Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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A Study on Factors Related to Sleep Disordered Breathing in Children

어린이의 수면 호흡 장애 관련 위험인자

  • Nawoon, Kim (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Daewoo, Lee (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Jaegon, Kim (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Changkeun, Lee (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Yeonmi, Yang (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
  • 김나운 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 이창근 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소)
  • Received : 2021.12.24
  • Accepted : 2022.02.24
  • Published : 2022.05.31
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Abstract

The aim of this study was to investigate the risk factors associated with sleep disordered breathing (SDB) by comparing intraoral factors, body mass index (BMI), and medical history with pediatric sleep questionnaire (PSQ) findings. Seven hundred eighty-seven subjects aged between 7 to 11 years old were included. Their caregivers were asked to complete questionnaires. Oral manifestations including Angle's classification, overjet, and Brodsky tonsil grade were examined. Children with PSQ scores of more than 0.33 points were classified into the SDB high-risk group. Among the 787 subjects, 34 (4.3%) were classified into the SDB high-risk group. Children with allergic rhinitis, atopic dermatitis, excessive overjet, or large tonsil size had a significantly higher risk for SDB versus those without. Also, there was a significant difference in SDB risk according to BMI status. Gender, gestational age, breastfeeding, and Angle's classification were not associated with SDB. Children at high risk for SDB were predisposed to tonsillar hypertrophy, allergic rhinitis, obesity, and atopic dermatitis. Children with these factors could be candidates for early intervention to prevent the progression of SDB.

이 연구의 목적은 소아 수면 설문지(PSQ)를 활용하여, 구강 내 소견, 체질량 지수(BMI) 및 병력과 비교함으로써 수면 호흡 장애(SDB)와 관련된 잠재적 위험 요인을 조사하는 것이다. 만 7세에서 11세 사이의 787명의 어린이가 포함되었으며, 어린이의 보호자는 설문지를 작성하였다. Angle의 분류, 수평피개 및 Brodsky 편도 등급을 포함한 구강 증상을 조사하였다. 이중 PSQ 점수가 0.33점 이상인 대상은 SDB 고위험군으로 분류되었다. 787명 중 34명(4.3%)이 SDB 고위험군으로 분류되었다. 알레르기성 비염, 아토피성 피부염, 과도한 수평피개, 편도 비대를 가진 어린이는 그렇지 않은 어린이보다 SDB 위험이 훨씬 더 높았다. 또한 BMI 상태에 따라 SDB 위험도에 유의한 차이가 있었다. 성별, 재태 연령, 모유 수유 및 Angle의 분류는 SDB와 관련이 없었다. 이 연구에서 SDB 고위험군의 어린이는 4.3%로 나타났으며, 예측인자로는 편도 비대, 알레르기성 비염, 비만 및 아토피성 피부염이 있었다. 이러한 예측인자를 가진 어린이는 SDB가 발생할 위험이 높고 조기개입이 필요한 대상이 될 수 있다.

Keywords

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