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Associations among High Risk for Sleep-disordered Breathing, Related Risk Factors, and Attention Deficit/Hyperactivity Symptoms in Elementary School Children

Clinical Psychopharmacology and Neuroscience 2020년 18권 4호 p.553 ~ 561
김경민, 김지현, 김도현, 임명호, 주현주, 유승진, 김은정, 하미나, 백기청, 권호장,
소속 상세정보
김경민 ( Kim Kyoung-Min ) - Dankook University College of Medicine Department of Psychiatry
김지현 ( Kim Jee-Hyun ) - Dankook University College of Medicine Dankook University Hospital Department of Neurology
김도현 ( Kim Do-Hyun ) - Dankook University Hospital Department of Psychiatry
임명호 ( Lim Myung-Ho ) - Dankook University College of Public Human Resources Department of Psychology
주현주 ( Joo Hyun-Joo ) - Dankook University College of Medicine Department of Preventive Medicine
유승진 ( Yoo Seung-Jin ) - Dankook University Medical Center Environmental Health Center
김은정 ( Kim Eun-Jung ) - Dankook University Medical Center Environmental Health Center
하미나 ( Ha Mi-Na ) - Dankook University College of Medicine Department of Preventive Medicine
백기청 ( Paik Ki-Chung ) - Dankook University College of Medicine Department of Psychiatry
권호장 ( Kwon Ho-Jang ) - Dankook University College of Medicine Department of Preventive Medicine

Abstract


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.

키워드

Sleep-disordered breathing; Attention deficit/hyperactivity disorder; Risk factors; Elementary school children

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