The prevalence of habitual snoring in Aegean region of Turkey and associated risk factors Original Article

Yıl 2010, , 80 - 85, 01.09.2010

Özge Yılmaz Gönül Dinç Ayhan Söğüt Şahin Aktulun Burak Arslan Metin Kocacan Betül Özdel Selime Özen Gökben Yaslı Hasan Yüksel

https://doi.org/10.4274/tpa.45.280

Öz

Summary Aim: The aim of this study was to determine prevalence of snoring in children younger than 18 years of age and to identify associated risk factors and complications in a population based study Material and Method: This cross sectional study was conducted in Manisa Turkey Questionnaires about snoring and associated risk factors were applied to 650 children who were determined using cluster sampling method 339 females 311 males Results: Prevalence of habitual snoring was 4 9 Current history of wheezing or allergic rhinitis increased the odds of habitual snoring 3 1 times when compared to children without current wheezing p=0 006; OR: 3 11 95 CI: 1 3 7 3 and p=0 002; OR: 3 11 95 CI: 1 5 6 6 respectively Grade 3 tonsil hypertrophy increased odds of habitual snoring 22 5 times compared to no tonsil hypertrophy p lt;0 001; OR: 22 4 95 CI: 6 0 83 9 Nighttime symptoms like apnea were more frequent in habitual snorers when compared to non snorers 28 1 vs 3 6 ; p lt;0 001; OR: 10 5 95 CI: 4 3 25 6 Conclusions: Current wheezing allergic rhinitis and tonsil hypertrophy are significant risk factors for habitual snoring Therefore children with these disorders need to be assessed for snoring that may influence their development Turk Arch Ped 2010; 45: 280 5 Key words: Child complications habitual snoring risk factors

Anahtar Kelimeler

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Türkiye’nin Ege bölgesinde alışkanlık haline gelmiş horlama sıklığı ve ilişkili risk etkenleri Özgün Araştırma

Öz

Özet Amaç: Bu çalışmanın amacı toplum temelli bir çalışma ile 18 yaşından küçük çocuklarda horlama sıklığının belirlenmesi ve bu durum ile ilişkili risk etmenleri ve komplikasyonların tanımlanmasıdır Gereç ve Yöntem: Bu kesitsel çalışma Manisa rsquo;da yürütüldü Küme ile örnekleme yöntemi kullanılarak belirlenen 650 çocuğa horlama ve ilişkili risk etkenleriyle ilgili anket uygulandı 339 kız 311 erkek Bulgular: Alışkanlık haline gelmiş horlama sıklığı 4 9 olarak belirlendi Güncel hışıltı öyküsü ya da alerjik riniti olan çocuklarda olmayanlara göre alışkanlık haline gelmiş horlama olasılığı 3 1 kat daha fazlaydı sırası ile p=0 006; OR: 3 11 95 CI: 1 3 7 3 ve p=0 002; OR: 3 11 95 CI:1 5 6 6 Evre 3 tonsil büyüklüğü alışkanlık haline gelmiş horlama olasılığını tonsil büyüklüğü olmayanlara göre 22 5 kat arttırdı p lt;0 001; OR: 22 4 95 CI: 6 0 83 9 Apne gibi gece belirtileri alışkanlık haline gelmiş horlaması olanlarda olmayanlara göre daha sıktı 28 1 rsquo;e 3 6; p lt;0 001; OR: 10 5 95 CI: 4 3 25 6 Çıkarımlar: Günlük hışıltı alerjik rinit ve tonsil büyüklüğü alışkanlık haline gelmiş horlama için anlamlı risk etkenleridir Bu nedenle bu rahatsızlıkları olan çocukların gelişimlerini etkileyen horlama açısından değerlendirilmeleri gerekir Türk Ped Arş 2010; 45: 280 5 Anahtar sözcükler: Alışkanlık haline gelmiş horlama çocuk komplikasyonlar risk etmenleri

