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    Title: Sleep-disordered breathing, behavior, and academic performance in Taiwan schoolchildren
    Authors: 李舒萍;Lee, Shu-Ping;李信達;Lee, Shin-Da
    Contributors: 外國語文學系
    Keywords: Sleep-disordered breathing . Polysomnography . Children behavior . Academic performance
    Date: 2011-01
    Issue Date: 2012-11-23 15:05:01 (UTC+8)
    Abstract: "Objective The behaviors of children may be affected by
    sleep-disordered breathing (SDB). This study adopts a
    cross-sectional approach to investigate the relationship
    between the sleep apneas–hypopneas index during sleep
    and the behavioral and academic performance of school-
    children in Taiwan.Methods A total of 138 children (85 boys and 53 girls),
    ages 6–11, were recruited from two elementary schools to
    participate in this study. Overnight polysomnographic
    examinations in hospital were performed to assess sleep
    quality, including total sleep time, arousal index, apneas–
    hypopneas index, desaturation index, and lowest oxygen
    saturation, as well as the percentage of total sleep time
    spent in rapid eye movement, stage 1, stage 2, stage 3, and
    stage 4. The children’s parents and teachers were required
    to complete a Chinese version of the Child Behavior
    Checklist and Teacher’s Report Form to assess child
    behavior and academic achievement.
    Results Compared with children without SDB (apneas–
    hypopneas index ≤1), those with severe SDB (apneas–
    hypopneas index >15) exhibited more irregular behavioral
    performance in somatic complaints (odds ratio (OR)=9.43;
    95% confidence interval (CI)=1.04–85.71) and attention
    (OR = 9.95; 95% CI = 1.02–97.00). However, different
    severities of SDB groups did not show significant associ-
    ations in academic performance.
    Conclusion Our study suggests that children with severe
    SDB may predispose to somatic complaints and attention
    problems so that sleep examination or medical intervention
    might be provided at an early age in these children."
    Relation: Sleep and Breathing, 15(1):91-98.
    Appears in Collections:[Department of Foreign Languages and Literatures] Journal Article

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