Research into childhood obstructive sleep-disordered breathing examinedAugust 03, 2017
GLENVIEW, IL, August 3, 2017 - Although sleep apnea is typically considered a condition affecting adults, breathing problems during sleep in children are common and may affect their health and behavior. Disturbed sleep in children due to breathing problems is often caused by large tonsils and adenoids blocking the upper airways. This is called obstructive sleep-disordered breathing (oSDB) and has been the subject of increased research during the past decade. While milder forms of oSDB are most common, the more severe form requires tonsil or adenoid surgery. Through a comprehensive review of published research, investigators have identified important gaps in how and where children with this condition are best managed. Their findings are published in the journal CHEST.
Breathing problems during sleep vary from simple snoring without impact on sleep or oxygen saturation in the blood, to obstructive sleep apnea (OSA), during which children have repeated episodes of restricted breathing and/or drops in oxygen saturation levels. Although clinical guidelines for treatment were issued by the American Academy of Pediatrics (AAP) in 2012, there is still debate on the best pathway of care for children.
According to lead investigator Anne G. M. Schilder, PhD, evidENT, Ear institute, University College London, Royal National Throat Nose and Ear Hospital, "oSDB is a very common condition in children and reports suggest its incidence is on the rise. This may be in part related to the increase in childhood obesity. Parents and professionals have become more aware that this condition may have negative long-term health consequences and, therefore, it is important that children suffering from this condition are well managed and available resources are allocated appropriately. This means timely treatment of children who need it and avoiding unnecessary surgery of those unlikely to benefit from it."
Based on the patient's symptoms and signs alone, it is difficult for doctors in primary care and hospitals to distinguish the more common milder forms of oSDB from the more severe. "A sleep study is the gold standard but expensive and not widely available," explained Prof Schilder. "There is no agreement regarding which patients need such a study and how best to interpret its results, that is who needs surgery or medical treatment. Rather than focusing research on individual steps in the patient pathway, there is a need for a more holistic approach to research in this area, taking into account the views of all professionals caring for these children, as well as their parents."
Therefore, investigators carried out a systematic review to map the research in childhood oSDB that has been conducted to date. Their goals were to support further guideline development, identify evidence gaps, and guide future research. Evaluating more than 5,700 studies through November 2015 eligible for inclusion, they identified an increase in annual publications since 2000, with 46% published since 2011, when evidence-based data for the AAP guidelines were evaluated.
Most publications (61%) focused on individual treatment modalities, incidence, or prognosis. Few publications (2.7%) focused on health service delivery, outcomes, and health economics. Observational studies comprised 78.5% of publications, 2.4% were randomized controlled trials, and 0.4% used a qualitative approach as their main methodology.
Investigators found that the recent surge in research activity into childhood oSDB has improved the knowledge base for this condition; however, the lack of health services, health economics, and outcomes research impacts the applicability of evidence informing current guidance and leaves important questions for future research.
"Mapping so many papers has been quite an undertaking for our team, but so rewarding, since it highlights clearly what future research should focus upon," concluded Prof Schilder.
Related Sleep Apnea Articles:
A new study found that men with sleep apnea and insomnia have a higher prevalence and severity of depressive symptoms than men with sleep apnea or insomnia alone.
An old pharmaceutical product may be a new treatment for obstructive sleep apnea, according to new research presented today by University of Illinois at Chicago and Northwestern University scientists at the SLEEP 2017 annual meeting in Boston.
African-Americans with sleep apnea and insomnia are rarely diagnosed with either problem, even when the severity of the two sleep disorders are likely to affect their health, according to new research presented at the ATS 2017 International Conference.
Obstructive sleep apnea (OSA) may increase the risk of developing atrial fibrillation (AF), according to new research presented at the ATS 2017 International Conference.
Women with obstructive sleep apnea (OSA) appear to be at greater risk for serious pregnancy complications, longer hospital stays and even admission to the ICU than mothers without the condition, according to a new study of more than 1.5 million pregnancies presented at the ATS 2017 International Conference.
The US Preventive Services Task Force has concluded that the current evidence is insufficient to assess the balance of benefits and harms of screening for obstructive sleep apnea in asymptomatic adults (including adults with unrecognized symptoms).
Unbalanced signaling by two molecules that regulate breathing leads to sleep apnea in mice and rats.
Researchers have found that after the first incidence of pulmonary embolism (PE), obstructive sleep apnea increases the risk for PE recurrence.
A single bout of sleep apnea impacts the human body's ability to regulate blood pressure.
A team of researchers from the University of Chicago and the University of Barcelona has found that intermittent hypoxia, or an irregular lack of air experienced by people with sleep apnea, can increase tumor growth by promoting the release of circulating exosomes.
Related Sleep Apnea Reading:
Relief from Snoring and Sleep Apnea: A step-by-step guide to restful sleep and better health through changing the way you breathe (No 1 in the BreatheAbility for Health series)
by Tess Graham (Author)
A simple breakthrough approach to getting silent restful sleep and increasing your health and energy. With a foreword by eminent cardiologist and bestselling author, Dr Ross Walker. The secret to getting relief from snoring and sleep apnea, more oxygen to every cell in your body and increasing your energy, lies in getting your breathing right. Breathing is the most basic and most overlooked function of your body. People who snore and have sleep apnea do not breathe correctly. No exceptions. Research shows they ‘over-breathe’ - breathe 2-3 times more air per minute than is normal, both... View Details
Hacking Sleep Apnea: 5th Edition 18 Beginners Strategies to Sleep & Breathe Easy Again…: From CPAP to Oral Appliance Therapy, and the Truth Behind What Actually Works...
by Brady Nelson RRT (Author), Sunny Gill RRT (Foreword)
Sleep Apnea Could Be Killing You.
