PMID- 28395495
OWN - NLM
STAT- MEDLINE
DCOM- 20170803
LR  - 20181202
IS  - 1673-0860 (Print)
IS  - 1673-0860 (Linking)
VI  - 52
IP  - 3
DP  - 2017 Mar 7
TI  - [Characteristics of sleep apnea events in non-snoring children].
PG  - 220-224
LID - 10.3760/cma.j.issn.1673-0860.2017.03.011 [doi]
AB  - Objective: To investigate the characteristics of sleep-related respiratory events 
      in normal children and to provide normal polysomnographic parameters for 
      diagnosing sleep-disordered breathing in children. Methods: Normal subjects 
      between 3 and 14 years old were enrolled from 1 July 2014 to 31 December 2015 and 
      the subjects received overnight polysomnography at the sleep center of our 
      hospital. They were children of our hospital employees or were recruited from the 
      communities who did not have sleep and respiratory disorders. The children were 
      divided into preschool group (3-5 years) and school-age group (6-14 years). Apnea 
      index (AI), obstructive apnea index (OAI), central apnea index (CAI), and mixed 
      apnea index (MAI) were compared between the two groups. Data for continuous 
      variables that showed normal distribution were expressed as x +/-s. M(P(25), P(75)) 
      were used when data were not normally distributed. Continuous variables that 
      showed normal distribution were compared by using an independent-sample t-test. 
      Wilcoxon-test was performed when data exhibited non-normal distribution. 
      Differences in categorical data were tested with Chi-square test. Pearson 
      correlation test was applied for the correlation analysis. P<0.05 was considered 
      statistically significant. Results: A total of 115 normal children took part in 
      the study including 40 in preschool group and 75 in school-age group. Children in 
      both groups had a few sleep apnea events, most of which were central apneas, 
      accounting for 80% and 70% of the total respiratory events respectively. Central 
      apnea index in preschool children were significantly higher than that of 
      school-age children (P<0.001), with median of 0.6 times/h and 0.1 times/h, 
      respectively. Median OAI of both groups were 0.0 times/h without significant 
      difference (P=0.748). Obstructive apnea events occurred mainly in the supine 
      position in both groups. Conclusions: Normal children may have a few apnea events 
      in sleep that were predominantly central apnea. CAI of preschool children is 
      significantly higher than that of school-age children. Obstructive sleep apnea is 
      rare in normal children, and sleep apnea occurs mainly in the supine position.
FAU - Xu, Z F
AU  - Xu ZF
AD  - Department of Respiratory, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Li, X D
AU  - Li XD
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Wu, Y X
AU  - Wu YX
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Tai, J
AU  - Tai J
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Zhang, Y M
AU  - Zhang YM
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Peng, X X
AU  - Peng XX
AD  - Clinical Epidemiology and Evidence-based Medicine Center, Beijing Children's 
      Hospital, Capital Medical University, Beijing 100045, China.
FAU - Zheng, L
AU  - Zheng L
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Shi, J
AU  - Shi J
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
FAU - Ni, X
AU  - Ni X
AD  - Department of Otorhinolaryngology, Beijing Children's Hospital, Capital Medical 
      University, Beijing 100045, China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
JT  - Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of 
      otorhinolaryngology head and neck surgery
JID - 101247574
SB  - IM
MH  - Adolescent
MH  - Age Factors
MH  - Chi-Square Distribution
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Male
MH  - Polysomnography
MH  - Sleep Apnea, Central/diagnosis/*physiopathology
MH  - Sleep Apnea, Obstructive/diagnosis/*physiopathology
MH  - Snoring
MH  - Statistics, Nonparametric
MH  - Supine Position
OTO - NOTNLM
OT  - Child
OT  - Polysomnography
OT  - Reference values
OT  - Sleep apnea, central
OT  - Sleep apnea, obstructive
EDAT- 2017/04/12 06:00
MHDA- 2017/08/05 06:00
CRDT- 2017/04/12 06:00
PHST- 2017/04/12 06:00 [entrez]
PHST- 2017/04/12 06:00 [pubmed]
PHST- 2017/08/05 06:00 [medline]
AID - 10.3760/cma.j.issn.1673-0860.2017.03.011 [doi]
PST - ppublish
SO  - Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Mar 7;52(3):220-224. doi: 
      10.3760/cma.j.issn.1673-0860.2017.03.011.