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Reading: Screening for obstructive sleep apnoea in overweight and obese children in Southern Sri Lanka

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Screening for obstructive sleep apnoea in overweight and obese children in Southern Sri Lanka

Authors:

M. H. A. D. De Silva ,

University of Ruhuna, Galle, LK
About M. H. A. D.
Department of Paediatrics, Faculty of Medicine
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R. P. Hewawasam,

University of Ruhuna, Galle, LK
About R. P.
Department of Biochemistry, Faculty of Medicine
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R. M. A. Chamika

University of Peradeniya, LK
About R. M. A.
Department of Nursing, Faculty of Allied Health Sciences
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Abstract

Introduction: One of the main risk factors of obstructive sleep apnoea (OSA) is childhood obesity which account for about 60% incidence in obese children. Although polysomnography is the gold standard, it is costly and difficult to be used in children. The objective of this study was to use a prediction tool called a “Modified STOP bang tool” in the assessment of OSA in overweight and obese children in Southern Sri Lanka.

 

Methods: A descriptive cross-sectional study was conducted on ninety seven children (57 boys) aged 5 – 15 years with BMI >85th percentile for age and gender based on CDC 2000 growth charts recruited from the nutrition clinic at the Teaching Hospital, Karapitiya, Sri Lanka. Modified STOP bang questionnaire which assessed snoring, tiredness, observed apnea, blood pressure 95th percentile, BMI >95th percentile, academic problems, neck circumference >95th percentile for age, and male gender was considered on all study participants and a score was generated.

 

Results: Out of 97 children participated, 27.8% children had a higher risk of OSA and 49.5% had an intermediate risk of OSA. According to this study, significant risk factors for OSA in overweight and obese children included, being a male, BMI greater than 95th percentile for age, obesity for age and sex, circumference greater than 95th percentile for age, neck/ height ratio and waist/hip ratio.

 

Conclusion: In the community setting, modified STOP bang questionnaire is useful in the screening of overweight and obese children for OSA and for further follow-up.
How to Cite: De Silva, M.H.A.D., Hewawasam, R.P. and Chamika, R.M.A., 2022. Screening for obstructive sleep apnoea in overweight and obese children in Southern Sri Lanka. Galle Medical Journal, 27(3), pp.93–99. DOI: http://doi.org/10.4038/gmj.v27i3.8152
Published on 01 Nov 2022.
Peer Reviewed

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