Evidence map›Paper›PMID 33030645›Full record

ArticleSleep & breathing = Schlaf & Atmung2021

Prevalence of sleep-disordered breathing and associated risk factors in primary school children in urban and rural environments.

Yasemin Gokdemir, Ersoy Civelek, Banu Cakir, Ahmet Demir, Can Naci Kocabas, Nilay Bas Ikizoglu, Fazilet Karakoc, Bulent Karadag, Refika Ersu

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Ethnic/racial and sex disparities in obstructive sleep apnea among adolescents in southern California.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Yasemin GokdemirDepartment of Pediatric Pulmonology, School of Medicine, Marmara University, Fevzi Cakmak mah. Mimar Sinan Cad. No:41 Ust Kaynarca Pendik, Istanbul, Turkey. yasemingokdemir@yahoo.com.tr.ORCID https://orcid.org/0000-0002-0853-7932
Ersoy CivelekDepartment of Pediatric Allergy & Immunology, Ankara Children's Hematology Oncology Training and Research Hospital, Ankara, Turkey.
Banu CakirDepartment of Public Health, School of Medicine, Hacettepe University, Ankara, Turkey.
Ahmet DemirDepartment of Pulmonology, School of Medicine, Hacettepe University, Ankara, Turkey.
Can Naci KocabasDepartment of Pediatric Allergy & Immunology, School of Medicine, Mugla Sitki Kocman University, Mentese, Mugla, Turkey.
Nilay Bas IkizogluDepartment of Pediatric Pulmonology, School of Medicine, Marmara University, Fevzi Cakmak mah. Mimar Sinan Cad. No:41 Ust Kaynarca Pendik, Istanbul, Turkey.
Fazilet KarakocDepartment of Pediatric Pulmonology, School of Medicine, Marmara University, Fevzi Cakmak mah. Mimar Sinan Cad. No:41 Ust Kaynarca Pendik, Istanbul, Turkey.
Bulent KaradagDepartment of Pediatric Pulmonology, School of Medicine, Marmara University, Fevzi Cakmak mah. Mimar Sinan Cad. No:41 Ust Kaynarca Pendik, Istanbul, Turkey.
Refika ErsuDepartment of Pediatric Pulmonology, School of Medicine, Marmara University, Fevzi Cakmak mah. Mimar Sinan Cad. No:41 Ust Kaynarca Pendik, Istanbul, Turkey.
Marmara University · TRHacettepe University · TRMinistry of Health · TRMuğla University · TR

Funding

TUBITAK 7121045
6 · The paper itself

Abstract

introductionSleep-disordered breathing (SDB) in primary school children is a significant problem, yet its prevalence is not well known outside large urban settings. Information on the burden and risk factors of SDB in children could be used to improve resource allocation when providing care across a large country. The objectives of this study were to assess the prevalence of SDB among school-aged children comparing rural and urban settings, and to investigate associated risk factors.

methodsIn this cross-sectional study, a random sample of primary school students in Turkey were selected from urban and rural areas and data were collected using the Pediatric Sleep Questionnaire, asthma, and allergic rhinitis questionnaires completed by the parents.

resultsQuestionnaires were collected from a total of 139 schools from 58 provinces. A total of 11,013 students were contacted, and 9045 (73%) completed the study. There was no difference in the prevalence of SDB between rural and urban settings (16% vs. 15%, p = 0.612). Multivariate logistic regression analysis revealed that current wheezing, current rhinoconjunctivitis, being overweight, parental snoring, and current mold at home were significant risk factors for SDB in both rural and urban children. Current tobacco smoke exposure (OR = 1.48, 95%CI = 1.19-1.85), near roadway air pollution exposure (OR = 1.40, 95%CI = 1.108-1.791), and mold at home in the first year of life (OR = 1.68, 95%CI = 1.26-2.23) were associated with SDB in urban children. History of maternal/paternal adenotonsillectomy was a significant predictor of SDB in the rural setting (OR = 1.63, 95%CI = 1.12-2.39).

conclusionThe prevalence of SDB is high in children living in both settings but associated risk factors may vary. Children residing in rural areas should also be screened for sleep-disordered breathing during routine health visits.

Indexed as

AdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansMalePrevalenceRisk FactorsRural HealthSchoolsSleep Apnea SyndromesSurveys and QuestionnairesTurkeyUrban HealthOSASPediatricSleep apneaWheezing

Identifiers

PMID33030645
OpenAlexW3092550508

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.