Anahtar Kelimeler

Alışkanlık haline gelmiş horlama, çocuk, komplikasyonlar, risk etmenleri

Kaynakça

• Wildhaber JH, Moeller A. Sleep and respiration in children: time to wake up Swiss Med Wkly 2007; 137: 689-94. (Abstract) / (PDF)
• Benninger M, Walner D. Obstructive sleep-disordered breath- ing in children. Clin Cornerstone 2007; 9: S6-12. (PDF)
• Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc 2008; 5: 242-52. (Abstract) / (Full Text) / (PDF)
• Petry C, Pereira MU, Pitrez PM, Jones MH, Stein RT. The preva- lence of symptoms of sleep-disordered breathing in Brazilian schoolchildren. J Pediatr (Rio J) 2008; 84: 123-9. (Abstract)
• Kuehni CE, Strippoli MP, Chauliac ES, Silverman M. Snoring in preschool children: prevalence, severity and risk factors. Eur Respir J 2008; 31: 326-33. (Abstract) / (Full Text) / (PDF)
• Löfstrand-Tideström B, Hultcrantz E. The development of snoring and sleep related breathing distress from 4 to 6 years in a cohort of Swedish children. Int J Pediatr Otorhinolaryngol 2007; 71: 1025-33. (Abstract) / (Full Text) / (PDF)
• Montgomery-Downs HE, Gozal D. Sleep habits and risk fac- tors for sleep-disordered breathing in infants and young tod- dlers in Louisville, Kentucky. Sleep Med 2006; 7: 211-9. (Abs- tract) / (Full Text) / (PDF)
• Kaditis AG, Finder J, Alexopoulos EI, et al. Sleep-disordered breathing in 3 680 Greek children. Pediatr Pulmonol 2004 ; 37: 499-509. (Abstract) / (PDF)
• Hacettepe University Institute of Population Studies, Turkey Demographic and Health Survey, 2003. Hacettepe University Institute of Population Studies, Ministry of Health General Directorate of Mother and Child Health and Family Planning, State Planning Organization and European Union. Ankara, Turkey.
• Dinç G, Cambaz S, Nesanır N, ve ark. [Manisa Nüfus ve Sağlık Araştırması] 2005, (Manisa Demographic and Health Survey 2005). Manisa: Yedikardesler ofset, 2007. (Full Text)
• Sogut A, Yilmaz O, Dinc G, Yuksel H. Prevalence of habitual snoring and symptoms of sleep-disordered breathing in ado- lescents. Int J Pediatr Otorhinolaryngol 2009: 20 (ebup). (Abs- tract) / (Full Text) / (PDF)
• Mitchell RB, Kelly J. Behavior, neurocognition and quality-of- life in children with sleep-disordered breathing. Int J Pediatr Otorhinolaryngol 2006; 70: 395-406. (Abstract) / (Full Text) / (PDF)
• Carroll JL, McColley SA, Marcus CL, Curtis S, Laughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995; 108: 610-8. (Abstract) / (Full Text)
• Brouillette R, Hanson D, David D, et al. A diagnostic approach to suspected obstructive sleep apnea in children. J Pediatr 1984; 105: 10-4. (Abstract)
• Yuksel H, Dinc G, Sakar A, et al. Prevalence and comorbidity- of allergic eczema, rhinitis, and asthma in a city in western Turkey. J Investig Allergol Clin Immunol 2008; 18: 31-5. (Abs- tract) / (PDF)
• Ng DK, Chan C, Chow AS, Chow P, Kwok K. Childhood sleep- disordered breathing and its implications for cardiac and vas- cular diseases. J Paediatr Child Health 2005; 41: 640-6. (Abs- tract) / (Full Text) / (PDF)
• Fauroux B. What's new in paediatric sleep? Paediatr Respir Rev 2007; 8: 85-9. (Abstract) / (Full Text) / (PDF)
• Marcus CL. Sleep-disordered breathing in children. Curr Opin Pediatr 2000; 12: 208-12.
