ArticlePloS one2018
Prevalence of childhood obstructive sleep apnea syndrome and its role in daytime sleepiness.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Discovery of genomic loci associated with sleep apnea risk through multi-trait GWAS analysis with snoring.Sleep · 2023Pooled it
- Sleep Disturbances in Pediatric Craniopharyngioma: A Systematic Review.Frontiers in neurology · 2022Pooled it
- Systematic Review: Sleep Disorders Based on Objective Data in Children and Adolescents Treated for a Brain Tumor.Frontiers in neuroscience · 2022Pooled it
- Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea.The Cochrane database of systematic reviews · 2020Pooled it
- Childhood Obesity: A Multisystem Challenge Linking Hypertension, NAFLD, and Sleep Apnea.Medical sciences (Basel, Switzerland) · 2026Review
- The impact of paediatric periodic limb movement disorder and obstructive sleep apnoea syndrome on sleep quality and daytime symptoms.Sleep & breathing = Schlaf & Atmung · 2026Article
- Prevalence of Positive Screening of Sleep-Disordered Breathing Among Children and Adolescents in Orthodontic Settings: A Systematic Review.Journal of clinical medicine · 2026Review
- Parental Knowledge, Attitudes, and Practices Regarding Low-Temperature Plasma Adenotonsillectomy for Pediatric Obstructive Sleep Apnea Syndrome: A Structural Equation Modeling Analysis.Journal of multidisciplinary healthcare · 2026Article
- Assessment of Tonsillar Hypertrophy, Tongue Position, Obesity, and Dentofacial Deformities among Children Aged 8-12 Years.International journal of clinical pediatric dentistry · 2025Article
- An Explainable Deep-Learning Approach to Detect Pediatric Sleep Apnea From Single-Channel Airflow.IEEE journal of translational engineering in health and medicine · 2025Article
- Pediatric obstructive sleep apnea-related risk factors: A cross-sectional study.Acta odontologica Scandinavica · 2024Article
- Exploring the Complex Interplay of Obesity, Allergic Diseases, and Sleep-Disordered Breathing in Children.Children (Basel, Switzerland) · 2024Review
- Analysis of QRS complex morphology in children and adolescents with obstructive sleep apnea syndrome.European journal of pediatrics · 2024Article
- Infants hospitalized with lower respiratory tract infections during the first two years of life have increased risk of pediatric obstructive sleep apnea.Pediatric pulmonology · 2024Article
- Clinical predictors of moderate-to-severe pediatric obstructive sleep apnea.Frontiers in pediatrics · 2024Article
- Validation of the Malay version of Epworth sleepiness scale for children and adolescents (MESS-CHAD).BMC oral health · 2023Article
- Paediatric sleep apnea event prediction using nasal air pressure and machine learning.Journal of sleep research · 2023Article
- Prevalence of childhood obstructive sleep apnoea syndrome and its role in daytime sleepiness in Syria: a large-scale school-based cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Sleep Stage Classification in Children Using Self-Attention and Gaussian Noise Data Augmentation.Sensors (Basel, Switzerland) · 2023Article
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Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate childhood obstructive sleep apnea syndrome (OSAS) and its role in daytime sleepiness among school-age children.
methodsA questionnaire survey was conducted with 25,211 children aged 6-15 (mean, 10.39) years attending 148 elementary and 71 middle schools in 10 prefectures across Japan and their parents. Questions concerned 4 sleep habit items (bedtime, sleep onset latency, wake time after sleep onset, wake-up time) and 4 sleep disorder items (loud snoring, snorts/gasps, breathing pauses, seems very sleepy in the daytime). Total sleep time (TST) was calculated with sleep habits. Severe possible OSAS (p-OSAS) was defined as having loud snoring, snorts and gasps, or breathing pauses "frequently" (≥ 5 times per week), and mild p-OSAS was rated as having any of these "sometimes" (2-4 times per week). Severe daytime sleepiness was defined as seeming very sleepy "frequently" and mild daytime sleepiness as seeming very sleepy "sometimes".
resultsMean prevalence of mild to severe p-OSAS and severe p-OSAS in children across all grade levels was 9.5% and 1.6%, respectively. p-OSAS was particularly prevalent in children at lower elementary levels, decreasing with advancing grade levels. Prevalence of mild and severe daytime sleepiness was 6.1% and 0.9%, respectively, among all children (7.0%). Prevalence of daytime sleepiness increased with advancing grade levels, particularly in middle-school level. Average TST was 8.4 ± 2.2 h in both elementary and middle-school levels, and decreased as grades advanced, particularly in middle-school levels. Multivariate logistic regression analysis showed that middle-school level, TST < 8 h, and p-OSAS were independent factors for daytime sleepiness. Strong correlations were found between severe daytime sleepiness and severe p-OSAS or TST < 6 h, and between daytime sleepiness and loud snoring or breathing pauses.
conclusionp-OSAS may be an independent factor influencing daytime sleepiness in school-age children. Loud snoring and breathing pauses could be clinical markers for children with severe daytime sleepiness.
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