention to in clinical practice.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sleep Apnea, Obstructive
Limits:
Child
/
Female
/
Humans
/
Male
Language:
Zh
Journal:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Year:
2024
Document type:
Article