• English French
  • EDITORIAL- JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY. VOLUME 9 - ISSUE 27. 2018

    Last Updated: 05/09/2018

    Obstructive Sleep Apnea (OSA) in children: Fact and Challenge
    Apnées Obstructive du Sommeil chez les enfants: Réalité et Défi
    S. Duong-Quy

    Lam Dong Medical College. Dalat - Vietnam. Penn State Medical College. Hershey Medical Center. USA

    Corresponding author
    Dr. Sy DUONG-QUY
    Lam Dong Medical College. Dalat - Vietnam
    Penn State Medical College. Hershey Medical Center. PA - USA
    E-mail: sduongquy.jfvp@gmail.com

    DOI: 10.12699/jfvpulm.9.27.2018.1

     

    Obstructive sleep apnea (OSA) is a continuous and repetitive episode of partial or complete obstruction of the upper respiratory tract during sleep resulting in complete hypopnea or apnea although these subjects still have a respiratory effort. Obstructive sleep apnea syndrome (OSAS) is the most common form of respiratory disorder during sleep, which is relatively common. In North America, there are over 12 million people, of whom 3% are female and 9% are male. In children, it is recognized that OSA is not only a general health problem but also a significant cause of disease, accounting for 1% -5%. OSA occurs at all ages with the highest prevalence of 2-8 years, which is associated with the development of upper lymphatic tissue in this stage.

    Epidemiological studies on OSAS in Asia, South East Asia in particular, are few. Recently, the EPSASIE study realized in Vietnam aimed to determine the prevalence of OSAS in an adult showed that the prevalence of OSA with an apnea-hypopnea index (AHI)>5 was 8.5% and with AHI>15 was 5.2% of cases. This prevalence of OSA is quite high in the Vietnamese population and comparable with current literature data. However, there is still absent of study about OSA in children in this country.

    OSA is characterized by all or part of the upper respiratory tract collapsed during sleep over 10 seconds, causing hypoxia and the generation of oxidative stress, if not diagnosed and treated soon it will cause of serious health problem and socio-economic burdens. In children in particular, OSA causes hypoxia at night and also causes hemodynamic, metabolic, and mental disorders. In particular, the consequences of OSA on neurocognitive development are very important because they can slow down psychological and physical development, reduce learning and memory. In addition, children with OSA may be severely depressed or hyper reactive. Therefore, the harmful effects of OSA in children should be diagnosed and treated promptly. In this issue of Journal of Functional Ventilation and Pulmonology, Nguyen-Hoang et al. attempted to describe all laboratory techniques using to diagnosis OSA in children. However, polysomnography rather than respiratory polygraphy is still the gold standard for diagnosing OSA in this population.

     

     

    Obstructive sleep apnea (OSA) is a continuous and repetitive episode of partial or complete obstruction of the upper respiratory tract during sleep resulting in complete hypopnea or apnea although these subjects still have a respiratory effort. Obstructive sleep apnea syndrome (OSAS) is the most common form of respiratory disorder during sleep, which is relatively common. In North America, there are over 12 million people, of whom 3% are female and 9% are male. In children, it is recognized that OSA is not only a general health problem but also a significant cause of disease, accounting for 1% -5%. OSA occurs at all ages with the highest prevalence of 2-8 years, which is associated with the development of upper lymphatic tissue in this stage.

    Epidemiological studies on OSAS in Asia, South East Asia in particular, are few. Recently, the EPSASIE study realized in Vietnam aimed to determine the prevalence of OSAS in an adult showed that the prevalence of OSA with an apnea-hypopnea index (AHI)>5 was 8.5% and with AHI>15 was 5.2% of cases. This prevalence of OSA is quite high in the Vietnamese population and comparable with current literature data. However, there is still absent of study about OSA in children in this country.

    OSA is characterized by all or part of the upper respiratory tract collapsed during sleep over 10 seconds, causing hypoxia and the generation of oxidative stress, if not diagnosed and treated soon it will cause of serious health problem and socio-economic burdens. In children in particular, OSA causes hypoxia at night and also causes hemodynamic, metabolic, and mental disorders. In particular, the consequences of OSA on neurocognitive development are very important because they can slow down psychological and physical development, reduce learning and memory. In addition, children with OSA may be severely depressed or hyper reactive. Therefore, the harmful effects of OSA in children should be diagnosed and treated promptly. In this issue of Journal of Functional Ventilation and Pulmonology, Nguyen-Hoang et al. attempted to describe all laboratory techniques using to diagnosis OSA in children. However, polysomnography rather than respiratory polygraphy is still the gold standard for diagnosing OSA in this population.

    CONFLIT OF INTEREST

    Non.

    REFERENCES

    1. Dang Thi Mai K, Tran Van N. Study of the prevalence of metabolic syndrome in patients with sleep apnea syndrome. J Func Vent Pulm 2013;04(10):36-42.

    2. Nguyen Xuan Bich H. Obstructive sleep apnea syndrome (OSAS) and arterial hypertension. J Func Vent Pulm2014;05(14):1-2.

    3. Hua-Huy T. Obstructive sleep apnoea syndrome (OSAS): on the right method for screening . J Func Vent Pulm 2014;05(15):3-4.

