The association between sleep disordered breathing, academic grades, and cognitive and behavioral functioning among overweight subjects during middle to late childhood.
STUDY OBJECTIVES: (1) to determine the associations of sleep disordered breathing (SDB) with behavioral functioning, cognitive test scores, and school grades during middle- to late-childhood, an under-researched developmental period in the SDB literature, and (2) to clarify whether associations betw...
| Published in: | Sleep Vol. 33; no. 11; pp. 1447 - 1457 |
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| Main Authors: | , , , , |
| Format: | research Journal Article |
| Published: |
Oxford University Press / USA
2010 Nov 1
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104952659&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104952659 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01618105 2EI jtl: Sleep issn: 01618105 maglogo: N pubinfo: dt: 2010 Nov 1 vid: 33 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104952659 104952659 2010867267 NLM21102986 PMC2954694 104952659 ppf: 1447 ppct: 10 formats: tig: atl: The association between sleep disordered breathing, academic grades, and cognitive and behavioral functioning among overweight subjects during middle to late childhood. aug: au: Beebe DW Ris MD Kramer ME Long E Amin R sug: subj: Child Behavior Disorders Epidemiology Cognition Disorders Epidemiology Educational Measurement Statistics and Numerical Data Obesity Epidemiology Sleep Apnea Syndromes Epidemiology Adolescence Analysis of Variance Attention Causal Attribution Child Child Behavior Disorders Diagnosis Cognition Disorders Diagnosis Comorbidity Cross Sectional Studies Educational Measurement Educational Status Faculty Female Human Learning Disorders Diagnosis Learning Disorders Epidemiology Male Neuropsychological Tests Statistics and Numerical Data Ohio Parents Polysomnography Methods Polysomnography Statistics and Numerical Data Self Report Severity of Illness Indices Adolescent: 13-18 years Child: 6-12 years Female Male ab: STUDY OBJECTIVES: (1) to determine the associations of sleep disordered breathing (SDB) with behavioral functioning, cognitive test scores, and school grades during middle- to late-childhood, an under-researched developmental period in the SDB literature, and (2) to clarify whether associations between SDB and school grades are mediated by deficits in cognitive or behavioral functioning. DESIGN: Cross-sectional correlative study. SETTING: Office/hospital, plus reported functioning at home and at school. PARTICIPANTS: 163 overweight subjects aged 10-16.9 years were divided into 4 groups based upon their obstructive apnea+hypopnea index (AHI) during overnight polysomnography and parent report of snoring: Moderate-Severe OSA (AHI > 5, n = 42), Mild OSA (AHI = 1-5, n = 58), Snorers (AHI < 1 + snoring, n = 26), and No SDB (AHI < 1 and nonsnoring, n = 37). MEASUREMENTS: Inpatient overnight polysomnography, parent- and self-report of school grades and sleep, parent- and teacher-report of daytime behaviors, and office-based neuropsychological testing. RESULTS: The 4 groups significantly differed in academic grades and parent- and teacher-reported behaviors, particularly inattention and learning problems. These findings remained significant after adjusting for subject sex, race, socioeconomic status, and school night sleep duration. Associations with SDB were confined to reports of behavioral difficulties in real-world situations, and did not extend to office-based neuropsychological tests. Findings from secondary analyses were consistent with, but could not definitively confirm, a causal model in which SDB affects school grades via its impact on behavioral functioning. CONCLUSIONS: SDB during middle- to late-childhood is related to important aspects of behavioral functioning, especially inattention and learning difficulties, that may result in significant functional impairment at school. CITATION: Beebe DW; Ris MD; Kramer ME; Long E; Amin R. The association between sleep disordered breathing, academic grades, and cognitive and behavioral functioning among overweight subjects during middle to late childhood. SLEEP 2010;33(11):1447-1456. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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