Original ArticleSleep-disordered breathing symptoms are associated with poorer cognitive function in 5-year-old children☆
Section snippets
Subjects
This study was approved by the Institutional Review Boards of Boston University School of Medicine and Rush University. All children had been previously enrolled in the Infant Care Practices Study (ICPS).21 Briefly, the ICPS is a multicenter, prospective longitudinal study conducted in Massachusetts and Ohio, the principal aim of which was to describe newborn sleep practices and to document changes in infant sleep position over time. Between February 1995 and December 1998, mothers of newborn
Results
Between March 1, 2000 and May 3, 2002, 5-year follow-up was initiated approximately 2 months before the child's fifth birthday for 5811 children enrolled in the ICPS. At the time of this analysis, 3533 questionnaires (61%) had been completed and 219 children had been seen for neurocognitive assessment. Two children with low IQ scores, 5 who were unable to complete the assessment because of extreme shyness or anxiety, and 7 with incomplete data on SDB status were excluded. The remaining 205
Discussion
The present study finds that in a community sample of 5-year-old children, parent-reported symptoms of SDB are associated with impaired behavioral control and with significantly poorer performance on a broad range of neurocognitive tests, including standardized, age-appropriate tests of executive function, memory, and general intellectual ability, after adjustment for potentially confounding sociodemographic and respiratory health variables. Although not statistically significant for the CPT,
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2023, Snoring and Obstructive Sleep Apnea in ChildrenObstructive sleep apnea in children
2023, Encyclopedia of Sleep and Circadian Rhythms: Volume 1-6, Second EditionCharacteristics associated with caregiver willingness to consider tonsillectomy for a child's obstructive sleep disordered breathing: Findings from a survey of families in an urban primary care network
2022, International Journal of Pediatric OtorhinolaryngologyCitation Excerpt :Caregivers’ knowledge, attitudes, and expectations about pediatric oSDB and its treatment have not been explored as mechanisms to explain racial/ethnic differences in tonsillectomy utilization, but these factors are known contributors to racial disparities in adult elective surgery use [27]. Given that untreated OSA and even less severe forms of oSDB can have negative medical and behavioral sequelae [28–34], it is critical to better understand the impact of caregiver-level characteristics on the racial disparity in tonsillectomy use for oSDB. In this study, we aimed to identify whether there is a difference between parents of Black and non-Black children with oSDB in their willingness to consider tonsillectomy.
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Supported by National Heart, Lung and Blood Institute grant HL62371 and by the General Clinical Research Center at Boston University Medical Center (National Center for Research Resources grant RR00533). The Infant Care Practices Study was supported by funds from the National Institute of Child Health and Human Development and the National Institute on Deafness and Other Communicative Disorders under contract HD43221.