Sleep-wake schedules in preschool children who snore.
OBJECTIVE
The aim of the study was to compare sleep-wake schedules between snoring and nonsnoring preschool age children.


METHODS
Daytime and nighttime sleep duration, daytime and nighttime symptoms were assessed in 34 children at preschool age who snore (5.38+/-1.21 years) and in 66 age- and sex-matched nonsnorers (5.67+/-1.12 years). The snoring group consisted of children with obstructive sleep apnea (OSA) scores <+3.5 and >-1, the nonsnoring group with OSA score <-1.


RESULTS
Children who snore differ from the nonsnorers in daytime sleep duration (51.62+/-28.9 minutes vs. 10.70+/-20.2 minutes; p<0.001), but not in nighttime sleep (10.97+/-0.52 hours vs. 9.83+/-1.34 hours; p>0.05). The percentage of children with daytime napping was higher in the snoring group than in the nonsnorers (47.1% vs. 9.1%; p<0.00004), and parents-reported behavioral problems were more frequent in children who snore (41.2% vs. 19.7%; p<0.02). Multivariate odds ratios, including variables for nighttime (sleep apnea) and daytime symptoms (daytime napping and oral breathing), showed that regular sleep during the day was the most predictive of snoring (OR=6.1; 95%CI 1.76-21.04; p<0.005).


CONCLUSIONS
In preschool age children, when the daytime nap begins to disappear, snoring may have an effect on daytime schedule through an increased need for daytime sleep.
Wasilewska
J
J
Department of Pediatrics, Gastroenterology and Allergology, Medical University of Bialystok, Bialystok, Poland. jolanta@umwb.edu.pl
Kaczmarski
M
M
Citko
D
D
Kowalczuk-Krystoń
M
M
Protas
P T
PT
Semeniuk
J
J
D000234:Adenoids / Q000473:pathology; D001289:Attention Deficit Disorder with Hyperactivity / Q000503:physiopathology; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002940:Circadian Rhythm / Q000502:physiology*; D006970:Disorders of Excessive Somnolence / Q000503:physiopathology; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008297:Male; D009058:Mouth Breathing / Q000503:physiopathology; D014066:Palatine Tonsil / Q000473:pathology; D012890:Sleep / Q000502:physiology*; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology; D012894:Sleep Stages / Q000502:physiology; D012913:Snoring / Q000503:physiopathology*; D013997:Time Factors; D014851:Wakefulness / Q000502:physiology*