Body position and obstructive sleep apnea in children

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dc.contributor.authorPrado, Lucila Bizari Fernandes do [UNIFESP]
dc.contributor.authorLi, Xianbin B. [UNIFESP]
dc.contributor.authorThompson, Richard
dc.contributor.authorMarcus, Carole L.
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionJohns Hopkins Univ
dc.date.accessioned2018-06-18T12:11:56Z
dc.date.available2018-06-18T12:11:56Z
dc.date.issued2002-02-01
dc.description.abstractStudy Objectives: In adults, sleep apnea is worse when the patient is in the supine position. However, the relationship between sleep position and obstructive apnea in children is unknown. The objective of this study was to evaluate the relationship between obstructive apnea and body position during sleep in children.Design: Retrospective analysis of the relationship between body position and obstructive apnea in obese and non-obese children.Setting: Tertiary care pediatric sleep center.Patients: Otherwise healthy children, aged 1-10 years, undergoing polysomnography for suspected obstructive sleep apnea syndrome. Obese and non-obese children were evaluated separately.Interventions: Retrospective review of the relationship between sleep position and obstructive apnea during polysomnography.Measurements and Results: Eighty polysomnograms from 56 non-obese and 24 obese children were analyzed. Body position was determined by a sensor during polysomnography, and confirmed by review of videotapes. Children had a lower obstructive apnea hypopnea index when supine vs. prone, and shorter apneas when supine then when on their side. There was no difference in apnea duration between the supine and prone positions. Obese and non-obese children showed similar positional changes.Conclusions: Children with obstructive sleep apnea, in contrast to adults, breathe best when in the supine position.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Neurol & Internal Med, Sao Paulo, Brazil
dc.description.affiliationJohns Hopkins Univ, Johns Hopkins Biostat Ctr, Baltimore, MD USA
dc.description.affiliationJohns Hopkins Univ, Eudowood Div Pediat Resp Sci, Baltimore, MD USA
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Neurol & Internal Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent66-71
dc.identifierhttps://doi.org/10.1093/sleep/25.1.66
dc.identifier.citationSleep. Rochester: Amer Acad Sleep Medicine, v. 25, n. 1, p. 66-71, 2002.
dc.identifier.issn0161-8105
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/45598
dc.identifier.wosWOS:000173415100011
dc.language.isoeng
dc.publisherAmer Acad Sleep Medicine
dc.relation.ispartofSleep
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectsleep-disordered breathingen
dc.subjectsupineen
dc.subjectproneen
dc.subjectupper-airway obstructionen
dc.subjectpostureen
dc.titleBody position and obstructive sleep apnea in childrenen
dc.typeinfo:eu-repo/semantics/article
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