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Pediatric sleep disorders and special educational need at 8 years: a population-based cohort study.
Pediatrics. 2012 Oct; 130(4):634-42.Ped

Abstract

OBJECTIVES

To examine associations between sleep-disordered breathing (SDB) and behavioral sleep problems (BSPs) through 5 years of age and special educational need (SEN) at 8 years.

METHODS

Parents in the Avon Longitudinal Study of Parents and Children reported on children's snoring, witnessed apnea, and mouth-breathing at 6, 18, 30, 42, and 57 months, from which SDB symptom trajectories, or clusters, were derived. BSPs were based on report of ≥ 5 of 7 sleep behaviors at each of the 18-, 30-, 42-, and 57-month questionnaires. Parent report of SEN (yes/no) at 8 years was available for 11049 children with SDB data and 11467 children with BSP data. Multivariable logistic regression models were used to predict SEN outcome by SDB cluster and by cumulative report of SEN.

RESULTS

Controlling for 16 putative confounders, previous history of SDB and BSPs was significantly associated with an SEN. BSPs were associated with a 7% increased odds of SEN (95% confidence interval [CI] 1.01-1.15), for each ∼1-year interval at which a BSP was reported. SDB, overall, was associated with a near 40% increased odds of SEN (95% CI 1.18-1.62). Children in the worst symptom cluster were 60% more likely to have an SEN (95% CI 1.23-2.08).

CONCLUSIONS

In this population-based longitudinal study, history of either SDB or BSPs in the first 5 years of life was associated with increased likelihood of SEN at 8 years of age. Findings highlight the need for pediatric sleep disorder screening by early interventionists, early childhood educators, and health professionals.

Authors+Show Affiliations

Department of Family Medicine, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USA. Karen.bonuck@einstein.yu.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22945405

Citation

Bonuck, Karen, et al. "Pediatric Sleep Disorders and Special Educational Need at 8 Years: a Population-based Cohort Study." Pediatrics, vol. 130, no. 4, 2012, pp. 634-42.
Bonuck K, Rao T, Xu L. Pediatric sleep disorders and special educational need at 8 years: a population-based cohort study. Pediatrics. 2012;130(4):634-42.
Bonuck, K., Rao, T., & Xu, L. (2012). Pediatric sleep disorders and special educational need at 8 years: a population-based cohort study. Pediatrics, 130(4), 634-42. https://doi.org/10.1542/peds.2012-0392
Bonuck K, Rao T, Xu L. Pediatric Sleep Disorders and Special Educational Need at 8 Years: a Population-based Cohort Study. Pediatrics. 2012;130(4):634-42. PubMed PMID: 22945405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pediatric sleep disorders and special educational need at 8 years: a population-based cohort study. AU - Bonuck,Karen, AU - Rao,Trupti, AU - Xu,Linzhi, Y1 - 2012/09/03/ PY - 2012/9/5/entrez PY - 2012/9/5/pubmed PY - 2012/12/12/medline SP - 634 EP - 42 JF - Pediatrics JO - Pediatrics VL - 130 IS - 4 N2 - OBJECTIVES: To examine associations between sleep-disordered breathing (SDB) and behavioral sleep problems (BSPs) through 5 years of age and special educational need (SEN) at 8 years. METHODS: Parents in the Avon Longitudinal Study of Parents and Children reported on children's snoring, witnessed apnea, and mouth-breathing at 6, 18, 30, 42, and 57 months, from which SDB symptom trajectories, or clusters, were derived. BSPs were based on report of ≥ 5 of 7 sleep behaviors at each of the 18-, 30-, 42-, and 57-month questionnaires. Parent report of SEN (yes/no) at 8 years was available for 11049 children with SDB data and 11467 children with BSP data. Multivariable logistic regression models were used to predict SEN outcome by SDB cluster and by cumulative report of SEN. RESULTS: Controlling for 16 putative confounders, previous history of SDB and BSPs was significantly associated with an SEN. BSPs were associated with a 7% increased odds of SEN (95% confidence interval [CI] 1.01-1.15), for each ∼1-year interval at which a BSP was reported. SDB, overall, was associated with a near 40% increased odds of SEN (95% CI 1.18-1.62). Children in the worst symptom cluster were 60% more likely to have an SEN (95% CI 1.23-2.08). CONCLUSIONS: In this population-based longitudinal study, history of either SDB or BSPs in the first 5 years of life was associated with increased likelihood of SEN at 8 years of age. Findings highlight the need for pediatric sleep disorder screening by early interventionists, early childhood educators, and health professionals. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/22945405/Pediatric_sleep_disorders_and_special_educational_need_at_8_years:_a_population_based_cohort_study_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=22945405 DB - PRIME DP - Unbound Medicine ER -