Obstructive Sleep Apnea Syndrome Increases Pedestrian Injury Risk in Children - 26/10/14

Doi : 10.1016/j.jpeds.2014.09.032

Kristin T. Avis, PhD, CBSM ^1,^⁎ , Karen L. Gamble, PhD ², David C. Schwebel, PhD ³
¹ Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL
² Department of Psychiatry, University of Alabama at Birmingham, Birmingham, AL
³ Department of Psychology, University of Alabama at Birmingham, Birmingham, AL

^∗Reprint requests: Kristin T. Avis, PhD, CBSM, Department of Pediatrics, University of Alabama at Birmingham, 1600 7^th Ave South ACC 620, Birmingham, AL 35233.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Sunday 26 October 2014

Abstract

Objectives

To evaluate pedestrian behavior, including reaction time, impulsivity, risk-taking, attention, and decision-making, in children with obstructive sleep apnea syndrome (OSAS) compared with healthy controls.

Study design

Using a case control design, 8- to 16-year-olds (n = 60) with newly diagnosed and untreated OSAS engaged in a virtual reality pedestrian environment. Sixty-one healthy children matched using a yoke-control procedure by age, race, sex, and household income served as controls.

Results

Children with OSAS were riskier pedestrians than healthy children of the same age, race, and sex. Children with OSAS waited less time to cross (P < .01). The groups did not differ in looking at oncoming traffic or taking longer to decide to cross.

Conclusions

Results suggest OSAS may have significant consequences on children's daytime functioning in a critical domain of personal safety, pedestrian skills. Children with OSAS appeared to have greater impulsivity when crossing streets. Results highlight the need for heightened awareness of the consequences of untreated sleep disorders and identify a possible target for pediatric injury prevention.

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Keyword : ADHD, BMI, NPSG, OSAS, PDSS, VRPE

Plan

Methods

VRPE

Measures of Crossing Behavior

Data Analysis Plan

Results

Discussion

Supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development (R01HD058573) and the Faculty Development Office at the University of Alabama at Birmingham. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Eunice Kennedy Shriver National Institute of Child Health & Human Development or the National Institutes of Health. The authors declare no conflicts of interest.