Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children

Aim: Primary snoring was reported to affect 7.2% of school children in Hong Kong, and emerging evidence suggested that neurobehavioural symptoms were more frequently found among this group of children. The current study investigated the prevalence of symptoms of attention deficit hyperactivity disor...

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Main Authors: Mei-Ching Chan, Sharon Wan-Wah Cherk, Ka-Li Kwok, Shuk-Yu Leung, Jonathan Pak-Heng Ng, Rachel Shui-Ping Lee, Tracy Man-Kiu Ma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-07-01
Series:Pediatric Respirology and Critical Care Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/prcm.prcm_15_17
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author Mei-Ching Chan
Sharon Wan-Wah Cherk
Ka-Li Kwok
Shuk-Yu Leung
Jonathan Pak-Heng Ng
Rachel Shui-Ping Lee
Tracy Man-Kiu Ma
author_facet Mei-Ching Chan
Sharon Wan-Wah Cherk
Ka-Li Kwok
Shuk-Yu Leung
Jonathan Pak-Heng Ng
Rachel Shui-Ping Lee
Tracy Man-Kiu Ma
author_sort Mei-Ching Chan
collection DOAJ
description Aim: Primary snoring was reported to affect 7.2% of school children in Hong Kong, and emerging evidence suggested that neurobehavioural symptoms were more frequently found among this group of children. The current study investigated the prevalence of symptoms of attention deficit hyperactivity disorder (ADHD) i.e., attention deficit, hyperactivity and impulsivity (ADHI), in Chinese children with primary snoring. Materials and Methods: Polysomnography results and relevant clinical notes for all Chinese children aged 4–18-year performed from January 2009 to December 2010 in our sleep laboratory were retrospectively reviewed. Data of the Chinese version of modified Epworth Sleepiness Scale and C-domain of Paediatric Sleep Questionnaire were analysed. Results: In primary snorers, the presence of excessive daytime sleepiness (EDS) and higher apnoea–hypopnea index (AHI) were risk factors for symptoms of AD with adjusted odds ratio of 3.2 (95% confidence interval [CI] = 1.2–8.1) and 4.7 (95% CI = 1.1–20.7), respectively. Primary snorer with AD symptoms had higher AHI, 0.32 ± 0.31 compared those without symptoms, 0.21 ± 0.29, P = 0.038. EDS was an independent risk factor for ADHI with odds ratio of 4.7 (95% CI = 1.1–20.0). Conclusion: Early screening for symptoms of ADHD should be performed in children with primary snoring.
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spelling doaj-art-7fcde5c4a9f7440eb11aa111ec31dc182025-08-20T02:18:58ZengWolters Kluwer Medknow PublicationsPediatric Respirology and Critical Care Medicine2543-03432543-03512017-07-0113596210.4103/prcm.prcm_15_17Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring ChildrenMei-Ching ChanSharon Wan-Wah CherkKa-Li KwokShuk-Yu LeungJonathan Pak-Heng NgRachel Shui-Ping LeeTracy Man-Kiu MaAim: Primary snoring was reported to affect 7.2% of school children in Hong Kong, and emerging evidence suggested that neurobehavioural symptoms were more frequently found among this group of children. The current study investigated the prevalence of symptoms of attention deficit hyperactivity disorder (ADHD) i.e., attention deficit, hyperactivity and impulsivity (ADHI), in Chinese children with primary snoring. Materials and Methods: Polysomnography results and relevant clinical notes for all Chinese children aged 4–18-year performed from January 2009 to December 2010 in our sleep laboratory were retrospectively reviewed. Data of the Chinese version of modified Epworth Sleepiness Scale and C-domain of Paediatric Sleep Questionnaire were analysed. Results: In primary snorers, the presence of excessive daytime sleepiness (EDS) and higher apnoea–hypopnea index (AHI) were risk factors for symptoms of AD with adjusted odds ratio of 3.2 (95% confidence interval [CI] = 1.2–8.1) and 4.7 (95% CI = 1.1–20.7), respectively. Primary snorer with AD symptoms had higher AHI, 0.32 ± 0.31 compared those without symptoms, 0.21 ± 0.29, P = 0.038. EDS was an independent risk factor for ADHI with odds ratio of 4.7 (95% CI = 1.1–20.0). Conclusion: Early screening for symptoms of ADHD should be performed in children with primary snoring.https://journals.lww.com/10.4103/prcm.prcm_15_17attention deficit hyperactivity disorderexcessive somnolence disorderspolysomnographysleep-disordered breathing
spellingShingle Mei-Ching Chan
Sharon Wan-Wah Cherk
Ka-Li Kwok
Shuk-Yu Leung
Jonathan Pak-Heng Ng
Rachel Shui-Ping Lee
Tracy Man-Kiu Ma
Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children
Pediatric Respirology and Critical Care Medicine
attention deficit hyperactivity disorder
excessive somnolence disorders
polysomnography
sleep-disordered breathing
title Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children
title_full Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children
title_fullStr Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children
title_full_unstemmed Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children
title_short Prevalence and Risk Factors for Symptoms of Attention Deficit and Hyperactivity in Primary Snoring Children
title_sort prevalence and risk factors for symptoms of attention deficit and hyperactivity in primary snoring children
topic attention deficit hyperactivity disorder
excessive somnolence disorders
polysomnography
sleep-disordered breathing
url https://journals.lww.com/10.4103/prcm.prcm_15_17
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