Risk factors and consequences of excessive autonomic activation during sleep in children

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dc.contributor.authorBrockmann, Pablo E.
dc.contributor.authorUrschitz, Michael S.
dc.contributor.authorNoehren, Anke
dc.contributor.authorSokollik, Christiane
dc.contributor.authorSchlaud, Martin
dc.contributor.authorPoets, Christian F.
dc.date.accessioned2025-01-21T00:00:30Z
dc.date.available2025-01-21T00:00:30Z
dc.date.issued2011
dc.description.abstractThe aim of this study was to assess risk factors for excessive autonomic activation during sleep (EAAS) and its association with sleep problems, impaired behavior, and poor academic performance in primary school children.
dc.description.abstractData from a community-based study on 997 primary school children were used. Based on nocturnal home pulse oximetry, autonomic activation during sleep was defined as a pulse rate increase by more than 20%. Children with a parts per thousand yen35.9 autonomic activations per hour (i.e., a parts per thousand yenthe 95(th) centile) were classified as suffering from EAAS and compared with controls. Sleep problems, impaired behavior, and academic performance were assessed by parental questionnaires and analysis of school reports.
dc.description.abstractAccording to the abovementioned definition, EAAS was diagnosed in 52 children (67% male). Risk factors for EAAS were male gender (odds ratio [95% confidence interval]: 2.06 [1.14-3.72]) and presence of symptoms of sleep-disordered breathing (3.48 [1.29-9.43]). Children with EAAS had a higher prevalence of hyperactive behavior (39.2% vs. 26.0%; p = 0.05) and enuresis (5.8% vs. 0.8%; p = 0.017) but not of poor academic performance. The association with hyperactive behavior was confirmed in a subsample (n = 119) using the Strengths and Difficulties Questionnaire. Mean (SD) score of the hyperactive-inattentive scale was 4.5 (2.8) for EAAS and 3.4 (2.7) for non-EAAS (p = 0.04).
dc.description.abstractEAAS may be a marker of sleep disruption in children and may predict the occurrence of enuresis and hyperactive behavior.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s11325-010-0349-0
dc.identifier.eissn1522-1709
dc.identifier.issn1520-9512
dc.identifier.urihttps://doi.org/10.1007/s11325-010-0349-0
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/95344
dc.identifier.wosidWOS:000295529600019
dc.issue.numero3
dc.language.isoen
dc.pagina.final416
dc.pagina.inicio409
dc.revistaSleep and breathing
dc.rightsacceso restringido
dc.subjectArousal
dc.subjectPulse oximetry
dc.subjectSleep-disordered breathing
dc.subjectSnoring
dc.subjectEnuresis
dc.subjectAttention-deficit hyperactivity disorder
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleRisk factors and consequences of excessive autonomic activation during sleep in children
dc.typeartículo
dc.volumen15
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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