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Correlations between pediatric obstructive sleep apnea and longitudinal growth

Authors
Park, DY  | Choi, JH | Kang, SY  | Han, J | Park, HY  | Hwang, JS  | Cho, JH  | Cho, MH | Kim, HJ
Citation
International journal of pediatric otorhinolaryngology, 106. : 41-45, 2018
Journal Title
International journal of pediatric otorhinolaryngology
ISSN
0165-58761872-8464
Abstract
OBJECTIVES: Pediatric obstructive sleep apnea has a relatively high prevalence and has various negative health and behavioral consequences. Among the various complications of pediatric obstructive sleep apnea, growth disturbance is still controversial.
METHOD: 745 pediatric subjects with obstructive sleep apnea diagnosed by in-lab polysomnography were enrolled, after excluding ineligible subjects with abnormal growth related factors. Height, weight, and BMI of enrolled patients were measured and statistically converted to z-scores, and the converted data were analyzed statistically with the polysomnographic results. Multiple linear regression were used to analyze the relationships between age, gender, z-score for weight, polysomnography results, and z-score for height.
RESULTS: Patients with higher respiratory related index or lower mean/lowest oxygen saturation of PSG showed smaller z-score for height. Mean apnea hypopnea index and standard deviation of enrolled patients was 7.46+/-12.92, with moderate severity. And mean z-score for height and standard deviation was 0.21+/-1.15. Apnea hypopnea index, respiratory disturbance index, obstructive apnea index, and hypopnea index, respiratory related results of polysomnography, were statistically negative correlated with a z-score for height. And mean oxygen saturation and lowest oxygen saturation, oxygen saturation results of polysomnography, were statistically positive correlated with a z-score for height.
CONCLUSIONS: Respiratory related results and oxygen saturation results of polysomnography show negative and positive correlation with z-score for height. Therefore, pediatric obstructive sleep apnea have a negative effect on longitudinal growth.
Keywords
MeSH

DOI
10.1016/j.ijporl.2018.01.001
PMID
29447889
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Otolaryngology
Journal Papers > Research Organization > Institute for Medical Sciences
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
Journal Papers > School of Medicine / Graduate School of Medicine > Orthopedic Surgery
Ajou Authors
강, 소영  |  김, 현준  |  박, 도양  |  박, 헌이  |  조, 재호  |  황, 진순
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