Quality of life in children with sleep-disordered breathing |
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Authors: | Amaury de Machado Gomes Otávio Marambaia dos Santos Kleber Pimentel Pablo Pinillos Marambaia Leonardo Marques Gomes Márcia Pradella-Hallinan Manuela Garcia Lima |
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Affiliation: | 1. Specialist in ENT and Traffic Medicine (MSc. in Medicine and Human Health at the Bahia Medical School, Salvador - BA. Medical Advisor in the Inooa/ABORL-CCF ENT Specialization Internship Program);2. PhD Student at Porto medical School - Portugal (Professor at the Bahia School of Medicine and Public Health (EBMSP), Salvador - BA, Coordinator in the Inooa/ABORL-CCF ENT Specialization Internship Program);3. MSc. in Internal Medicine (UFBA). (Medical Advisor in the Inooa/ABORL-CCF ENT Specialization Internship Program. Professor at the Bahia School of Medicine and Public Health (EBMSP), Salvador - BA);4. Specialist in ENT (MSc. in Medicine and Human Health at the Bahia School of Medicine and Public Health (EBMSP), Salvador - BA. Medical Advisor in the Inooa/ABORL-CCF ENT Specialization Internship Program);5. MD graduated at the Bahia School of Medicine and Public Health (EBMSP), Salvador - BA. (MD);6. PhD in Sciences at the Federal University of Sao Paulo (UNIFESP) (MD in the Pediatric Polysomnography Course of the Department of Psychobiology at UNIFESP-EPM);7. PhD in Public Health at the Federal University of Bahia (UFBA) (Professor at the Bahia School of Medicine and Public Health (EBMSP), Salvador - BA, Brazil) |
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Abstract: | Children may present sleep-disordered breathing (SDB) and suffer with adverse effects upon their quality of life.ObjectiveThis study assessed the quality of life of children with SDB, compared subjects with obstructive sleep apnea syndrome (OSAS) and primary snoring (PS), and identified which areas in the OSA-18 questionnaire are more affected.MethodsThis is a historical cohort cross-sectional study carried out on a consecutive sample of children with history of snoring and adenotonsillar hyperplasia. The subject's quality of life was assessed based on the answers their caregivers gave in the OSA-18 questionnaire and on diagnostic polysomnography tests.ResultsA number of 59 children participated in this study with mean age of 6.7 ± 2.26 years. The mean score of the OSA-18 was 77.9 ± 13.22 and the area most affected were “caregiver concerns” (21.8 ± 4.25), “sleep disturbance” (18.8 ± 5.19), “physical suffering” (17.3 ± 5.0). The impact was low in 6 children (10.2%), moderate in 33 (55.9%) and high in 20 (33.9%). PS was found in 44 children (74.6%), OSAS in 15 (25.6%). OSAS had higher score on “physical suffering” area than PS (p = 0.04). The AI (r = 0.22; p = 0.08) and AHI (r = 0.14; p = 0.26) were not correlated with OSA-18.ConclusionSleep disordered breathing in childhood cause impairment in quality of life and areas most affected the OSA-18 were: “caregiver concerns”, “sleep disturbance” and “physical suffering”. OSAS has the domain “physical suffering” more affected than primary snorers. |
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Keywords: | child quality of life sleep apnea obstructive sleep disorders snoring |
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