Sleep disorders in obese children are not limited to obstructive sleep apnoea syndrome
Acta Paediatr. 2017-12-22; 107(4): 658-665
DOI: 10.1111/apa.14178
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1. Acta Paediatr. 2018 Apr;107(4):658-665. doi: 10.1111/apa.14178. Epub 2017 Dec 22.
Sleep disorders in obese children are not limited to obstructive sleep apnoea
syndrome.
Carriere C(1), Coste O(2), Meiffred-Drouet MC(3), Barat P(4), Thibault H(1)(4).
Author information:
(1)Réseau de Prévention et de Prise en charge de l’ Obésité Pédiatrique – RéPPOP
– en Aquitaine, Bordeaux, France.
(2)CHU de Bordeaux, Service d’explorations fonctionnelles du système nerveux,
Clinique du sommeil – Place Amélie Raba-Léon, Bordeaux, France.
(3)Universite de Bordeaux, Bordeaux, France.
(4)CHU de Bordeaux, Unité d’endocrinologie et de diabétologie pédiatrique,
Hôpital des Enfants – Place Amélie Raba-Léon, Bordeaux, France.
AIM: This study was to characterise respiratory and nonrespiratory sleep
disorders in obese children and evaluate the diagnostic and therapeutic impact of
a specific sleep consultation.
METHODS: A descriptive study was conducted in obese French children who received
multidisciplinary care management from the hospital centre for paediatric obesity
in Bordeaux. This followed a specific sleep consultation between 2007 and 2015,
because their paediatrician had identified symptoms suggestive of sleep
disorders.
RESULTS: The sleep specialist confirmed the presence of a sleep disorder in 98.4%
of the 128 obese children, with a mean age of 12.1 ± 3.2 years. These included
respiratory sleep disorders, hypersomnolence, insomnia and circadian rhythm
sleep-wake disorders. Polysomnography revealed that 46.1% had respiratory sleep
disorders and 24.2% had obstructive sleep apnoea syndrome (OSAS). Just under half
(47.6%) were referred to an otorhinolaryngologist for sleep care management,
30.5% were referred to an orthodontist, 17.9% had melatonin treatment and 13.3%
received continuous positive airway pressure ventilation.
CONCLUSION: Sleep disorders in obese children were not limited to respiratory
sleep disorders including OSAS. A systematic specific consultation with a sleep
specialist is essential for the diagnosis and care of such children and would be
beneficial when treating paediatric obesity.
©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
DOI: 10.1111/apa.14178
PMID: 29215159 [Indexed for MEDLINE]