• Bass JL, Corwin M, Gozal D, et al. The effect of chronic or inter- mittent hypoxia on cognition in childhood: a review of the evi- dence. Pediatrics 2004; 114: 805-16. (Abstract) / (Full Text) / (PDF)
• Kheirandish L, Gozal D. Neurocognitive dysfunction in children with sleep disorders. Dev Sci 2006; 9: 388-99. (Abstract)
• Fidan F, Ünlü M, Sezer M, Pala E, Geçici Ö. Obstrüktif uyku apne sendromu ile anksiyete ve depresyon arasındaki ilişki. Toraks Dergisi 2006; 7: 125-9. (PDF)
• Ng DK, Kwok KL, Cheung JM, et al. Prevalence of sleep prob- lems in Hong Kong primary school children: a community- based telephone survey. Chest 2005; 128: 1315-23. (Abstract) / (Full Text) / (PDF)
• Sogut A, Altin R, Uzun L, et al. Prevalence of obstructive sleep apnea syndrome and associated symptoms in 3-11-year-old Turkish children. Pediatr Pulmonol 2005; 39: 251-6. (Abstract) / (PDF)
• Liu X, Ma Y, Wang Y, et al. Brief report: An epidemiologic sur- vey of the prevalence of sleep disorders among children 2 to 12 years old in Beijing, China. Pediatrics 2005; 115: 266-8. (Abstract) / (Full Text) / (PDF)
• Ersu R, Arman AR, Save D, et al. Prevalence of snoring and symptoms of sleep-disordered breathing in primary school children in istanbul. Chest 2004; 126: 19-24. (Abstract) / (Full Text) / (PDF)
• Ramagopal M, Scharf SM, Roberts DW, Blaisdell CJ. Obstructive sleep apnea and history of asthma in snoring chil- dren. Sleep Breath 2008; 12: 381-92. (Abstract) / (Full Text) / (PDF)
• Valery PC, Masters IB, Chang AB. Snoring and its association with asthma in Indigenous children living in the Torres Strait and Northern Peninsula Area. J Paediatr Child Health 2004; 40: 461-5. (Abstract) / (Full Text) / (PDF)
• Fagnano M, van Wijngaarden E, Connolly HV, Carno MA, Forbes-Jones E, Halterman JS. Sleep-disordered breathing and behaviors of inner-city children with asthma. Pediatrics 2009; 124: 218-25. (Abstract) / (Full Text) / (PDF)
• Marshall NS, Almqvist C, Grunstein RR, Marks GB; Childhood Asthma Prevention Study. Predictors for snoring in children with rhinitis at age 5. Pediatr Pulmonol 2007; 42: 584-91. (Abstract) / (PDF)
• Mitchell RB. Adenotonsillectomy for obstructive sleep apnea in children: outcome evaluated by pre- and postoperative polysomnography. Laryngoscope 2007; 117: 1844-54. (Abs- tract)
• Mitchell RB, Kelly J. Outcome of adenotonsillectomy for obstructive sleep apnea in children under 3 years. Otolaryngol Head Neck Surg 2005 ; 132 : 681-4. (Abstract) / (Full Text) / (PDF)
• Montgomery-Downs HE, Jones VF, Molfese VJ, Gozal D. Snoring in preschoolers: associations with sleepiness, ethnic- ity, and learning. Clin Pediatr (Phila) 2003; 42: 719-26. (Abstract)
• Gottlieb DJ, Vezina RM, Chase C, et al. Symptoms of sleep-dis- ordered breathing in 5-year-old children are associated with sleepiness and problem behaviors. Pediatrics 2003; 112: 870-7. (Abstract) / (Full Text) / (PDF)
• Castronovo V, Zucconi M, Nosetti L, et al. Prevalence of habit- ual snoring and sleep-disordered breathing in preschool-aged children in an Italian community. J Pediatr 2003; 142: 377-82. (Abstract) / (Full Text) / (PDF)
• Uyan AP, Ozyurek H, Kocabay K. Çocukluk çağında obstrüktif sleep-apne sendromu. Düzce Tıp Fakültesi Dergisi 2001; 3: 64-8.
• İkiz AÖ. Çocuklarda obstrüktif uyku apnesi. Turkiye Klinikleri J Pediatr Sci 2007; 3: 76-81. Özge Yılmaz