Cognition in Pediatric SDB - Yes, No, Maybe?

Cognitive Effects ◽

Visuospatial Ability ◽

Neuropsychological Measures ◽

Extant Literature ◽

The Past ◽

Cognitive Consequences ◽

Disordered Breathing ◽

Numerous studies in the past 10 years have reported on the neurocognitive sequalae of pediatric Sleep Disordered Breathing (SDB). Variations in criteria used to define SDB in conjunction with the wide variety of neuropsychological measures selected to evaluate cognitive consequences of SDB have resulted in discrepancies within the literature. This review summarizes the extant literature regarding cognitive effects of pediatric SDB across domains of global intelligence, attention, executive function, memory, language, and visuospatial ability. This review also addresses the proposed etiology underlying neurocognitive consequences of pediatric SDB. The differences in findings across the literature are highlighted and discussed throughout.

Executive Function in Pediatric Sleep-Disordered Breathing: A Meta-analysis

Journal of the International Neuropsychological Society ◽

10.1017/s1355617716000643 ◽

2016 ◽

Vol 22 (8) ◽

pp. 839-850 ◽

Cited By ~ 10

Author(s):

Jonathan J. Mietchen ◽

David P. Bennett ◽

Trevor Huff ◽

Dawson W. Hedges ◽

Shawn D. Gale

Keyword(s):

Working Memory ◽

Executive Function ◽

Executive Functioning ◽

Effect Size ◽

Meta Analysis ◽

Effect Sizes ◽

Questionnaire Data ◽

Neuropsychological Measures ◽

AbstractObjectives:Evaluate the association between pediatric sleep-disordered breathing (SDB) and executive functioning.Methods:We searched multiple electronic databases for peer-reviewed journal articles related to pediatric SDB and executive functioning. We included studies that assessed SDBviapolysomnography, included objective or questionnaire measures of executive function, and had an age-matched control group. Fourteen articles met inclusion criteria with a total sample of 1697 children ages 5 to 17 years (M=9.81 years;SD=0.34). We calculated an overall effect size for each of the five executive domains (vigilance, inhibition, working memory, shifting, and generativity) as well as effect sizes according to SDB severity: mild, moderate, severe. We also calculated effect sizes separately for objective and subjective questionnaires of executive functioning.Results:We found a medium effect size (−0.427) for just one of five executive function domains on objective neuropsychological measures (generativity). In contrast, effect sizes on all three executive domains measuredviaquestionnaire data were significant, with effect sizes ranging from medium (−0.64) to large (−1.06). We found no difference between executive domains by severity of SDB.Conclusions:This meta-analysis of executive function separated into five domains in pediatric SDB suggested lower performance in generativity on objective neuropsychological measures. There were no differences associated with SDB severity. Questionnaire data suggested dysfunction across the three executive domains measured (inhibition, working memory, shifting). Overall, limited evidence suggested poorer performance in executive function in children with SDB according to objective testing, and subjective ratings of executive function suggested additional worsened performance. (JINS, 2016,22, 839–850)

Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems

Sleep Medicine ◽

10.1016/s1389-9457(99)00009-x ◽

2000 ◽

Vol 1 (1) ◽

pp. 21-32 ◽

Cited By ~ 610

Author(s):

Ronald D Chervin ◽

Kristen Hedger ◽

James E Dillon ◽

Kenneth J Pituch

Keyword(s):

Behavioral Problems ◽

Validity And Reliability ◽

Sleep Questionnaire ◽

Pediatric Sleep Questionnaire ◽

Disordered Breathing ◽

Pediatric Sleep-Disordered Breathing: Criteria and Spectrum of Disease

Sleep Disordered Breathing in Children ◽

10.1007/978-1-60761-725-9_18 ◽

2012 ◽

pp. 245-260 ◽

Cited By ~ 3

Author(s):

Karen Spruyt

Keyword(s):

Disordered Breathing ◽

Sleep disordered breathing in childhood

European Respiratory Review ◽

10.1183/16000617.0081-2015 ◽

2016 ◽

Vol 25 (139) ◽

pp. 48-53 ◽

Cited By ~ 6

Author(s):

Yasemin Gokdemir ◽

Refika Ersu

Keyword(s):

Organ Dysfunction ◽

Health Resources ◽

Medical Journals ◽

The Past ◽

The World ◽

Disordered Breathing

Sleep disordered breathing (SDB) in childhood is linked with significant end-organ dysfunction across various systems, particularly with cardiovascular, neurocognitive and metabolic consequences. If we understand the pathophysiology of SDB, diagnose it promptly and treat appropriately, we may be able to prevent morbidity associated with SDB and also save health resources around the world. In this article, we highlight articles on this topic published in medical journals in the past year.