Keywords
Child
Sleep wake disorders
How to Cite
Abstract
Aim: To evaluate parents’ knowledge about obstructive sleep apnea syndrome in preschoolers in the primary dentition in the city of Parnaíba-PI. Methods: The questionnaire on obstructive sleep apnea syndrome (OSAS) in children was applied to parents of children between 2 and 6 years of age, in the deciduous dentition who were attending preschool in public and private kindergarten. It contained objective questions distributed in two parts: the first that determined the epidemiological profile of parents and children; the second part with 22 questions that checked the parents’ knowledge about the child’s sleep and behavior during the day. As an interpretation, the questionnaires that presented 36.3% of the answers YES to the 22 specific questions, the child was considered at high probability for developing OSAS. Results: The average age of the children was approximately 4 years old. Regarding weight, an average of 22 kilos and an average height of 107.45 cm and an average BMI of 18.75, confirmed by notes on the vaccination card. Loud snoring, loud or heavy breathing, and overweight were significantly associated with OSAS (p < 0.001). From a total of 250 children, it was observed that the prevalence rate of high possibility for the development of OSAS was 6% (n=15). Conclusion: Parents were not aware of OSAS, but after applying the questionnaire, they were able to understand the suggestive signs of the syndrome and the importance of early diagnosis.
References
Savini S, Ciorba A, Bianchini C, Stomeo F, Corazzi V, Vicini C, et al. Assessment of obstructive sleep apnoea (OSA) in children: an update. Acta Otorhinolaryngol Ital. 2019 Oct;39(5):289-97. doi: 10.14639/0392-100X-N0262.
Andersen IG, Holm JC, Homøe P. Obstructive sleep apnea in children and adolescents with and without obesity. Eur Arch Otorhinolaryngol. 2019 Mar;276(3):871-8. doi: 10.1007/s00405-019-05290-2.
Luzzi V, Ierardo G, Di Carlo G, Saccucci M, Polimeni A. Obstructive sleep apnea syndrome in the pediatric age: the role of the dentist. Eur Rev Med Pharmacol Sci. 2019 Mar;23(1 Suppl):9-14. doi: 10.26355/eurrev_201903_17341.
Chen VG, Fonseca VMGD, Amaral JB, Camargo-Kosugi CM, Moreira G, Kosugi EM, et al. Inflammatory markers in palatine tonsils of children with obstructive sleep apnea syndrome. Braz J Otorhinolaryngol. 2020 Jan-Feb;86(1):23-29. doi: 10.1016/j.bjorl.2018.08.001. Epub 2018 Aug 31.
DelRosso LM, Mogavero MP, Ferri R, Bruni O, Chen ML. Update and Progress in Pediatric Sleep Disorders. J Pediatr. 2021 Dec;239:16-23. doi: 10.1016/j.jpeds.2021.08.030.
Silva PMJ, Feitoza CC, Franco-Michelone AL, Pizol KEDC. [Obstructive sleep apnea and hypopnea syndrome in childhood: dental aspects]. Rev Bras Multidiscipl. 2021;24(1):187-98. doi: 10.25061/2527-2675/ReBraM/2021.v24i1.723. Portuguese.
Tapia IE, Shults J, Doyle LW, Nixon GM, Cielo CM, Traylor J, et al. Perinatal risk factors associated with the obstructive sleep apnea syndrome in school-aged children born preterm. Sleep. 2016 Apr;39(4):737-42. doi: 10.5665/sleep.5618.
Xu Z, Wu Y, Tai J, Feng G, Ge W, Zheng L, et al. Risk factors of obstructive sleep apnea syndrome in children. J Otolaryngol Head Neck Surg. 2020 Mar;49(1):11. doi: 10.1186/s40463-020-0404-1.
Saint-Fleur AL, Christophides A, Gummalla P, Kier C. Much ado about sleep: current concepts on mechanisms and predisposition to pediatric obstructive sleep apnea. Children (Basel). 2021 Nov;8(11):1032. doi: 10.3390/children8111032.
Lee SY, Guilleminault C, Chiu HY, Sullivan SS. Mouth breathing, "nasal disuse," and pediatric sleep-disordered breathing. Sleep Breath. 2015 Dec;19(4):1257-64. doi: 10.1007/s11325-015-1154-6..
Barros EL, Pradella-Hallinan M, Moreira GA, Stefanini Dde O, Tufik S, Fujita RR. Follow-up of obstructive sleep apnea in children. Braz J Otorhinolaryngol. 2014 Jul-Aug;80(4):277-84. doi: 10.1016/j.bjorl.2014.05.008.
Au CT, Chan KCC, Liu KH, Chu WCW, Wing YK, Li AM. Potential anatomic markers of obstructive sleep apnea in prepubertal children. J Clin Sleep Med. 2018 Dec;14(12):1979-86. doi: 10.5664/jcsm.7518.
