Behavior and obstructive sleep apnea in children: Is obesity a factor?

Emily F. Rudnick, Ron B. Mitchell

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

OBJECTIVES: Children with obstructive sleep apnea (OSA) frequently exhibit behavioral and neurocognitive problems. There is a high prevalence of OSA among obese children. This study aims to evaluate the relationship between OSA and behavioral problems in obese children as compared with normal-weight children (controls). STUDY DESIGN: Prospective, nonrandomized, controlled study of obese and normal-weight children with OSA presenting to a tertiary medical center for adenotonsillectomy. METHODS: All study participants underwent preoperative polysomnography to document OSA. Obesity was defined as age- and sex-adjusted body mass index at the 95th percentile or higher. Behavior was evaluated using the Behavior Assessment System for Children (BASC). Preoperatively, the Behavioral Symptoms Index (BSI), a global measure of behavior, and BASC scores for obese and normal-weight children were compared using an unpaired t test. RESULTS: The study population included 52 children, 18 (35%) of whom were obese. The mean age of obese children was 8.6 (range, 2.0-14.9) years. The mean age of normal-weight children was 6.4 (range, 2.1-12.9) years. Demographics were otherwise similar. The mean apnea-hypopnea index for obese children was 17.2 (5.0-38.0) and for normal-weight children was 15.7 (5.3-88.0). The BSI score was 55.3 (SD, 15.9) for obese and 55.9 (SD, 15.0) for normal-weight children. Seven (38.9%) obese and 12 (35.3%) normal-weight children had clinically significant or abnormal behavior. Similar results were seen for the BASC scales of atypicality, depression, hyperactivity, and somatization in both groups. CONCLUSIONS: Behavioral problems are highly prevalent in children with OSA. However, these problems exist independently of whether children are obese or normal weight.

Original languageEnglish (US)
Pages (from-to)1463-1466
Number of pages4
JournalLaryngoscope
Volume117
Issue number8
DOIs
StatePublished - Aug 2007

Fingerprint

Pediatric Obesity
Obstructive Sleep Apnea
Weights and Measures
Behavioral Symptoms
Polysomnography
Apnea

Keywords

  • Behavior
  • Obstructive sleep apnea
  • Pediatric obesity

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Behavior and obstructive sleep apnea in children : Is obesity a factor? / Rudnick, Emily F.; Mitchell, Ron B.

In: Laryngoscope, Vol. 117, No. 8, 08.2007, p. 1463-1466.

Research output: Contribution to journalArticle

@article{638569e1e0b0468fbaea6bc969606468,
title = "Behavior and obstructive sleep apnea in children: Is obesity a factor?",
abstract = "OBJECTIVES: Children with obstructive sleep apnea (OSA) frequently exhibit behavioral and neurocognitive problems. There is a high prevalence of OSA among obese children. This study aims to evaluate the relationship between OSA and behavioral problems in obese children as compared with normal-weight children (controls). STUDY DESIGN: Prospective, nonrandomized, controlled study of obese and normal-weight children with OSA presenting to a tertiary medical center for adenotonsillectomy. METHODS: All study participants underwent preoperative polysomnography to document OSA. Obesity was defined as age- and sex-adjusted body mass index at the 95th percentile or higher. Behavior was evaluated using the Behavior Assessment System for Children (BASC). Preoperatively, the Behavioral Symptoms Index (BSI), a global measure of behavior, and BASC scores for obese and normal-weight children were compared using an unpaired t test. RESULTS: The study population included 52 children, 18 (35{\%}) of whom were obese. The mean age of obese children was 8.6 (range, 2.0-14.9) years. The mean age of normal-weight children was 6.4 (range, 2.1-12.9) years. Demographics were otherwise similar. The mean apnea-hypopnea index for obese children was 17.2 (5.0-38.0) and for normal-weight children was 15.7 (5.3-88.0). The BSI score was 55.3 (SD, 15.9) for obese and 55.9 (SD, 15.0) for normal-weight children. Seven (38.9{\%}) obese and 12 (35.3{\%}) normal-weight children had clinically significant or abnormal behavior. Similar results were seen for the BASC scales of atypicality, depression, hyperactivity, and somatization in both groups. CONCLUSIONS: Behavioral problems are highly prevalent in children with OSA. However, these problems exist independently of whether children are obese or normal weight.",
keywords = "Behavior, Obstructive sleep apnea, Pediatric obesity",
author = "Rudnick, {Emily F.} and Mitchell, {Ron B.}",
year = "2007",
month = "8",
doi = "10.1097/MLG.0b013e318063e866",
language = "English (US)",
volume = "117",
pages = "1463--1466",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "8",

}

TY - JOUR

T1 - Behavior and obstructive sleep apnea in children

T2 - Is obesity a factor?

