期刊
JOURNAL OF APPLIED PHYSIOLOGY
卷 108, 期 2, 页码 436-444出版社
AMER PHYSIOLOGICAL SOC
DOI: 10.1152/japplphysiol.00689.2009
关键词
metabolic syndrome; sleep-disordered breathing
资金
- National Institute of Child Health and Human Development [HD-053693]
Arens R, Muzumdar H. Childhood obesity and obstructive sleep apnea syndrome. J Appl Physiol 108: 436-444, 2010. First published October 29, 2009; doi:10.1152/japplphysiol.00689.2009.-The increasing prevalence of obesity in children seems to be associated with an increased prevalence of obstructive sleep apnea syndrome (OSAS) in children. Possible pathophysiological mechanisms contributing to this association include the following: adenotonsillar hypertrophy due to increased somatic growth, increased critical airway closing pressure, altered chest wall mechanics, and abnormalities of ventilatory control. However, the details of these mechanisms and their interactions have not been elucidated. In addition, obesity and OSAS are both associated with metabolic syndrome, which is a constellation of features such as hypertension, insulin resistance, dyslipidemia, abdominal obesity, and prothrombotic and proinflammatory states. There is some evidence that OSAS may contribute to the progression of metabolic syndrome with a potential for significant morbidity. The treatment of OSAS in obese children has not been standardized. Adenotonsillectomy is considered the primary intervention followed by continuous positive airway pressure treatment if OSAS persists. Other methods such as oral appliances, surgery, positional therapy, and weight loss may be beneficial for individual subjects. The present review discusses these issues and suggests an approach to the management of obese children with snoring and possible OSAS.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据