Cognitive executive dysfunction in children with mild sleep-disordered breathing.
In children, moderate or severe sleep-disordered breathing (SDB) may impair cognitive executive functions (EFs), including working memory, attention, and mental flexibility. The main objective of this study was to assess EFs in children with mild levels of SDB. Subjects for this descriptive study we...
| Publicado en: | Biological Research for Nursing Vol. 5; no. 3; pp. 168 - 177 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106766882&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106766882 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10998004 5WE jtl: Biological Research for Nursing issn: 10998004 maglogo: Y pubinfo: dt: Jan2004 vid: 5 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106766882 2004136360 10.1177/1099800403260261 NLM14737917 106766882 ppf: 168 ppct: 9 formats: tig: atl: Cognitive executive dysfunction in children with mild sleep-disordered breathing. aug: au: Archbold KH Giordani B Ruzicka DL Chervin RD affil: Research Assistant Professor, Behavioral Nursing and Health Systems, Box 357266, University of Washington School of Nursing, Seattle, WA 98195-7266; archbold@u.washington.edu sug: subj: Cognition Evaluation Sleep Apnea Syndromes Complications Attention Evaluation Child Convenience Sample Descriptive Research Descriptive Statistics Female Funding Source Intelligence Tests Linear Regression Male Memory Evaluation Neuropsychological Tests Oxygen Saturation Evaluation Polysomnography Selection Bias Severity of Illness Sleep Stages Evaluation T-Tests Time Factors Human Child: 6-12 years Female Male ab: In children, moderate or severe sleep-disordered breathing (SDB) may impair cognitive executive functions (EFs), including working memory, attention, and mental flexibility. The main objective of this study was to assess EFs in children with mild levels of SDB. Subjects for this descriptive study were 12 children (5 girls, 7 boys) aged 8.0 to 11.9 years (M = 9.0 +/- 0.85) participating in an ongoing study of the effects of adenotonsillectomy on behavior. Each subject had a nocturnal polysomnogram (PSG) and a multiple sleep latency test (MSLT). Mild SDB was considered present if the child's apnea/hypopnea index (AHI) was > or = 1 and < 10. Between MSLT nap attempts, each child completed standardized tests of EFs. The sample showed significant impairment of sustained attention and vigilance on a computerized continuous performance test. Children with low mental flexibility scores on the Children's Category Test (CCT) spent more time in stage 1 sleep (12.2% v. 9.5%, P = 0.028 on PSG) and showed a marginally higher arousal index (9.7 v. 6.5, P = 0.06 on PSG) than children with average or above-average CCT scores. AHI accounted for a significant proportion of the variance in CCT scores when 1 outlier was removed (N = 11, Rsq = 0.67, P = 0.002). Mild levels of SDB and associated sleep architecture disruptions may be associated with impairment of EFs in children. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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