HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Guest Access | Sign In via User Name/Password

This Article Full Text Free Full Text (PDF) Free Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Article Archive Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (17) Citing Articles via Google Scholar Google Scholar Articles by Goodwin, J. L. Articles by Quan, S. F. Search for Related Content PubMed PubMed Citation Articles by Goodwin, J. L. Articles by Quan, S. F.

Symptoms Related to Sleep-Disordered Breathing in White and Hispanic Children^*

The Tucson Children’s Assessment of Sleep Apnea Study

^* From the Arizona Respiratory Center (Drs. Goodwin, Babar, Morgan, Sherrill, and Quan), and the Children’s Research Center (Dr. Kaemingk), University of Arizona College of Medicine, Tucson, AZ; and the Department of Pediatrics (Dr. Rosen), University of Minnesota School of Medicine, Minneapolis, MN.

Correspondence to: James L. Goodwin, PhD, Arizona Respiratory Center, University of Arizona College of Medicine, 1501 N Campbell, Room 2306, Tucson, AZ 85724; e-mail: jamieg{at}resp-sci.arizona.edu

Study objectives: The Tucson Children’s Assessment of Sleep Apnea (TuCASA) study is designed to investigate the prevalence and correlates of objectively measured sleep-disordered breathing (SDB) in preadolescent children. This article describes the parental report of sleep symptoms associated with SDB in Hispanic and white children.

Design: A 13-question sleep habits screening questionnaire designed to assess the severity of sleep-related symptoms associated with SDB in children 4 to 11 years of age.

Setting: Questionnaires were completed by the parents of children attending elementary school in the Tucson Unified School District, Tucson, AZ.

Participants: There were 1,494 questionnaires returned, which comprised a sample of whites (38%), Hispanics (45%), and other races (17%). Of these questionnaires, 1,214 were returned for the children of white (45.8%; 556 children) or Hispanic (54.2%; 658 children) ethnicity only. The primary analysis was completed on these 613 boys (50.5%) and 601 girls (49.5%).

Results: In the total sample of 1,494 children, parents were more likely to report excessive daytime sleepiness (EDS) in female children than in male children (p < .01), however, this association did not achieve significance in the sample of only white and Hispanic children (p < .07). Composite variables for EDS and witnessed apnea (WITAP) show that parents of Hispanic children were more likely to report EDS (p < .01) and WITAP (p < .007). Hispanic children were also more likely to have learning problems (LPs) [p < .03] and to snore frequently (SN) [p < .02] than were white children. There were no significant differences between boys and girls for SN or WITAP. Hispanic boys were more likely to have reports of EDS (p < .02) and LPs (p < .04) than white boys, however, there were no other significant differences in gender or ethnicity in reports of EDS or LPs for white or Hispanic boys and girls. Those children with frequent LPs were significantly more likely to have SN (p < .001), EDS (p < .001), and WITAP (p < .001). A logistic regression model predicting LP resulted in significant adjusted odds ratios (ORs) of 2.4 for SN, 2.5 for EDS, and 2.1 for children aged 8 to 11 years. A similar model for EDS resulted in significant adjusted ORs of 3.2 for SN, 5.7 for WITAP, and 1.6 for female gender. Ethnicity was not significant in either model.

Conclusions: Hispanic children in the population-based TuCASA study experienced more frequent symptoms associated with SDB, such as SN, EDS, WITAP, and LPs, than did white children. Children with LPs are 2.4 times more likely to have SN, 2.5 times more likely to have EDS, and were 2.1 times more likely to be between the ages of 8 and 11 years. Children with EDS were 3.2 times more likely to have SN, 5.7 times more likely to have WITAP, and were 1.6 times more likely to be a girl.

Key Words: children • excessive daytime sleepiness • Hispanic • sleep • sleep apnea • sleep-disordered breathing • white • witnessed apnea

This article has been cited by other articles:

				D. K. Ng, K.-l. Kwok, J. M. Cheung, S.-y. Leung, P.-y. Chow, W. H. Wong, C.-h. Chan, and J. C. Ho Prevalence of Sleep Problems in Hong Kong Primary School Children: A Community-Based Telephone Survey Chest, September 1, 2005; 128(3): 1315 - 1323. [Abstract] [Full Text] [PDF]

				C. Guilleminault, J. H. Lee, and A. Chan Pediatric Obstructive Sleep Apnea Syndrome Arch Pediatr Adolesc Med, August 1, 2005; 159(8): 775 - 785. [Abstract] [Full Text] [PDF]

				C. L. Marcus Pediatric Sleep Medicine Comes Into Its Own Pediatrics, May 1, 2004; 113(5): 1393 - 1394. [Full Text] [PDF]