Cognitive and behavioral effects of obstructive sleep apnea syndrome in children: a systematic literature review

Sleep Medicine
Thiago da Silva Gusmão CardosoMônica Carolina Miranda

Abstract

Obstructive sleep apnea syndrome (OSA) is a common respiratory sleep disorder in children that is believed to adversely affect both quality of life and cognition. The purpose of the present systematic review was to obtain evidence of the impact of OSA on children's cognitive/behavioral abilities from primary studies published in MEDLINE/PubMed, LILACS, SciELO, ISI Web of Science, and PsycINFO databases from 2002 to 2016. Of the 649 articles found, only 34 met the eligibility criteria: studies that evaluated cognition, behavior, and/or academic achievement of children meeting clinical criteria for OSA to compare their data to those of healthy controls or normative data, provided that the samples did not present conditions that might affect cognition/behavior irrespective of OSA. The few selected articles with low risk of bias (levels of evidence I and II) showed that OSA children's intellectual abilities may be impaired but remain within the normal range. Which specific cognitive ability drives this impairment is unclear, as there was insufficient evidence of deficits in language, memory, attention, executive functions, and academic performance, due to low levels of evidence, conflicting findings, and/or heterogeneity of tasks a...Continue Reading

Citations

May 17, 2019·Behavioral Sleep Medicine·Reut GruberJose Arturo Santisteban
Jul 8, 2020·Journal of Clinical Medicine·Eusebi ChinerMiguel Angel Martinez-Garcia
Jun 17, 2020·Journal of Sleep Research·Natalia Arias-TrejoJamie Edgin
Oct 31, 2020·Clinical Psychopharmacology and Neuroscience : the Official Scientific Journal of the Korean College of Neuropsychopharmacology·Kyoung Min KimHo-Jang Kwon
Jan 8, 2021·Sleep & Breathing = Schlaf & Atmung·Anuja Bandyopadhyay, James E Slaven
Jan 17, 2021·Sleep & Breathing = Schlaf & Atmung·F A Etindele Sosso, E Matos
Feb 27, 2021·Sleep Medicine·Kurt LushingtonJohn Declan Kennedy
Apr 11, 2021·Pediatric Pulmonology·Ariana Garagozzo, Scott J Hunter
Sep 25, 2021·Pediatric Pulmonology·Caterina RibotAntonia Barceló
Nov 23, 2021·Frontiers in Neuroscience·Gonzalo C Gutiérrez-TobalRoberto Hornero
Jul 15, 2021·Pediatrics·Karen A WatersRobert J Black
Jan 11, 2020·Pediatrics·Karen A WatersKurt Lushington

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