Oximetry in obese children with sleep-disordered breathing

被引：7
|
作者：
Evangelisti, Melania [1 ]
Shafiek, Hanaa [2 ]
Rabasco, Jole [1 ]
Forlani, Martina [1 ]
Montesano, Marilisa [1 ]
Barreto, Mario [1 ]
Verhulst, Stijn [3 ,4 ]
Villa, Maria Pia [1 ]
机构：
[1] Univ Roma La Sapienza, Sch Med & Psychol, NESMOS Dept, Pediat Sleep Dis Ctr,Child Neurol,S Andrea Hosp, Via Grottarossa 1035-39, I-00189 Rome, Italy
[2] Univ Alexandria, Dept Chest Dis, Fac Med, Alexandria, Egypt
[3] Univ Antwerp Hosp, Cyst Fibrosis Clin, Dept Pediat Pulmonol, Edegem, Belgium
[4] Univ Antwerp Hosp, Pediat Sleep Med, Edegem, Belgium
来源：
SLEEP MEDICINE | 2016年 / 27-28卷
关键词：
Obesity; Obstructive sleep apnea; Oxygen desaturation; NOCTURNAL PULSE OXIMETRY; BODY-MASS INDEX; APNEA SYNDROME; RISK-FACTORS; DIAGNOSIS; ADENOTONSILLECTOMY; OBSTRUCTION; MANAGEMENT; OSAS;
D O I：
10.1016/j.sleep.2016.08.014
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background: Obesity is an important risk factor for obstructive sleep apnea syndrome (OSAS), and obese children with OSAS have frequently shown oxygen desaturations when compared with normal-weight children. The aim of our study was to investigate the oximetry characteristics in children with obesity and sleep-disordered breathing (SDB). Methods: Children referred for suspected OSAS were enrolled in the study. All children underwent sleep clinical record (SCR), pulse oximetry, and polysomnography (PSG). Results: A total of 248 children with SDB were recruited (128 obese and 120 normal-weight children). Obese children showed higher oxygen desaturation index (ODI) and lower nadir oxygen saturation (nadir SaO(2)) compared to non-obese children (p < 0.05). ODI and nadir SaO2 correlated with obesity (p < 0.05). The SCR evaluation showed that deep bite and overjet were more common among obese children (p < 0.05), whereas habitual nasal obstruction and arched palate were more common among non-obese children (p < 0.05). Furthermore, skeletal malocclusion and tonsillar hypertrophy were significant risk factors in obese children associated with severe desaturation (p < 0.05). Conclusion: Obese children with SDB have a more significant oxygen desaturation; adeno-tonsillar hypertrophy is not the only important risk factor for its development but also the presence of malocclusions. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码：86 / 91
页数：6
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