Sleep Apnea is widely prevalent, affecting 1 in 15 people. As well, it is VERY often either left poorly treated, or not at all. When either is present, a cascade of other conditions frequently exists. These diseases, (High Blood Pressure, Diabetes, Strokes, and so many more) are often treated symptomatically without treating the actual cause. Sleep apnea can be the reason for so many of these diseases.
The amount of treatment options is extensive, with only a select few that lead the way. Some suggest CPAP, some suggest oral... View Details
VA Sleep Apnea Field Manual
by Chris Attig (Author)
This book was written by a Va Accredited Attorney to help Us Veterans cut through the fog of their Va Sleep Apnea Claims. This book will take you step-by-step through the Va Sleep Apnea claim and help you discover: * Why it is important to get your Va sleep apnea service-connected now. * How to build the four pillars of a Va sleep apnea claim. * What evidence you need to prove and win a Va sleep apnea claim. * The four most common Va sleep apnea claim scenarios and step-by-step guides to proving them. * Specific steps to take to avoid common mistakes Veterans make in sleep apnea claims. *... View Details
The 8-Hour Sleep Paradox: How We Are Sleeping Our Way to Fatigue, Disease and Unhappiness
by Dr. Mark Burhenne (Author)
The #1 Amazon Best Seller
Could you be living with an undiagnosed disease that is making you fat, tired, grumpy, unproductive and depressed?
Wake up exhausted every morning, even though you're getting your 7-8 hoursBlame your lack of energy on your busy lifestyle or getting older...Have been told your snoring sounds like a freight train...Grind or clench your teeth...Are truly terrified to give up coffee...You may be one of the 42 million Americans battling the most urgent epidemic of our time--sleep apnea. (Of those 42 million, up to 90% of them have no idea... View Details
Sleep, Interrupted: A physician reveals the #1 reason why so many of us are sick and tired
by Steven Y. Park MD (Author)
Maybe you're stressed out and tired, and have put on a little weight. Or you have persistent pain you and your doctor can't explain. Man or woman, you may be fighting fluctuating hormone levels. Or maybe you snore like a freight train. Anything that narrows the throat and interrupts sleep, particularly breathing problems brought on by sleep position, illness, life changes, or your anatomy, may be key to understanding a host of common health issues. In this groundbreaking book, Dr. Steven Park outlines a simple, rational explanation for what s making you sick, and provides guidance for... View Details
Sleep Apnea in Children: A Handbook for Families
by David G Ingram MD (Author)
Has your child been diagnosed with sleep apnea? If so, you're not alone. In this comprehensive handbook for parents, pediatric sleep experts provide answers to the most common and difficult questions from parents, including: What is sleep apnea? What causes sleep apnea? How is sleep apnea diagnosed? How do I prepare my child for a sleep study? What are the treatment options? Why take the tonsils and adenoids out? How do I get my child to wear CPAP?
TABLE OF CONTENTS
1. Sleep Basics
Njideka Osuala, DNP, APRN
2. Understanding Sleep Apnea
Bahauddin Al-Shawwa, MD
3. Sleep... View Details
Freedom from Cpap: Sleep Apnea Hurts, the Cure Doesn't Have To
by David Dillard (Author), Mayoor Patel (Contributor)
Obstructive sleep apnea quietly destroys memory, motivation, and even marriages. Jobs are lost, promotions delayed, and relationships strained. Performance and workplace safety is threatened, as is the ability to excel where the now-sleep-deprived once thrived. In Freedom from Cpap: Sleep Apnea Hurts, the Cure Doesn't Have To, authors and doctors David Dillard and Mayoor Patel have teamed up to provide a uniquely comprehensive overview of sleep apnea from both an Ent and a dental perspective. View Details
Sleep Apnea - The Phantom of the Night: Overcome sleep apnea syndrome and snoring
by T. Scott Johnson (Author), William A. Broughton (Author), Jerry Halberstadt (Author), B. Gail Demko (Author), Carl E. Hunt (Author), William Dement (Author), Colin Sullivan (Author)
Sleep apnea disrupts the lives of millions of unsuspecting victims. Their struggle to breathe during sleep is a major cause of daytime sleepiness, accidents, poor health, lost years of productivity and happiness, and even death. Experts in sleep medicine and a patient guide people with snoring and sleep apnea and their families to take advantage of dramatically effective medical treatment. Broughton, the medical director of the accredited University of Alabama Knollwood Sleep Disorders Center, updates current advances. Demko reviews oral appliance therapy. They explain sleep as well as sleep... View Details
What You Should Know about Sleep Apnea: An Easy to Understand Guide
by Dr. Nicholas DiFilippo (Author)
This little book is intended to be a helpful, practical and useful guide to sleep apnea. Sleep apnea should be as familiar and as well known by the general public as common diseases, such as emphysema, Alzheimer's disease, and heart attack. Sleep apnea is much more common than you may think. Its manifestations are widespread. It affects routine everyday activity in many ways. Awareness is essential. This is because the disease is often insidious and may be present for many years before its existance is even suspected. If one does not know about the disease or about what effects it may have on... View Details
Dental Sleep Medicine Basics: The Clinical Guide to Treating Obstructive Sleep Apnea
by Dds Mark Collins (Author)
Advance your dental practice by tapping into the booming field of oral appliances for the treatment of sleep apnea.
Dental Sleep Medicine Basics is the first and only book teaching the step by step clinical aspects of Dental Sleep Medicine. This book highlights the background of sleep apnea and the role of a dentist in treating it.
It is organized in the step by step fashion that facilitates efficiency and thoroughness allowing a dentist to not only help patients with sleep apnea, but also get paid for it. The use of illustrations and descriptions will help to... View Details