Abstract
Sleep-related breathing disorders (SRBDs) are highly prevalent and gradually increasing in school-aged children due to technological and social “jetlag” worldwide. This study aimed to determine the prevalence and associated factors of SRBDs among school children in Kars, Turkey. A total of 1,421 school-aged children (6–13 years old) were included. SRBDs were evaluated with the Pediatric Sleep Questionnaire (PSQ). This study also examined the children’s socio-demographic characteristics and their relationships with SRBDs. The prevalence of SRBDs was 17.2%. The study group’s mean age was 9.37 ± 1.91 years, and 54.2% were girls. There was a significant relationship between “positive” (≥0.33) PSQ results and low educational levels of the parents, household smoking, frequent infections, chronic diseases, poor relationships with friends and teachers, and academic success. A strong relationship was found between academic success and snoring, breathing problems, attention deficit/hyperactivity disorder, nocturnal enuresis, morning headaches, delayed growth, and parental obesity. The SRBDs risk was 1.504-fold higher in boys than in girls. The risk of SRBDs with frequent infections was 1.921-fold higher than without frequent infections. Chronic diseases were associated with a 2.212-fold increase in the risk of SRBDs. SRBDs increased the risk of poor academic success by 4.673 fold (1/0.214). This was the first study conducted with school children in this region. We believe it is important to evaluate the prevalence and associated factors of SRBDs in school-aged children because of their effects on academic success, especially in developing parts of Turkey that require well-educated human resources more than the developed areas.
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Acknowledgements
We thank all the participants of this study. This study was supported by the Scientific Research Project of the Kafkas University (2015-TS-63).
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Hülya Çakmur declares that she has no conflict of interest. Sadık Ardıç declares that he has no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study.
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Çakmur, H., Ardıç, S. Prevalence of sleep-related breathing disorders among school children in Kars Turkey. Sleep Biol. Rhythms 15, 97–105 (2017). https://doi.org/10.1007/s41105-017-0088-8
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DOI: https://doi.org/10.1007/s41105-017-0088-8