Sleep Medicine
Volume 7, Issue 4 , Pages 357-361 , June 2006

Waist circumference predicts the occurrence of sleep-disordered breathing in obese children and adolescents: A questionnaire-based study

  • Marco Carotenuto

      Affiliations

    • Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Via Luigi Pansini no. 5-PAD XI, 80131 Naples, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39 0815666695; fax: +39 0815666694.
  • ,
  • Oliviero Bruni

      Affiliations

    • Department of Developmental Neurology and Psychiatry, University of Rome ‘La Sapienza’, Rome, Italy
  • ,
  • Nicola Santoro

      Affiliations

    • Department of Pediatrics, Second University of Naples, Via L. De Crecchio no. 2, 80138 Naples, Italy
  • ,
  • Emanuele Miraglia del Giudice

      Affiliations

    • Department of Pediatrics, Second University of Naples, Via L. De Crecchio no. 2, 80138 Naples, Italy
  • ,
  • Laura Perrone

      Affiliations

    • Department of Pediatrics, Second University of Naples, Via L. De Crecchio no. 2, 80138 Naples, Italy
  • ,
  • Antonio Pascotto

      Affiliations

    • Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Via Luigi Pansini no. 5-PAD XI, 80131 Naples, Italy

Received 9 October 2005 ,Revised 4 January 2006 ,Accepted 10 January 2006.

