Survey on sleep status and OSA-18 questionnaire among preschool children in Zhongshan City.
10.13201/j.issn.2096-7993.2025.12.012
- Author:
Chengkun XU
1
;
Minyi FU
1
;
Zhong PAN
1
;
Jie LUO
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery，Zhongshan People's Hospital，Zhongshan，528400，China.
- Publication Type:Journal Article
- Keywords:
obstructive sleep apnea-18 questionnaire;
preschool children;
sleep disorders
- MeSH:
Humans;
Child, Preschool;
Surveys and Questionnaires;
Male;
Female;
Sleep;
China/epidemiology*;
Sleep Apnea, Obstructive/epidemiology*
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(12):1171-1176
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the sleep status of preschool children in Zhongshan City and the OSA-18 questionnaire scores among healthy preschool children. Methods:A cluster sampling method was adopted to select 2 222 students from 5 non-boarding kindergartens in Zhongshan from October 2022 to October 2023 as study subjects. Data were collected via an online questionnaire platform and analyzed using SPSS 27.0 statistical software. Results:A total of 1 317 valid questionnaires were collected, with an average sleep duration of（8.74±0.75） hours among children. The results of stepwise regression analysis showed that child age, prematurity, sleep latency, daily outdoor activity time, and activities within 30 minutes before bedtime were factors influencing children's nocturnal sleep duration（P<0.05）. The overall incidence of sleep disorder-related symptoms was 56.80%, including restless sleep（24.14%）, difficulty falling asleep（24.07%）, snoring with mouth breathing（14.20%）, bruxism（11.16%）, enuresis（10.55%）, sleep talking（6.08%）, limb twitching（2.74%）, and sleepwalking（0.53%）. Various factors influenced these symptoms, and binary logistic regression analysis identified allergic diseases and a smaller number of siblings at home as the most prevalent risk factors（P<0.05）. The overall OSA-18 score was 34.11±12.14, and binary logistic regression analysis identified males, allergic diseases, and tonsillar hypertrophy as risk factors for high OSA-18 scores（≥60）（P<0.05）. Conclusion:In Zhongshan City, the nocturnal sleep duration of preschool children decreases with age, with independent risk factors for this prematurity, longer sleep latency, shorter daily outdoor activity time, and the use of electronic devices within 30minute before bedtime. Allergic diseases and a smaller number of siblings at home increase the risk of sleep-disordered breathing symptoms. Males, allergic diseases, and tonsillar hypertrophy have higher OSA-18 scores.
