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Daytime sleepiness and hyperactivity in children with suspected sleep-disordered breathing.
Pediatrics. 2004 Sep; 114(3):768-75.Ped

Abstract

OBJECTIVES

Excessive daytime sleepiness (EDS) is seen less frequently as a presenting complaint in children with sleep-disordered breathing than in adults. Instead, symptoms of hyperactivity are often described. We hypothesized that children with suspected sleep-disordered breathing (S-SDB) were both sleepier and more hyperactive than control subjects. Furthermore, we hypothesized that overnight polysomnographic parameters correlated with sleepiness and hyperactivity.

METHODS

A cross-sectional study was conducted at a university-affiliated hospital and a community-based pediatric clinic. A total of 108 patients with S-SDB (mean [standard deviation] age: 7 +/- 4 years) and 72 control subjects (8 +/- 4 years) were recruited. A modified Epworth Sleepiness Scale (ESS) and the Conners Abbreviated Symptom Questionnaire were administered. Polysomnography was performed in patients with S-SDB.

RESULTS

Patients with S-SDB had a higher ESS (8.1 +/- 4.9 vs 5.3 +/- 3.9) and a higher Conners score (12.8 +/- 7.6 vs 9.0 +/- 6.2) than control subjects. On the basis of adult criteria, 28% of patients had EDS. There was no difference in the ESS and Conners scores of patients with primary snoring and patients with obstructive sleep apnea. The ESS had weak correlations with polysomnographic parameters.

CONCLUSIONS

Although the ESS score of children with S-SDB was within the normal range for adults, these children were sleepier and more hyperactive than control subjects. However, these data should be confirmed by a population-based study.

Authors+Show Affiliations

Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15342852

Citation

Melendres, Ma Cecilia S., et al. "Daytime Sleepiness and Hyperactivity in Children With Suspected Sleep-disordered Breathing." Pediatrics, vol. 114, no. 3, 2004, pp. 768-75.
Melendres MC, Lutz JM, Rubin ED, et al. Daytime sleepiness and hyperactivity in children with suspected sleep-disordered breathing. Pediatrics. 2004;114(3):768-75.
Melendres, M. C., Lutz, J. M., Rubin, E. D., & Marcus, C. L. (2004). Daytime sleepiness and hyperactivity in children with suspected sleep-disordered breathing. Pediatrics, 114(3), 768-75.
Melendres MC, et al. Daytime Sleepiness and Hyperactivity in Children With Suspected Sleep-disordered Breathing. Pediatrics. 2004;114(3):768-75. PubMed PMID: 15342852.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Daytime sleepiness and hyperactivity in children with suspected sleep-disordered breathing. AU - Melendres,Ma Cecilia S, AU - Lutz,Janita M, AU - Rubin,Eric D, AU - Marcus,Carole L, PY - 2004/9/3/pubmed PY - 2005/1/15/medline PY - 2004/9/3/entrez SP - 768 EP - 75 JF - Pediatrics JO - Pediatrics VL - 114 IS - 3 N2 - OBJECTIVES: Excessive daytime sleepiness (EDS) is seen less frequently as a presenting complaint in children with sleep-disordered breathing than in adults. Instead, symptoms of hyperactivity are often described. We hypothesized that children with suspected sleep-disordered breathing (S-SDB) were both sleepier and more hyperactive than control subjects. Furthermore, we hypothesized that overnight polysomnographic parameters correlated with sleepiness and hyperactivity. METHODS: A cross-sectional study was conducted at a university-affiliated hospital and a community-based pediatric clinic. A total of 108 patients with S-SDB (mean [standard deviation] age: 7 +/- 4 years) and 72 control subjects (8 +/- 4 years) were recruited. A modified Epworth Sleepiness Scale (ESS) and the Conners Abbreviated Symptom Questionnaire were administered. Polysomnography was performed in patients with S-SDB. RESULTS: Patients with S-SDB had a higher ESS (8.1 +/- 4.9 vs 5.3 +/- 3.9) and a higher Conners score (12.8 +/- 7.6 vs 9.0 +/- 6.2) than control subjects. On the basis of adult criteria, 28% of patients had EDS. There was no difference in the ESS and Conners scores of patients with primary snoring and patients with obstructive sleep apnea. The ESS had weak correlations with polysomnographic parameters. CONCLUSIONS: Although the ESS score of children with S-SDB was within the normal range for adults, these children were sleepier and more hyperactive than control subjects. However, these data should be confirmed by a population-based study. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/15342852/Daytime_sleepiness_and_hyperactivity_in_children_with_suspected_sleep_disordered_breathing_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=15342852 DB - PRIME DP - Unbound Medicine ER -