AU - Rudnick, Emily F.

AU - Mitchell, Ron B.

PY - 2007/8

Y1 - 2007/8

N2 - OBJECTIVES: Children with obstructive sleep apnea (OSA) frequently exhibit behavioral and neurocognitive problems. There is a high prevalence of OSA among obese children. This study aims to evaluate the relationship between OSA and behavioral problems in obese children as compared with normal-weight children (controls). STUDY DESIGN: Prospective, nonrandomized, controlled study of obese and normal-weight children with OSA presenting to a tertiary medical center for adenotonsillectomy. METHODS: All study participants underwent preoperative polysomnography to document OSA. Obesity was defined as age- and sex-adjusted body mass index at the 95th percentile or higher. Behavior was evaluated using the Behavior Assessment System for Children (BASC). Preoperatively, the Behavioral Symptoms Index (BSI), a global measure of behavior, and BASC scores for obese and normal-weight children were compared using an unpaired t test. RESULTS: The study population included 52 children, 18 (35%) of whom were obese. The mean age of obese children was 8.6 (range, 2.0-14.9) years. The mean age of normal-weight children was 6.4 (range, 2.1-12.9) years. Demographics were otherwise similar. The mean apnea-hypopnea index for obese children was 17.2 (5.0-38.0) and for normal-weight children was 15.7 (5.3-88.0). The BSI score was 55.3 (SD, 15.9) for obese and 55.9 (SD, 15.0) for normal-weight children. Seven (38.9%) obese and 12 (35.3%) normal-weight children had clinically significant or abnormal behavior. Similar results were seen for the BASC scales of atypicality, depression, hyperactivity, and somatization in both groups. CONCLUSIONS: Behavioral problems are highly prevalent in children with OSA. However, these problems exist independently of whether children are obese or normal weight.

AB - OBJECTIVES: Children with obstructive sleep apnea (OSA) frequently exhibit behavioral and neurocognitive problems. There is a high prevalence of OSA among obese children. This study aims to evaluate the relationship between OSA and behavioral problems in obese children as compared with normal-weight children (controls). STUDY DESIGN: Prospective, nonrandomized, controlled study of obese and normal-weight children with OSA presenting to a tertiary medical center for adenotonsillectomy. METHODS: All study participants underwent preoperative polysomnography to document OSA. Obesity was defined as age- and sex-adjusted body mass index at the 95th percentile or higher. Behavior was evaluated using the Behavior Assessment System for Children (BASC). Preoperatively, the Behavioral Symptoms Index (BSI), a global measure of behavior, and BASC scores for obese and normal-weight children were compared using an unpaired t test. RESULTS: The study population included 52 children, 18 (35%) of whom were obese. The mean age of obese children was 8.6 (range, 2.0-14.9) years. The mean age of normal-weight children was 6.4 (range, 2.1-12.9) years. Demographics were otherwise similar. The mean apnea-hypopnea index for obese children was 17.2 (5.0-38.0) and for normal-weight children was 15.7 (5.3-88.0). The BSI score was 55.3 (SD, 15.9) for obese and 55.9 (SD, 15.0) for normal-weight children. Seven (38.9%) obese and 12 (35.3%) normal-weight children had clinically significant or abnormal behavior. Similar results were seen for the BASC scales of atypicality, depression, hyperactivity, and somatization in both groups. CONCLUSIONS: Behavioral problems are highly prevalent in children with OSA. However, these problems exist independently of whether children are obese or normal weight.

KW - Behavior

KW - Obstructive sleep apnea

KW - Pediatric obesity

UR - http://www.scopus.com/inward/record.url?scp=34548437387&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548437387&partnerID=8YFLogxK

U2 - 10.1097/MLG.0b013e318063e866

DO - 10.1097/MLG.0b013e318063e866

M3 - Article

C2 - 17597633

AN - SCOPUS:34548437387

VL - 117

SP - 1463

EP - 1466

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 8

ER -