Caregiver perception of sleep-disordered breathing-associated symptoms in children of rural Andean communities above 4000 masl with chronic exposure to biomass fuel

Accinelli, Roberto A.; Llanos, Oscar; López, Lidia M.; Matayoshi, S; Oros, Yuliana P.; Kheirandish‐Gozal, Leila; Gozal, David

doi:10.1016/j.sleep.2015.02.536

Cited by 14 publications

(15 citation statements)

References 28 publications

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“…All studies were of 3b evidence levels. A summary of the results observed is as follows: between highly versus less polluted environments, there were significant differences in snoring (25,26), initiating and maintaining sleep (20)(21)(22), sleep hyperhidrosis (20), difficulty breathing and apnea (21,23,27), and, for sickle cell anaemia children, mean and minimal nocturnal saturation (24). These results suggest an involvement (grade C) of environmental (not from voluptuary habits) pollution in the worsening of SDB in children.…”

Section: Resultsmentioning

confidence: 88%

“…Moreover, 7 papers were not in English, the preferred language. In the end, 8 studies were selected for our analysis (Table 1) (20)(21)(22)(23)(24)(25)(26)(27).…”

Section: Resultsmentioning

confidence: 99%

“…Diagnosis of SDB was made subjectively (questionnaires) in six studies (20)(21)(22)(23)25,26) and objectively (instrumentation) in two studies, including otherwise healthy (27) or with sickle cell anaemia (24) children, respectively. Five studies quantified the environmental pollution, according to PMs and/or NO 2 (20,23,(25)(26)(27), or considered the possible differences between rural versus urban areas (24) or before/after indoor intervention (21,22).…”

Section: Resultsmentioning

confidence: 99%

“…Although there are few studies in the topics, the results encourage further investigations. In particular, four related studies concern indoor pollution sources (21)(22)(23)25) and four studies concern outdoor pollution sources (20,24,26,27) of which one was designed for children with sickle cell anaemia (24). Two studies showed reductions in SDB following successful air-quality homebased interventions (21,22).…”

Section: Discussionmentioning

confidence: 99%

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Indoor/outdoor not-voluptuary-habit pollution and sleep-disordered breathing in children: a systematic review

et al. 2017

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Background: Exposure to environmental pollutants is advocated to be a major risk factor, with increased morbidity and mortality in humans due to acute and chronic airway inflammation. The aim of the present review is to show the literature research regarding the link between the sleep-disordered breathing and exposure to indoor/outdoor pollution in children. We hypothesized that environmental air pollution can play a role in childhood sleep-disordered breathing. Methods:We conducted an electronic search in Medline (with PubMed interface), Scopus and the ISI Web of Science using the keywords "sleep" or "sleep apnea" or "sleep disordered breathing" and "pollution" and "children" in "Title/Abstract/Keywords", with language restriction (non-English paper) and no date limitation to present. The tobacco smoke pollution is well established linking and is not considered for the present subject. We examined the strength of the evidence according to the Oxford Centre for Evidence- Results: A total of 105 articles were identified, but 97 of these had to be excluded after an accurate reading of the title, abstract or full text. In the end, eight studies were selected for our analysis for a total of a total of 5,826 children. The results suggest an involvement (grade C) of environmental (not from voluptuary habits) pollution in the worsening of sleep-disordered breathing in children.Conclusions: To date, some studies reported significant differences between areas with higher and lower pollutants and the interventions on indoor pollution reduced sleep-disordered breathing in children.Therefore, although the relevance of the argument is high, the number of studies and the interest in the subject seems at this time quite limited.

