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Effect of weight, sleep duration, and comorbid sleep disorders on behavioral outcomes in children with sleep-disordered breathing.
Arch Pediatr Adolesc Med. 2008 Apr; 162(4):313-21.AP

Abstract

OBJECTIVE

To assess the relative contribution of potential risk factors for adverse neurobehavioral outcomes in children referred for evaluation of sleep-disordered breathing (SDB), including weight, mean sleep duration, and comorbid sleep disorders.

DESIGN

Medical record review.

SETTING

Academic pediatric medical center.

PARTICIPANTS

Clinical sample of 235 children aged 3 to 18 years undergoing overnight polysomnography for symptoms of SDB.

OUTCOME MEASURES

History of behavioral, emotional, and academic problems and Child Behavior Checklist (CBCL) scores.

RESULTS

More than half (56%) of the sample was overweight or at risk for overweight, more than one-third (36%) was classified as being short sleepers, and almost half (49%) had at least 1 additional sleep diagnosis. Forty-seven percent had a history of behavioral problems and 23% had a reported diagnosis of attention-deficit/hyperactivity disorder. There were no significant differences in CBCL scores based on any measure of SDB disease severity. Increased weight was associated with increased internalizing CBCL scores in a dose-dependent fashion (P = .003), while short sleepers were more likely to have elevated externalizing scores (P < .001). Overall, the strongest predictor of adverse behavioral outcomes was the presence of at least 1 additional sleep diagnosis (P < .001).

CONCLUSIONS

The relationship between SDB and parent-reported behavioral outcomes in children is complex. In addition to SDB-related impairments, clinicians should consider the relative contributions of being overweight, insufficient sleep, and comorbid sleep disorders when assessing behavior in these children.

Authors+Show Affiliations

Rhode Island Hospital, 593 Eddy St, Potter Bldg, Ste 200, Providence, RI 02903, USA. owensleep@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

18391139

Citation

Owens, Judith A., et al. "Effect of Weight, Sleep Duration, and Comorbid Sleep Disorders On Behavioral Outcomes in Children With Sleep-disordered Breathing." Archives of Pediatrics & Adolescent Medicine, vol. 162, no. 4, 2008, pp. 313-21.
Owens JA, Mehlenbeck R, Lee J, et al. Effect of weight, sleep duration, and comorbid sleep disorders on behavioral outcomes in children with sleep-disordered breathing. Arch Pediatr Adolesc Med. 2008;162(4):313-21.
Owens, J. A., Mehlenbeck, R., Lee, J., & King, M. M. (2008). Effect of weight, sleep duration, and comorbid sleep disorders on behavioral outcomes in children with sleep-disordered breathing. Archives of Pediatrics & Adolescent Medicine, 162(4), 313-21. https://doi.org/10.1001/archpedi.162.4.313
Owens JA, et al. Effect of Weight, Sleep Duration, and Comorbid Sleep Disorders On Behavioral Outcomes in Children With Sleep-disordered Breathing. Arch Pediatr Adolesc Med. 2008;162(4):313-21. PubMed PMID: 18391139.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of weight, sleep duration, and comorbid sleep disorders on behavioral outcomes in children with sleep-disordered breathing. AU - Owens,Judith A, AU - Mehlenbeck,Robyn, AU - Lee,Juhee, AU - King,Melissa M, PY - 2008/4/9/pubmed PY - 2008/4/18/medline PY - 2008/4/9/entrez SP - 313 EP - 21 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 162 IS - 4 N2 - OBJECTIVE: To assess the relative contribution of potential risk factors for adverse neurobehavioral outcomes in children referred for evaluation of sleep-disordered breathing (SDB), including weight, mean sleep duration, and comorbid sleep disorders. DESIGN: Medical record review. SETTING: Academic pediatric medical center. PARTICIPANTS: Clinical sample of 235 children aged 3 to 18 years undergoing overnight polysomnography for symptoms of SDB. OUTCOME MEASURES: History of behavioral, emotional, and academic problems and Child Behavior Checklist (CBCL) scores. RESULTS: More than half (56%) of the sample was overweight or at risk for overweight, more than one-third (36%) was classified as being short sleepers, and almost half (49%) had at least 1 additional sleep diagnosis. Forty-seven percent had a history of behavioral problems and 23% had a reported diagnosis of attention-deficit/hyperactivity disorder. There were no significant differences in CBCL scores based on any measure of SDB disease severity. Increased weight was associated with increased internalizing CBCL scores in a dose-dependent fashion (P = .003), while short sleepers were more likely to have elevated externalizing scores (P < .001). Overall, the strongest predictor of adverse behavioral outcomes was the presence of at least 1 additional sleep diagnosis (P < .001). CONCLUSIONS: The relationship between SDB and parent-reported behavioral outcomes in children is complex. In addition to SDB-related impairments, clinicians should consider the relative contributions of being overweight, insufficient sleep, and comorbid sleep disorders when assessing behavior in these children. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/18391139/Effect_of_weight_sleep_duration_and_comorbid_sleep_disorders_on_behavioral_outcomes_in_children_with_sleep_disordered_breathing_ DB - PRIME DP - Unbound Medicine ER -