Soares MM, Romano FL, Dias FVDS, de Souza JF, de Almeida LA, Miura CS, et al. Association between the intensity of obstructive sleep apnea and skeletal alterations in the face and hyoid bone. Braz J Otorhinolaryngol. 2022 May-Jun;88(3):331-6. doi: 10.1016/j.bjorl.2020.06.008. Epub 2020 Jul 27.
Huang YS, Guilleminault C. Pediatric Obstructive Sleep Apnea: Where Do We Stand? Adv Otorhinolaryngol. 2017;80:136-144. doi: 10.1159/000470885.
Spilsbury JC, Storfer-Isser A, Rosen CL, Redline S. Remission and incidence of obstructive sleep apnea from middle childhood to late adolescence. Sleep. 2015 Jan;38(1):23-9. doi: 10.5665/sleep.4318.
Al-Shamrani A, Alharbi AS. Diagnosis and management of childhood sleep-disordered breathing. Clinical approach. Saudi Med J. 2020 Sep;41(9):916-29. doi: 10.15537/smj.2020.9.25262.
Martins CAN, de Deus MM, Abile IC, Garcia DM, Anselmo-Lima WTA, Miura CS, e al. [Translation and cross-cultural adaptation of the pediatric sleep questionnaire (PSQ*) into Brazilian Portuguese]. Braz J Otorhinolaryngol. 2022;88(S1):563-9. Portuguese. doi: 10.1016/j.ijporl.2014.12.002.
Patel AP, Meghji S, Phillips JS. Accuracy of clinical scoring tools for the diagnosis of pediatric obstructive sleep apnea. Laryngoscope. 2020 Apr;130(4):1034-43. doi: 10.1002/lary.28146. Epub 2019 Jun 24.
Camacho M, Chang ET, Song SA, Abdullatif J, Zaghi S, Pirelli P, et al. Rapid maxillary expansion for pediatric obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope. 2017 Jul;127(7):1712-9. doi: 10.1002/lary.26352. Epub 2016 Oct 31.
Luchesa CJ, Chaves Neto A. [Calculating sample size in management research]. Curitiba: Author's edition; 2011. Portuguese.
Perrone APF, Ferreira VR, Prado LFD, Prado GFD, Machado MA, Carvalho LBC. Translation and adaptation of the sleep apnea quality of life index (SAQLI) to Brazilian Portuguese. Arq Neuropsiquiatr. 2022 Jun;80(6):616-9. doi: 10.1590/0004-282X-ANP-2021-0275.
da Silva Gusmão Cardoso T, Pompéia S, Miranda MC. Cognitive and behavioral effects of obstructive sleep apnea syndrome in children: a systematic literature review. Sleep Med. 2018 Jun;46:46-55. doi: 10.1016/j.sleep.2017.12.020.
Corrêa CC, Cavalheiro MG, Maximino LP, Weber SA. Obstructive sleep apnea and oral language disorders. Braz J Otorhinolaryngol. 2017 Jan-Feb;83(1):98-104. doi: 10.1016/j.bjorl.2016.01.017. Epub 2016 Apr 28.
Ehsan Z, Ishman SL, Kimball TR, Zhang N, Zou Y, Amin RS. Longitudinal cardiovascular outcomes of sleep disordered breathing in children: a meta-analysis and systematic review. Sleep. 2017 Mar;40(3):zsx015. doi: 10.1093/sleep/zsx015.
Wang J, Zhao Y, Yang W, Shen T, Xue P, Yan X, et al. Correlations between obstructive sleep apnea and adenotonsillar hypertrophy in children of different weight status. Sci Rep. 2019 Aug;9(1):11455. doi: 10.1038/s41598-019-47596-5.
Huang YS, Hwang FM, Lin CH, Lee LA, Huang PY, Chiu ST. Clinical manifestations of pediatric obstructive sleep apnea syndrome: Clinical utility of the Chinese-version Obstructive Sleep Apnea Questionaire-18. Psychiatry Clin Neurosci. 2015 Dec;69(12):752-62. doi: 10.1111/pcn.12331.
Huang YS, Guilleminault C. A review of treatment options in Paediatric sleep-disordered breathing. Pediatr Respirol Crit Care Med. 2017;1(3):54-8. doi: 10.4103/prcm.prcm_5_17.
Ingram DG, Singh AV, Ehsan Z, Birnbaum BF. Obstructive sleep apnea and pulmonary hypertension in children. Paediatr Respir Rev. 2017 Jun;23:33-9. doi: 10.1016/j.prrv.2017.01.001.
Morgan KH, Groer MW, Smith LJ. The controversy about what constitutes safe and nurturant infant sleep environments. J Obstet Gynecol Neonatal Nurs. 2006 Nov-Dec;35(6):684-91. doi: 10.1111/j.1552-6909.2006.00099.x.
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Copyright (c) 2025 Felipe dos Santos Carvalho, Breno Wesley Leal Carvalho, Emylle Eduarda da Silva Sousa, Sávio Henrique Lira Campos, André Vinícius Lira Campos, Ana de Lourdes Sá de Lira
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