    4. Duong-Quy S, Dang Thi Mai K, Tran Van N, et al. Study about the prevalence of the obstructive sleep apnoea syndrome in Vietnam. Rev Mal Respir. 2018 Jan;35(1):14-24.

    5. Ho-Viet T.D, Soyez F. Role of mandibular advancement devices in management of obstructive sleep apnea syndrome (OSAS). J Func Vent Pulm 2015;06(17):2-3.

    6. Nguyen Thi Thanh P, Mai Thi Thanh T, Kim Xuan L. The quality of sleep in patients with COPD in Pham Ngoc Thach hospital - HCM city. J Func Vent Pulm 2015;19(6):44-48.

    7. Duong-Quy S. Sleep disorder in COPD: a forgotten entity. J Func Vent Pulm 2015;19(6):1.

    8. Martin F, Duong-Quy S. Sleep apnea syndrome in daily practice: Welcome to the 2nd edition of sleep disorder book in French - Vietnamese languages. J Func Vent Pulm 2016; 21(7): 1-2.

    9. Adambounou. AS, Adjoh. KS, Aziagbé. KA, Foma. W, Gbadamassi. AG, Tougan. A, Djibril. M, Belo. M, pémissi. E, Tidjani. O; Prevalence of symptoms of sleep apnea syndrome in Lome. J Func Vent Pulm 2016; 22(7):32-39.

    10. Nguyen-Thi-Hong L, Duong-Quy S. Obstructive Sleep Apnea Syndrome: The challenges in developing countries. J Func Vent Pulm 2016;22(7):1-2.

    11. Adjoh. KS, Adambounou. AS, Gbadamassi. AG,Efalou. P, Ouedraogo. AR, Aziagbe. KA, Foma. W, Dolou. W, . Dijibril. MA, Belo. M. J Func Vent Pulm 2017; 24(8): 10-17.

    12. Bacha S, Habibech S , Chaouch N. Profil clinique du syndrome d’apnées obstructives du sommeil. J Func Vent Pulm 2017;24(8):18-23.

    13. Nguyen-Hoang Y, Nguyen-Thi B. Laboratory techniques for diagnosis of obstructive sleep apnea (OSA) in children. J Func Vent Pulm 2018;27(9):2-10.

     

    REFERENCES

    1. Dang Thi Mai K, Tran Van N. Study of the prevalence of metabolic syndrome in patients with sleep apnea syndrome. J Func Vent Pulm 2013;04(10):36-42.

    2. Nguyen Xuan Bich H. Obstructive sleep apnea syndrome (OSAS) and arterial hypertension. J Func Vent Pulm2014;05(14):1-2.

    3. Hua-Huy T. Obstructive sleep apnoea syndrome (OSAS): on the right method for screening . J Func Vent Pulm 2014;05(14):3-4.

    4. Duong-Quy S, Dang Thi Mai K, Tran Van N, et al. Study about the prevalence of the obstructive sleep apnoea syndrome in Vietnam. Rev Mal Respir. 2018 Jan;35(1):14-24.

    5. Ho-Viet T.D, Soyez F. Role of mandibular advancement devices in management of obstructive sleep apnea syndrome (OSAS). J Func Vent Pulm 2015;06(17):2-3.

    6. Nguyen Thi Thanh P, Mai Thi Thanh T, Kim Xuan L. The quality of sleep in patients with COPD in Pham Ngoc Thach hospital - HCM city. J Func Vent Pulm 2015;19(6):44-48.

    7. Duong-Quy S. Sleep disorder in COPD: a forgotten entity. J Func Vent Pulm 2015;19(6):1.

    8. Martin F, Duong-Quy S. Sleep apnea syndrome in daily practice: Welcome to the 2nd edition of sleep disorder book in French - Vietnamese languages. J Func Vent Pulm 2016; 21(7): 1-2.

    9. Adambounou. AS, Adjoh. KS, Aziagbé. KA, Foma. W, Gbadamassi. AG, Tougan. A, Djibril. M, Belo. M, pémissi. E, Tidjani. O; Prevalence of symptoms of sleep apnea syndrome in Lome. J Func Vent Pulm 2016; 22(7):32-39.

    10. Nguyen-Thi-Hong L, Duong-Quy S. Obstructive Sleep Apnea Syndrome: The challenges in developing countries. J Func Vent Pulm 2016;22(7):1-2.

    11. Adjoh. KS, Adambounou. AS, Gbadamassi. AG,Efalou. P, Ouedraogo. AR, Aziagbe. KA, Foma. W, Dolou. W, . Dijibril. MA, Belo. M. J Func Vent Pulm 2017; 24(8): 10-17.

    12. Bacha S, Habibech S , Chaouch N. Profil clinique du syndrome d’apnées obstructives du sommeil. J Func Vent Pulm 2017;24(8):18-23.

    13. Nguyen-Hoang Y, Nguyen-Thi B. Laboratory techniques for diagnosis of obstructive sleep apnea (OSA) in children. J Func Vent Pulm 2018;27(9):3-10.

     

    ARTICLE INFO

    DOI: 10.12699/jfvpulm.9.27.2018.1

    Conflict of Interest
    Non

    Date of manuscript receiving


    Date of publication after correction


    Article citation 
    Duong-Quy S. Obstructive Sleep Apnea (OSA) in children: Fact and Challenge. J Func Vent Pulm 2018;27(9):1-2.