Perinatal risk factors for obstructive sleep apnea syndrome in children

Yafei Tan, Dan Zhang, Hui Mei, Hong Mei, Zhengmin Qian, Katherine A. Stamatakis, Savannah S. Jordan, Yan Yang, Shaoping Yang, Bin Zhang

Research output: Contribution to journalArticle

Abstract

Objective: The aim of this study was to determine whether specific perinatal factors are associated with obstructive sleep apnea syndrome (OSAS) in children. Methods: A retrospective case–control study was conducted. All cases of OSAS were obtained from a tertiary pediatric hospital between April 2013 and April 2016. A total of 823 children who had been diagnosed with OSAS were designated as the case group, and 823 children without OSAS were selected with strict criteria to match with the case group by age, gender and body mass index. Logistic regression models were used to determine the perinatal factors associated with childhood OSAS. Results: Preterm birth (adjusted odds ratio (aOR): 1.87, 95% confidence interval (CI): 1.13–3.08) and cesarean section (aOR: 1.32, 95% CI: 1.03–1.68) were significantly associated with OSAS. Exposure of the mother to smoke (aOR: 2.59, 95% CI: 1.57–4.26) was also associated with an increased risk of childhood OSAS. Mothers aged 35 years and above, performing manual labor, and living in suburban areas significantly increased the risk of childhood OSAS. Multiparous mothers decreased the risk of childhood OSAS (aOR: 0.59, 95% CI: 0.42–0.83). Maternal education, gravidity, prenatal care times, pregnancy-induced hypertension, multiple pregnancies, sex of the child and birth weight were not significantly associated with OSAS in children. Conclusion: Perinatal risk factors are important for predicting childhood OSAS. Our findings provide evidence regarding several potentially useful factors for recognizing OSAS in children, which could be important in diagnosis of pediatric OSAS by physicians.

Original languageEnglish (US)
Pages (from-to)145-149
Number of pages5
JournalSleep Medicine
Volume52
DOIs
StatePublished - Dec 1 2018

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Obstructive Sleep Apnea
Odds Ratio
Mothers
Confidence Intervals
Logistic Models
Gravidity
Pregnancy Induced Hypertension
Multiple Pregnancy
Pediatric Hospitals
Prenatal Care
Premature Birth
Tertiary Care Centers
Birth Weight
Smoke
Cesarean Section
Body Mass Index
Retrospective Studies
Age Groups
Pediatrics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Tan, Y., Zhang, D., Mei, H., Mei, H., Qian, Z., Stamatakis, K. A., ... Zhang, B. (2018). Perinatal risk factors for obstructive sleep apnea syndrome in children. Sleep Medicine, 52, 145-149. https://doi.org/10.1016/j.sleep.2018.08.018
Tan, Yafei ; Zhang, Dan ; Mei, Hui ; Mei, Hong ; Qian, Zhengmin ; Stamatakis, Katherine A. ; Jordan, Savannah S. ; Yang, Yan ; Yang, Shaoping ; Zhang, Bin. / Perinatal risk factors for obstructive sleep apnea syndrome in children. In: Sleep Medicine. 2018 ; Vol. 52. pp. 145-149.
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abstract = "Objective: The aim of this study was to determine whether specific perinatal factors are associated with obstructive sleep apnea syndrome (OSAS) in children. Methods: A retrospective case–control study was conducted. All cases of OSAS were obtained from a tertiary pediatric hospital between April 2013 and April 2016. A total of 823 children who had been diagnosed with OSAS were designated as the case group, and 823 children without OSAS were selected with strict criteria to match with the case group by age, gender and body mass index. Logistic regression models were used to determine the perinatal factors associated with childhood OSAS. Results: Preterm birth (adjusted odds ratio (aOR): 1.87, 95{\%} confidence interval (CI): 1.13–3.08) and cesarean section (aOR: 1.32, 95{\%} CI: 1.03–1.68) were significantly associated with OSAS. Exposure of the mother to smoke (aOR: 2.59, 95{\%} CI: 1.57–4.26) was also associated with an increased risk of childhood OSAS. Mothers aged 35 years and above, performing manual labor, and living in suburban areas significantly increased the risk of childhood OSAS. Multiparous mothers decreased the risk of childhood OSAS (aOR: 0.59, 95{\%} CI: 0.42–0.83). Maternal education, gravidity, prenatal care times, pregnancy-induced hypertension, multiple pregnancies, sex of the child and birth weight were not significantly associated with OSAS in children. Conclusion: Perinatal risk factors are important for predicting childhood OSAS. Our findings provide evidence regarding several potentially useful factors for recognizing OSAS in children, which could be important in diagnosis of pediatric OSAS by physicians.",
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Tan, Y, Zhang, D, Mei, H, Mei, H, Qian, Z, Stamatakis, KA, Jordan, SS, Yang, Y, Yang, S & Zhang, B 2018, 'Perinatal risk factors for obstructive sleep apnea syndrome in children', Sleep Medicine, vol. 52, pp. 145-149. https://doi.org/10.1016/j.sleep.2018.08.018

