Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome

The aim of the study was to investigate how obesity can influence sleep respiratory parameters in obstructive sleep apnea syndrome (OSAS) in children. Methods: The study analyzes 56 Caucasian children and adolescents aged 11 ± 2.79 years with a BMI > 5th percentiles and a PSQ value ≥ 0.33. Childr...

Full description

Bibliographic Details
Main Authors: Carolina Caliendo, Rossella Femiano, Giuseppina Rosaria Umano, Stefano Martina, Ludovica Nucci, Letizia Perillo, Vincenzo Grassia
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/12/1874
_version_ 1797381607900839936
author Carolina Caliendo
Rossella Femiano
Giuseppina Rosaria Umano
Stefano Martina
Ludovica Nucci
Letizia Perillo
Vincenzo Grassia
author_facet Carolina Caliendo
Rossella Femiano
Giuseppina Rosaria Umano
Stefano Martina
Ludovica Nucci
Letizia Perillo
Vincenzo Grassia
author_sort Carolina Caliendo
collection DOAJ
description The aim of the study was to investigate how obesity can influence sleep respiratory parameters in obstructive sleep apnea syndrome (OSAS) in children. Methods: The study analyzes 56 Caucasian children and adolescents aged 11 ± 2.79 years with a BMI > 5th percentiles and a PSQ value ≥ 0.33. Children were divided into Obesity Group (OG) with BMI ≥ 95th and Control Group (CG) with 5th < BMI > 95th percentile. All selected children underwent PG. Respiratory parameters AHI (Apnea–Hypopnea Index), SaO<sub>2</sub> (Saturation of Oxygen), ODI (Oxygen Desaturation Index), and Nadir (the lowest value of SaO<sub>2</sub> registered during PG) were extracted from the PG. AHI was used to divide the severity of OSAS into four levels: snoring (AHI ≤ 1), mild (AHI > 1 and ≤5), moderate (AHI > 5 and <10), and severe (AHI ≥ 10). Results: The comparison analysis between the OG and CG showed a statistical significance only for ODI (<i>p</i> = 0.02). A statistically significant correlation between BMI and AHI (r = 0.02), SaO<sub>2</sub> (r = 0.01), and Nadir O<sub>2</sub> (r = 0.02) was found. Conclusions: There was no strong correlation between obesity and OSAS, but a positive association was found between BMI and AHI severity.
first_indexed 2024-03-08T20:53:53Z
format Article
id doaj.art-9a00b11029d84794966137d17df40697
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-08T20:53:53Z
publishDate 2023-11-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-9a00b11029d84794966137d17df406972023-12-22T14:00:21ZengMDPI AGChildren2227-90672023-11-011012187410.3390/children10121874Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea SyndromeCarolina Caliendo0Rossella Femiano1Giuseppina Rosaria Umano2Stefano Martina3Ludovica Nucci4Letizia Perillo5Vincenzo Grassia6Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyDepartment of the Woman, the Child, and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyDepartment of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, 84123 Salerno, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyThe aim of the study was to investigate how obesity can influence sleep respiratory parameters in obstructive sleep apnea syndrome (OSAS) in children. Methods: The study analyzes 56 Caucasian children and adolescents aged 11 ± 2.79 years with a BMI > 5th percentiles and a PSQ value ≥ 0.33. Children were divided into Obesity Group (OG) with BMI ≥ 95th and Control Group (CG) with 5th < BMI > 95th percentile. All selected children underwent PG. Respiratory parameters AHI (Apnea–Hypopnea Index), SaO<sub>2</sub> (Saturation of Oxygen), ODI (Oxygen Desaturation Index), and Nadir (the lowest value of SaO<sub>2</sub> registered during PG) were extracted from the PG. AHI was used to divide the severity of OSAS into four levels: snoring (AHI ≤ 1), mild (AHI > 1 and ≤5), moderate (AHI > 5 and <10), and severe (AHI ≥ 10). Results: The comparison analysis between the OG and CG showed a statistical significance only for ODI (<i>p</i> = 0.02). A statistically significant correlation between BMI and AHI (r = 0.02), SaO<sub>2</sub> (r = 0.01), and Nadir O<sub>2</sub> (r = 0.02) was found. Conclusions: There was no strong correlation between obesity and OSAS, but a positive association was found between BMI and AHI severity.https://www.mdpi.com/2227-9067/10/12/1874obstructive sleep apnea syndrome (OSAS)Nocturnal Home Cardiorespiratory Polygraphy (PG)obesitySaturation O<sub>2</sub> (SaO<sub>2</sub>)Pediatric Sleep Questionnaire (PSQ)
spellingShingle Carolina Caliendo
Rossella Femiano
Giuseppina Rosaria Umano
Stefano Martina
Ludovica Nucci
Letizia Perillo
Vincenzo Grassia
Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome
Children
obstructive sleep apnea syndrome (OSAS)
Nocturnal Home Cardiorespiratory Polygraphy (PG)
obesity
Saturation O<sub>2</sub> (SaO<sub>2</sub>)
Pediatric Sleep Questionnaire (PSQ)
title Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome
title_full Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome
title_fullStr Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome
title_full_unstemmed Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome
title_short Effect of Obesity on the Respiratory Parameters in Children with Obstructive Sleep Apnea Syndrome
title_sort effect of obesity on the respiratory parameters in children with obstructive sleep apnea syndrome
topic obstructive sleep apnea syndrome (OSAS)
Nocturnal Home Cardiorespiratory Polygraphy (PG)
obesity
Saturation O<sub>2</sub> (SaO<sub>2</sub>)
Pediatric Sleep Questionnaire (PSQ)
url https://www.mdpi.com/2227-9067/10/12/1874
work_keys_str_mv AT carolinacaliendo effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome
AT rossellafemiano effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome
AT giuseppinarosariaumano effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome
AT stefanomartina effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome
AT ludovicanucci effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome
AT letiziaperillo effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome
AT vincenzograssia effectofobesityontherespiratoryparametersinchildrenwithobstructivesleepapneasyndrome