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Section: Resultsmentioning

confidence: 88%

“…Moreover, 7 papers were not in English, the preferred language. In the end, 8 studies were selected for our analysis (Table 1) (20)(21)(22)(23)(24)(25)(26)(27).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Indoor/outdoor not-voluptuary-habit pollution and sleep-disordered breathing in children: a systematic review

et al. 2017

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“…Regarding children, the report from parents or guardians can also limit the diagnosis. The study by Accinelli et al reported alterations on sleeping in 77 children aged 9‐15 years, in which 48.1% had nocturnal awakenings; 46.8%, repetitive limb movements; 46.8%, non‐repairing sleep; and 33.8%, snoring. Only 10.4% of the parents had noticed sleep disorders in their children.…”

Section: Discussionmentioning

confidence: 99%

Association between bruxism and temporomandibular disorders in children: A systematic review and meta‐analysis

Reis

Ribeiro

Martins

et al. 2019

Int J Paed Dentistry

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Background Bruxism in children and its relation to the development of temporomandibular disorders (TMD) has not been clearly determined yet. Aim The objective of this systematic review was to evaluate the possible association between bruxism and TMD in children. Design Seven databases were searched, and 497 articles were assessed. Methodological quality was assessed through Newcastle‐Ottawa Scale. The meta‐analysis was performed with the articles in which extraction of data was possible and the summary effect measure through odds ratio (OR) and respective 95% confidence intervals (CIs). Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was used to assess the certainty of evidence. Results Ten cross‐sectional studies were included in the systematic review. Of these, 8 showed a statistically significant association between bruxism and TMD. Seven studies however presented a high risk of bias. The meta‐analysis was performed with 3 articles and obtained an OR of 2.97 (95% CI ranging from 1.72‐5.15), indicating that children with bruxism are 2.97 times more likely to present TMD, with very low level of certainty defined by GRADE. Conclusions Although the studies showed high risk of bias, the qualitative analysis of individual studies showed that the children with bruxism have greater chance of developing TMD.

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Association between air pollution and sleep disordered breathing in children

Sánchez

Gozal

Smith

et al. 2019

Pediatric Pulmonology

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Background and Objective Similar to other respiratory diseases, sleep disordered breathing (SDB) may be exacerbated by air contaminants. Air pollution may have an impact on incidence and severity of SDB in children. The aims of this study were to examine potential associations between the exposure to different air pollutants and SDB symptoms in children. Methods In this cross‐sectional study, parents from first grade children of elementary schools throughout Chile were included. Data about clinical and family‐related SDB risk factors, and the pediatric sleep questionnaire (PSQ) were obtained. Air pollution and meteorological data were obtained from the Chilean online air quality database. Results A total of 564 children (44.9% males) aged (median) 6 years (5‐9 year) were included. Prevalence of SDB based on PSQ was 17.7%. When examining air pollutants and conditions, only higher humidity (β = 0.005, 95%CI 0.001‐0.009, P = 0.011) was significantly associated with higher PSQ scores after adjusting for demographic and household variables. Higher ozone (O3) levels (OR = 1.693, 95%CI 1.409‐2.035, P < 0.001), higher humidity (OR = 1.161, 95%CI 1.041‐2.035, P = 0.008) and higher dioxide sulfur (SO2) levels (OR = 1.16, 95%CI 1.07‐1.94, P < 0.001]) were associated with increased odds of wheezing‐related sleep disturbances after adjusting for confounders. Lower temperature was a significant predictor of snoring at least >3 nights/week, following adjustment (OR = 0.865, 95%CI 0.751‐0.997, P < 0.05). Conclusion Sleep respiratory symptoms (wheezing and snoring) are significantly associated with air pollutants such as O3 and SO2. In addition, meteorological conditions such as humidity and low temperatures may be also associated with SDB‐related symptoms.

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Caregiver perception of sleep-disordered breathing-associated symptoms in children of rural Andean communities above 4000 masl with chronic exposure to biomass fuel

Cited by 14 publications

References 28 publications

Indoor/outdoor not-voluptuary-habit pollution and sleep-disordered breathing in children: a systematic review

Indoor/outdoor not-voluptuary-habit pollution and sleep-disordered breathing in children: a systematic review

Association between bruxism and temporomandibular disorders in children: A systematic review and meta‐analysis

Association between air pollution and sleep disordered breathing in children

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