Adolescents with Obstructive Sleep Apnea Adhere Poorly to Positive Airway Pressure (PAP), but PAP Users Show Improved Attention and School Performance 英文参考文献.docVIP
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Adolescents with Obstructive Sleep Apnea Adhere Poorly to Positive Airway Pressure (PAP), but PAP Users Show Improved Attention and School Performance 英文参考文献
AdolescentswithObstructiveSleepApneaAdhere
PoorlytoPositiveAirwayPressure(PAP),butPAPUsers
ShowImprovedAttentionandSchoolPerformance
DeanW.Beebe1,2*,KellyC.Byars1,2
1Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, United States of America, 2Department of Pediatrics, University of Cincinnati College of Medicine,
Cincinnati,Ohio,UnitedStatesofAmerica
Abstract
Background:ObstructiveSleepApnea(OSA)isassociatedwithmedicalandneurobehavioralmorbidityacrossthelifespan.
Positive airway pressure (PAP) treatment has demonstrated efficacy in treating OSA and has been shown to improve
daytime functioning in adults, but treatment adherence can be problematic. There are nearly no published studies
examiningfunctionaloutcomessuchasacademicfunctioninginadolescentstreatedwithPAP.Thisstudywasconductedas
aninitialsteptowardsdeterminingwhetherPAPtreatmentimprovesdaytimefunctioningamongadolescentswithOSA.
Methods: Self-reported academic grades, self- and parent-reported academic quality of life, and objectively-measured
attentionwereassessedbeforeandafterPAPwasclinicallyinitiatedinasampleof13obeseadolescentswithOSA,aswell
as15untreatedobeseControlswithoutOSA.Basedonadherencedata,thetreatedgroupwasdividedintoPAPUsers(n=6)
andNon-Adherentparticipants(n=7).
Results:Thoughdemographicallysimilar,thethreegroupssignificantlydifferedinhowtheiracademicperformanceand
attentionscoreschangedfrombaselinetofollow-up.Non-Adherentparticipantsshowedworseningfunctioningovertime,
whilePAPUsersshowedstableorimprovedfunctioning,similartocontrols.
Conclusion:AlthoughmanyadolescentsprescribedPAPforOSAarenon-adherenttothetreatment,thosewhoadhereto
treatmentcandisplayimprovedattentionandacademicfunctioning.
Citation:BeebeDW,ByarsKC(2011)AdolescentswithObstructiveSleepApneaAdherePoorlytoPositiveAirwayPressure(PAP),butPAPUsersShowImproved
AttentionandSchoolPerformance.PLoSONE6(3):e16924.doi:10.1371/journal.pone.0016924
Editor:NaomiRogers,CentralQueenslandUniversity,Australia
ReceivedOctober18,20
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