References 

  1. Gislason T, Benediktsdottir B. Snoring, apneic episodes, and nocturnal hypoxemia among children 6 months to 6 years old. Chest. 1995;107:963–966
  2. Teculescu DB, Caillier I, Perrin P, et al. Snoring in French preschool children. Pediatr Pulmonol. 1992;13:239–244
  3. Ali NJ, Pitson D, Stradling JR. Natural history of snoring and related behaviour problems between the ages of 4 and 7 years. Arch Dis Child. 1994;71:74–76
  4. Brunetti L, Rana S, Lospalluti ML, et al. Prevalence of obstructive sleep apnea syndrome in a cohort of 1207 children of southern Italy. Chest. 2001;120:1930–1935
  5. Montgomery-Downs HE, Crabtree VM, Gozal D. Cognition, sleep and respiration in at-risk children treated for obstructive sleep apnoea. Eur Respir J. 2005;25:336–342
  6. Marcus CL, Curtis S, Koerner CB, et al. Evaluation of pulmonary function and polysomnography in obese children and adolescents. Pediatr Pulmonol. 1996;21:176–183
  7. Schwab RJ, Gupta KB, Gefter WB, et al. Upper airway and soft tissue anatomy in normal subjects and patients with sleep disordered breathing: significance of the lateral pharyngeal walls. Am J Respir Crit Care Med. 1995;152:1673–1689
  8. Shelton KE, Woodson H, Gay S, Suratt PM. Pharyngeal fat in obstructive sleep apnea. Am Rev Respir Dis. 1993;148:462–466
  9. Gozal D, Wang M, Pope DW. Objective sleepiness measures in pediatric obstructive sleep apnea. Pediatrics. 2001;108:693–697
  10. Goodwin JL, Kaemingk KL, Fregosi RF, et al. Clinical outcomes associated with sleep-disordered breathing in Caucasian and Hispanic children—the Tucson Children's Assessment of Sleep Apnea study (TuCASA). Sleep. 2003;26:587–591
  11. Vgontzas AN, Papanicolaou DA, Bixler EO, et al. Sleep apnea and daytime sleepiness and fatigue: related to visceral obesity, insulin resistance, and hypercytokinemia. J Clin Endocrinol Metab. 2000;85:1151–1158
  12. Ogretmenoglu O, Suslu AE, Yucel OT, et al. Body fat composition: a predictive factor for obstructive sleep apnea. Laryngoscope. 2005;115:1493–1498
  13. de la Eva RC, Baur LA, Donaghue KC, Waters KA. Metabolic correlates with obstructive apnea in obese subjects. J Pediatr. 2002;140:654–659
  14. Ferini-Strambi L, Fantini ML, Castronovo C. Epidemiology of obstructive sleep apnea syndrome. Minerva Med. 2004;95:187–202
  15. Zucconi M, Calori G, Castronovo V, Ferini-Strambi L. Respiratory monitoring by means of an unattended device in children with suspected uncomplicated obstructive sleep apnea: a validation study. Chest. 2003;124:602–607
  16. Luciano A, Bressan F, Zoppi G. Body mass index reference curves for children aged 3–19 years from Verona, Italy. Eur J Clin Nutr. 1997;51:6–10
  17. Tanner JM, Whitehouse RH. Clinical longitudinal standarSD for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976;51:170–179
  18. Bruni O, Ottaviano S, Guidetti V, et al. The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res. 1996;5:251–261
  19. Zannolli R, Morgese G. Waist percentiles: a simple test for atherogenic disease?. Acta Paediatr. 1996;85:1368–1369
  20. Miraglia del Giudice E, Santoro N, Marotta A, et al. Inadequate leptin level negatively affects body fat loss during a weight reduction programme for childhood obesity. Acta Paediatr. 2002;91:132–135
  21. Frisancho AR. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor, MI: University of Michigan Press; 1990;
  22. Corbo GM, Forastiere F, Agabiti N, et al. Snoring in 9- to 15-year-old children: risk factors and clinical relevance. Pediatrics. 2001;108:1149–1154
  23. Marcus CL, Curtis S, Koerner CB, et al. Evaluation of pulmonary function and polysomnography in obese children and adolescents. Pediatr Pulmonol. 1996;21:176–183
  24. Marcus CL, Loughlin GM. Obstructive sleep apnea in children. Semin Pediatr Neurol. 1996;3:23–28
  25. Redline S, Tishler PV, Schluchter M, et al. Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems. Am J Respir Crit Care Med. 1999;159:1527–1532
  26. Fernbach SK, Brouillette RT, Riggs TW, Hunt CE. Radiologic evaluation of adenoids and tonsils in children with obstructive apnea: plain films and fluoroscopy. Pediatr Radiol. 1983;13:258–265
  27. Laurikainen E, Erkinjuntti M, Alihanka J, et al. Radiological parameters of the bony nasopharynx and the adenotonsillar size compared with sleep apnea episodes in children. Int J Pediatr Otorhinolaryngol. 1987;12:303–310
  28. Brooks LJ, Stephens BM, Bacevice AM. Adenoid size is related to severity but not the number of episodes of obstructive apnea in children. J Pediatr. 1998;132:682–686
  29. Fregosi RF, Quan SF, Kaemingk KL, et al. Sleep-disordered breathing, pharyngeal size and soft tissue anatomy in children. J Appl Physiol. 2003;95:2030–2038
  30. Arens R, McDonough JM, Corbin AM, et al. Upper airway size analysis by magnetic resonance imaging of children with obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 2003;167:65–70
  31. Arens R, Marcus CL. Pathophysiology of upper airway obstruction: a developmental perspective. Sleep. 2004;27:997–1019
  32. Vgontzas AN, Bixler EO, Chrousos GP. Metabolic disturbances in obesity versus sleep apnoea: the importance of visceral obesity and insulin resistance. J Intern Med. 2003;254:32–44
  33. Pouliot MC, Despres JP, Lemieux S, et al. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol. 1994;73:460–468
  34. de la Eva RC, Baur LA, Donaghue KC, Waters KA. Metabolic correlates with obstructive sleep apnea in obese subjects. J Pediatr. 2002;140:654–659
  35. Maffeis C, Corciulo N, Livieri C, et al. Waist circumference as a predictor of cardiovascular and metabolic risk factors in obese girls. Eur J Clin Nutr. 2003;57:566–572
  36. Vikram NK, Misra A, Dwivedi M, et al. Correlations of C-reactive protein levels with anthropometric profile, percentage of body fat and lipids in healthy adolescents and young adults in urban North India. Atherosclerosis. 2003;168:305–313
  37. Shinohara E, Kihara S, Yamashita S, et al. Visceral fat accumulation as an important risk factor for obstructive sleep apnea syndrome in obese subjects. J Intern Med. 1997;241:11–18
  38. Tauman R, Ivanenko A, O'Brien LM, Gozal D. Plasma C-reactive protein levels among children with sleep-disordered breathing. Pediatrics. 2004;113:e564–e569
  39. Silvestri JM, Weese-Mayer DE, Bass MT, et al. Polysomnography in obese children with a history of sleep associated breathing disorders. Pediatr Pulmonol. 1993;16:124–129
  40. Woodson BT, Brusky LT, Saurajen A, Jaradeh S. Association of autonomic dysfunction and mild obstructive sleep apnea. Otolaryngol Head Neck Surg. 2004;130:643–648
  41. Haynes WG, Sivitz WI, Morgan DA, et al. Sympathetic and cardiorenal actions of leptin. Hypertension. 1997;30:619–623
  42. Rumantir MS, Vaz M, Jennings GL, et al. Neural mechanisms in human obesity-related hypertension. J Hypertens. 1999;17:1125–1133
  43. Chervin RD, Archbold KH, Dillon JE, et al. Inattention, hyperactivity, and symptoms of sleep-disordered breathing. Pediatrics. 2002;109:449–456
  44. O'Brien LM, Mervis CB, Holbrook CR, et al. Neurobehavioral implications of habitual snoring in children. Pediatrics. 2004;114:44–49
  45. O'Brien LM, Mervis CB, Holbrook CR, et al. Neurobehavioral correlates of sleep-disordered breathing in children. J Sleep Res. 2004;13:165–172
  46. Blunden S, Lushington K, Lorenzen B, et al. Neuropsychological and psychosocial function in children with a history of snoring or behavioral sleep problems. J Pediatr. 2005;146:780–786

PII: S1389-9457(06)00013-X

doi: 10.1016/j.sleep.2006.01.005

Sleep Medicine
Volume 7, Issue 4 , Pages 357-361 , June 2006