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KMID : 1009020200180040553
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Clinical Psychopharmacology and Neuroscience
2020 Volume.18 No. 4 p.553 ~ p.561
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Associations among High Risk for Sleep-disordered Breathing, Related Risk Factors, and Attention Deficit/Hyperactivity Symptoms in Elementary School Children
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Kim Kyoung-Min
Kim Jee-Hyun
Kim Do-Hyun
Lim Myung-Ho
Joo Hyun-Joo
Yoo Seung-Jin
Kim Eun-Jung
Ha Mi-Na
Paik Ki-Chung
Kwon Ho-Jang
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Abstract
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Objective: Habitual snoring is a common problem in children. We evaluated the association between a high risk for sleep-disordered breathing and attention deficit/hyperactivity symptoms.
Methods: Parents of 13,560 children aged 6 to 12 years responded to questionnaires including items on habitual snoring and the Korean attention deficit/hyperactivity disorder rating scale. The snoring score comprised the number of “yes” responses to habitual-snoring items, and a high risk for sleep-disordered breathing was defined as a snoring score ≥ 2.
Results: The odds ratio (OR) of a high risk for sleep-disordered breathing was significantly higher in boys (OR = 1.47; p < 0.001), overweight children (OR = 2.20; p < 0.001), and children with current secondhand-smoking exposure (OR = 1.38; p < 0.001). The Korean attention deficit/hyperactivity disorder rating scale score increased significantly with the snoring score (0 vs. 1, B = 1.56, p < 0.001; 0 vs. 2, B = 2.44, p < 0.001; 0 vs. 3, B = 2.48, p < 0.001; 0 vs. 4, B = 3.95; p < 0.001).
Conclusion: Our study confirms several risk factors of sleep-disordered breathing, namely male sex, overweight, and exposure to tobacco smoking, and found a positive association between habitual snoring and attention deficit/hyperactivity symptoms.
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KEYWORD
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Sleep-disordered breathing, Attention deficit/hyperactivity disorder, Risk factors, Elementary school children
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