摘要
Abstract
Objective To analyze the impact of age factors on the association between childhood obesity and obstructive sleep apnea(OSA),and to explore personalized and differentiated clinical management strate-gies for OSA.Methods Retrospective analysis of relevant clinical data of 133 children aged 3 to 12 years old who underwent polysomnography(PSG)in the Department of Pediatrics,Women and Children's Hospital Affili-ated with Xiamen University from 2021 to 2022,using obese children(n =32)as the observation group,and non-obese cases as the control group(n =101).Compare the incidence of OSA and the differences in various PSG parameter values between obese and non-obese children.Results There was no significant difference in the incidence of OSA and the values of various PSG parameters in the general population and preschool children(3-6 years old).Among school-age(7-12 years old)children,the incidence of OSA,apnea-hypopnea index(AHI),and oxygen depletion index(ODI)in the obese group were higher than those in the non-obese group(72.7%vs 25.7%;7.99±4.03 vs 2.98±1.92;4.40±3.35 vs 1.94±1.67),the difference is significant(P<0.05);children's BMI is positively correlated with AHI and ODI(r = 0.632,P =0.000;r =0.508,P =0.000);Each 1 kg/m2 increase in BMI increases the risk of OSA by 30.9%.Conclusion The association between obesity and OSA is influenced by age factors and is not significant among preschool children.However,for school age children,obesity significantly increases the risk of OSA.For obese children,improving weight management through lifestyle intervention and exercise guidance is a powerful means to reduce the risk of OSA.关键词
肥胖/儿童/年龄/阻塞性呼吸睡眠暂停/多导睡眠呼吸监测Key words
Obese/Children/Age/Obstructive respiratory sleep apnea/Polysomnographic respiratory monitoring分类
医药卫生
