Júlia M. Saporiti DDS, MSc, PhD student, Thiago A. de Holanda DDS, MSc, PhD, Gabriela G. Torino DDS, MSc, PhD student, Noéli Boscato DDS, MSc, PhD
{"title":"通过多导睡眠图诊断的儿童和青少年阻塞性睡眠呼吸暂停相关因素：范围综述。","authors":"Júlia M. Saporiti DDS, MSc, PhD student, Thiago A. de Holanda DDS, MSc, PhD, Gabriela G. Torino DDS, MSc, PhD student, Noéli Boscato DDS, MSc, PhD","doi":"10.1016/j.rmed.2025.107942","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>This scoping review aimed to map research on factors associated with obstructive sleep apnoea (OSA) in children and adolescents undergoing overnight polysomnography (PSG) and questionnaire-based diagnostic assessments.</div></div><div><h3>Methods</h3><div>Searches were conducted in three electronic databases up to May 2023, including nine observational studies, including 3482 individuals.</div></div><div><h3>Results</h3><div>Among the included studies, nine reported on sex, six on obesity, five on tonsillar hypertrophy, three on mouth breathing, two on allergic rhinitis, and three on smoking exposure. The sample comprised 3482 children, with subsets analyzed for sex (n = 3482), obesity (n = 2752), and tonsillar hypertrophy (n = 794). Meta-analysis demonstrated a significantly higher prevalence of OSA in males compared to females [P < 0.0001; I<sup>2</sup> = 49 %], with a pooled relative risk (RR) of 1.15 (95 % confidence interval [CI]: 1.07–1.23). Associations were found between obesity and OSA [RR: 1.42; 95 % CI: 1.20–1.68; P = 0.02; I<sup>2</sup> = 61 %], and tonsillar size and OSA [RR: 1.61; 95 % CI: 1.35–1.92; P = 0.06; I<sup>2</sup> = 60 %].</div></div><div><h3>Conclusion</h3><div>Considering the study's limitations, these findings underscore the importance of considering sex, obesity, and tonsillar size when evaluating OSA in children and adolescents.</div></div>","PeriodicalId":21057,"journal":{"name":"Respiratory medicine","volume":"237 ","pages":"Article 107942"},"PeriodicalIF":3.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Obstructive sleep apnoea-associated factors in children and adolescents diagnosed by polysomnography: A scoping review\",\"authors\":\"Júlia M. Saporiti DDS, MSc, PhD student, Thiago A. de Holanda DDS, MSc, PhD, Gabriela G. Torino DDS, MSc, PhD student, Noéli Boscato DDS, MSc, PhD\",\"doi\":\"10.1016/j.rmed.2025.107942\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>This scoping review aimed to map research on factors associated with obstructive sleep apnoea (OSA) in children and adolescents undergoing overnight polysomnography (PSG) and questionnaire-based diagnostic assessments.</div></div><div><h3>Methods</h3><div>Searches were conducted in three electronic databases up to May 2023, including nine observational studies, including 3482 individuals.</div></div><div><h3>Results</h3><div>Among the included studies, nine reported on sex, six on obesity, five on tonsillar hypertrophy, three on mouth breathing, two on allergic rhinitis, and three on smoking exposure. The sample comprised 3482 children, with subsets analyzed for sex (n = 3482), obesity (n = 2752), and tonsillar hypertrophy (n = 794). Meta-analysis demonstrated a significantly higher prevalence of OSA in males compared to females [P < 0.0001; I<sup>2</sup> = 49 %], with a pooled relative risk (RR) of 1.15 (95 % confidence interval [CI]: 1.07–1.23). Associations were found between obesity and OSA [RR: 1.42; 95 % CI: 1.20–1.68; P = 0.02; I<sup>2</sup> = 61 %], and tonsillar size and OSA [RR: 1.61; 95 % CI: 1.35–1.92; P = 0.06; I<sup>2</sup> = 60 %].</div></div><div><h3>Conclusion</h3><div>Considering the study's limitations, these findings underscore the importance of considering sex, obesity, and tonsillar size when evaluating OSA in children and adolescents.</div></div>\",\"PeriodicalId\":21057,\"journal\":{\"name\":\"Respiratory medicine\",\"volume\":\"237 \",\"pages\":\"Article 107942\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Respiratory medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0954611125000046\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respiratory medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0954611125000046","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Obstructive sleep apnoea-associated factors in children and adolescents diagnosed by polysomnography: A scoping review
Purpose
This scoping review aimed to map research on factors associated with obstructive sleep apnoea (OSA) in children and adolescents undergoing overnight polysomnography (PSG) and questionnaire-based diagnostic assessments.
Methods
Searches were conducted in three electronic databases up to May 2023, including nine observational studies, including 3482 individuals.
Results
Among the included studies, nine reported on sex, six on obesity, five on tonsillar hypertrophy, three on mouth breathing, two on allergic rhinitis, and three on smoking exposure. The sample comprised 3482 children, with subsets analyzed for sex (n = 3482), obesity (n = 2752), and tonsillar hypertrophy (n = 794). Meta-analysis demonstrated a significantly higher prevalence of OSA in males compared to females [P < 0.0001; I2 = 49 %], with a pooled relative risk (RR) of 1.15 (95 % confidence interval [CI]: 1.07–1.23). Associations were found between obesity and OSA [RR: 1.42; 95 % CI: 1.20–1.68; P = 0.02; I2 = 61 %], and tonsillar size and OSA [RR: 1.61; 95 % CI: 1.35–1.92; P = 0.06; I2 = 60 %].
Conclusion
Considering the study's limitations, these findings underscore the importance of considering sex, obesity, and tonsillar size when evaluating OSA in children and adolescents.
期刊介绍：
Respiratory Medicine is an internationally-renowned journal devoted to the rapid publication of clinically-relevant respiratory medicine research. It combines cutting-edge original research with state-of-the-art reviews dealing with all aspects of respiratory diseases and therapeutic interventions. Topics include adult and paediatric medicine, epidemiology, immunology and cell biology, physiology, occupational disorders, and the role of allergens and pollutants.
Respiratory Medicine is increasingly the journal of choice for publication of phased trial work, commenting on effectiveness, dosage and methods of action.
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