<?xml version="1.0"?>
<Articles JournalTitle="Journal of Sleep Sciences">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Sleep Sciences</JournalTitle>
      <Issn>2476-2938</Issn>
      <Volume>1</Volume>
      <Issue>2</Issue>
      <PubDate PubStatus="epublish">
        <Year>2016</Year>
        <Month>07</Month>
        <Day>27</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Obstructive Sleep Apnea Syndrome in Children Referred to a Sleep Clinic</title>
    <FirstPage>59</FirstPage>
    <LastPage>66</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Shabnam</FirstName>
        <LastName>Jalilolghadr</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Children Growth and Development Research Center, Qazvin University of Medical Sciences, Qazvin, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Fatemeh</FirstName>
        <LastName>Saffari</LastName>
        <affiliation locale="en_US">Department of Pediatric Endocrinology, Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Manoochehr</FirstName>
        <LastName>Mahram</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Children Growth and Development Research Center, Qazvin University of Medical Sciences, Qazvin, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Sepehr</FirstName>
        <LastName>Sadeghi</LastName>
        <affiliation locale="en_US">Department of Medicine, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Zohreh</FirstName>
        <LastName>Yazdi</LastName>
        <affiliation locale="en_US">Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2016</Year>
        <Month>07</Month>
        <Day>27</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2016</Year>
        <Month>07</Month>
        <Day>27</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background and Objective: Failure in diagnosis and treatment of sleep apnea in children lead to physical and&#xA0;mental growth retardation, cardiopulmonary, and/or behavioral disorders. This study was aimed to evaluate&#xA0;polysomnographic (PSG) and clinical findings of sleep apnea in children referred to a sleep clinic in Qazvin, Iran.
Materials and Methods: This cross-sectional study was conducted among 50 children and adolescents &lt; 18 years&#xA0;old in Qazvin. All children referred to a pediatric sleep clinic during the years 2008-2009 were enrolled in this study,&#xA0;consecutively. These children were referred for suspected obstructive sleep apnea (OSA). BEARS and Children&#x2019;s Sleep&#xA0;Habits Questionnaire were completed by parents. Subjects underwent overnight full PSG. Data were analyzed using&#xA0;descriptive statistics and chi-square test.
Results: A total of 50 subjects participated in this study. A mean age was 7.8 &#xB1; 5.2 years. 40 (80%) subjects were&#xA0;male. The most common cause for referral was snoring (18 patients, 36%). Daily hyperactivity and insomnia were&#xA0;reported in 20 (40%) and 16 (32%) subjects, respectively. 12 (24%) children had normal sleep pattern, 30 (60%) OSA and&#xA0;8 (16%) other sleep disorders. No significant associations were seen between PSG results and body mass index or sex.
Conclusion: The majority of children referred to the sleep clinic had sleep apnea which indicates that many cases of&#xA0;the disease remain unknown. It is necessary to increase the knowledge of the public and medical staff about signs and&#xA0;symptoms of sleep breathing disorders to screen the patients and referral to sleep clinics.</abstract>
    <web_url>https://jss.tums.ac.ir/index.php/jss/article/view/37</web_url>
    <pdf_url>https://jss.tums.ac.ir/index.php/jss/article/download/37/26</pdf_url>
  </Article>
</Articles>
