Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children?
Background Few studies have explored the polysomnographic features of children with obesity. Purpose This study aimed to explore the demographic and polysomnographic features of obese children and determine whether body mass index (BMI) could predict severe obstructive sleep apnea (OSA). Methods Thi...
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| Language: | English |
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The Korean Pediatric Society
2025-01-01
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| Series: | Clinical and Experimental Pediatrics |
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| Online Access: | http://www.e-cep.org/upload/pdf/cep-2024-00066.pdf |
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| author | Rungrat Sukharom Prakarn Tovichien Kanokporn Udomittipong Pinyapach Tiamduangtawan Wattanachai Chotinaiwattarakul |
| author_facet | Rungrat Sukharom Prakarn Tovichien Kanokporn Udomittipong Pinyapach Tiamduangtawan Wattanachai Chotinaiwattarakul |
| author_sort | Rungrat Sukharom |
| collection | DOAJ |
| description | Background Few studies have explored the polysomnographic features of children with obesity. Purpose This study aimed to explore the demographic and polysomnographic features of obese children and determine whether body mass index (BMI) could predict severe obstructive sleep apnea (OSA). Methods This cross-sectional study recruited obese children who underwent diagnostic polysomnography between January 2019 and March 2022. We explored demographic and anthropometric measures as well as polysomnographic abnormalities among them. We used receiver operating characteristic curves and logistic regression analyses to determine the optimal cutoff values of anthropometric variables for predicting severe OSA. Results A total of 132 children with obesity (76.5% male; mean age, 12.5±3.2 years) were included. Severe OSA was identified in 64 children (48.5%). Desaturation was observed in 59.8%, while 23.5% had hyperarousal, 20.5% had sleep-related hypoventilation, 60.6% had positional OSA, 40.2% had rapid eye movement-related OSA, and 5.0% had obesity hypoventilation syndrome. Among them, BMI (odds ratio [OR], 1.11; 95% confidence interval [CI], 1.05–1.17; P<0.001), neck circumference (OR, 1.15; 95% CI, 1.07–1.25; P<0.001), and waist circumference (OR, 1.04; 95% CI, 1.02–1.07; P=0.001) were significantly associated with severe OSA. These findings suggest a cutoff BMI for predicting severe OSA of greater than 29.2 kg/m2 with 81.3% sensitivity and 48.5% specificity. Conclusion Severe OSA is common in children with obesity; thus, we recommend screening children with obesity and a BMI greater than 29.2 kg/m2 for severe OSA. |
| format | Article |
| id | doaj-art-a547e8215d3b4332a23cab7885eaa007 |
| institution | Kabale University |
| issn | 2713-4148 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | The Korean Pediatric Society |
| record_format | Article |
| series | Clinical and Experimental Pediatrics |
| spelling | doaj-art-a547e8215d3b4332a23cab7885eaa0072025-02-07T07:38:34ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482025-01-01681809010.3345/cep.2024.0006620125555736Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children?Rungrat Sukharom0Prakarn Tovichien1Kanokporn Udomittipong2Pinyapach Tiamduangtawan3Wattanachai Chotinaiwattarakul4 Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Siriraj Sleep Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandBackground Few studies have explored the polysomnographic features of children with obesity. Purpose This study aimed to explore the demographic and polysomnographic features of obese children and determine whether body mass index (BMI) could predict severe obstructive sleep apnea (OSA). Methods This cross-sectional study recruited obese children who underwent diagnostic polysomnography between January 2019 and March 2022. We explored demographic and anthropometric measures as well as polysomnographic abnormalities among them. We used receiver operating characteristic curves and logistic regression analyses to determine the optimal cutoff values of anthropometric variables for predicting severe OSA. Results A total of 132 children with obesity (76.5% male; mean age, 12.5±3.2 years) were included. Severe OSA was identified in 64 children (48.5%). Desaturation was observed in 59.8%, while 23.5% had hyperarousal, 20.5% had sleep-related hypoventilation, 60.6% had positional OSA, 40.2% had rapid eye movement-related OSA, and 5.0% had obesity hypoventilation syndrome. Among them, BMI (odds ratio [OR], 1.11; 95% confidence interval [CI], 1.05–1.17; P<0.001), neck circumference (OR, 1.15; 95% CI, 1.07–1.25; P<0.001), and waist circumference (OR, 1.04; 95% CI, 1.02–1.07; P=0.001) were significantly associated with severe OSA. These findings suggest a cutoff BMI for predicting severe OSA of greater than 29.2 kg/m2 with 81.3% sensitivity and 48.5% specificity. Conclusion Severe OSA is common in children with obesity; thus, we recommend screening children with obesity and a BMI greater than 29.2 kg/m2 for severe OSA.http://www.e-cep.org/upload/pdf/cep-2024-00066.pdfpediatric obesitysleep apnea syndromespolysomnographysleep |
| spellingShingle | Rungrat Sukharom Prakarn Tovichien Kanokporn Udomittipong Pinyapach Tiamduangtawan Wattanachai Chotinaiwattarakul Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children? Clinical and Experimental Pediatrics pediatric obesity sleep apnea syndromes polysomnography sleep |
| title | Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children? |
| title_full | Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children? |
| title_fullStr | Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children? |
| title_full_unstemmed | Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children? |
| title_short | Polysomnographic features of children with obesity: body mass index predict severe obstructive sleep apnea in obese children? |
| title_sort | polysomnographic features of children with obesity body mass index predict severe obstructive sleep apnea in obese children |
| topic | pediatric obesity sleep apnea syndromes polysomnography sleep |
| url | http://www.e-cep.org/upload/pdf/cep-2024-00066.pdf |
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