Gastroesophageal Reflux Affects Sleep Quality in Snoring Obese Children / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 12-19, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-61675
ABSTRACT
PURPOSE:
This study was performed to evaluate the quality of sleep in snoring obese children without obstructive sleep apnea (OSA); and to study the possible relationship between sleep interruption and gastroesophageal reflux (GER) in snoring obese children.METHODS:
Study subjects included 13 snoring obese children who were referred to our sleep lab for possible sleep-disordered breathing. Patients underwent multichannel intraluminal impedance and esophageal pH monitoring with simultaneous polysomnography. Exclusion criteria included history of fundoplication, cystic fibrosis, and infants under the age of 2 years. Significant association between arousals and awakenings with previous reflux were defined by symptom-association probability using 2-minute intervals.RESULTS:
Sleep efficiency ranged from 67-97% (median 81%). A total of 111 reflux episodes (90% acidic) were detected during sleep, but there were more episodes per hour during awake periods after sleep onset than during sleep (median 2.3 vs. 0.6, p=0.04). There were 279 total awakenings during the sleep study; 56 (20.1%) of them in 9 patients (69.2%) were preceded by reflux episodes (55 acid, 1 non-acid). In 5 patients (38.5%), awakenings were significantly associated with reflux.CONCLUSION:
The data suggest that acid GER causes sleep interruptions in obese children who have symptoms of snoring or restless sleep and without evidence of OSA.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Nível de Alerta
/
Síndromes da Apneia do Sono
/
Ronco
/
Refluxo Gastroesofágico
/
Polissonografia
/
Impedância Elétrica
/
Fundoplicatura
/
Apneia Obstrutiva do Sono
/
Fibrose Cística
/
Monitoramento do pH Esofágico
Limite:
Criança
/
Humanos
/
Lactente
Idioma:
Inglês
Revista:
Pediatric Gastroenterology, Hepatology & Nutrition
Ano de publicação:
2016
Tipo de documento:
Artigo
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