Perinatal risk factors for obstructive sleep apnea syndrome in children. / Tan, Yafei; Zhang, Dan; Mei, Hui; Mei, Hong; Qian, Zhengmin; Stamatakis, Katherine A.; Jordan, Savannah S.; Yang, Yan; Yang, Shaoping; Zhang, Bin.

In: Sleep Medicine, Vol. 52, 01.12.2018, p. 145-149.

Research output: Contribution to journalArticle

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AU - Zhang, Dan

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AU - Zhang, Bin

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N2 - Objective: The aim of this study was to determine whether specific perinatal factors are associated with obstructive sleep apnea syndrome (OSAS) in children. Methods: A retrospective case–control study was conducted. All cases of OSAS were obtained from a tertiary pediatric hospital between April 2013 and April 2016. A total of 823 children who had been diagnosed with OSAS were designated as the case group, and 823 children without OSAS were selected with strict criteria to match with the case group by age, gender and body mass index. Logistic regression models were used to determine the perinatal factors associated with childhood OSAS. Results: Preterm birth (adjusted odds ratio (aOR): 1.87, 95% confidence interval (CI): 1.13–3.08) and cesarean section (aOR: 1.32, 95% CI: 1.03–1.68) were significantly associated with OSAS. Exposure of the mother to smoke (aOR: 2.59, 95% CI: 1.57–4.26) was also associated with an increased risk of childhood OSAS. Mothers aged 35 years and above, performing manual labor, and living in suburban areas significantly increased the risk of childhood OSAS. Multiparous mothers decreased the risk of childhood OSAS (aOR: 0.59, 95% CI: 0.42–0.83). Maternal education, gravidity, prenatal care times, pregnancy-induced hypertension, multiple pregnancies, sex of the child and birth weight were not significantly associated with OSAS in children. Conclusion: Perinatal risk factors are important for predicting childhood OSAS. Our findings provide evidence regarding several potentially useful factors for recognizing OSAS in children, which could be important in diagnosis of pediatric OSAS by physicians.

AB - Objective: The aim of this study was to determine whether specific perinatal factors are associated with obstructive sleep apnea syndrome (OSAS) in children. Methods: A retrospective case–control study was conducted. All cases of OSAS were obtained from a tertiary pediatric hospital between April 2013 and April 2016. A total of 823 children who had been diagnosed with OSAS were designated as the case group, and 823 children without OSAS were selected with strict criteria to match with the case group by age, gender and body mass index. Logistic regression models were used to determine the perinatal factors associated with childhood OSAS. Results: Preterm birth (adjusted odds ratio (aOR): 1.87, 95% confidence interval (CI): 1.13–3.08) and cesarean section (aOR: 1.32, 95% CI: 1.03–1.68) were significantly associated with OSAS. Exposure of the mother to smoke (aOR: 2.59, 95% CI: 1.57–4.26) was also associated with an increased risk of childhood OSAS. Mothers aged 35 years and above, performing manual labor, and living in suburban areas significantly increased the risk of childhood OSAS. Multiparous mothers decreased the risk of childhood OSAS (aOR: 0.59, 95% CI: 0.42–0.83). Maternal education, gravidity, prenatal care times, pregnancy-induced hypertension, multiple pregnancies, sex of the child and birth weight were not significantly associated with OSAS in children. Conclusion: Perinatal risk factors are important for predicting childhood OSAS. Our findings provide evidence regarding several potentially useful factors for recognizing OSAS in children, which could be important in diagnosis of pediatric OSAS by physicians.

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