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Published in: Indian Journal of Pediatrics 11/2016

01-11-2016 | Original Article

Prevalence of Sleep Disorders Among Primary School Children

Authors: Ravi Gupta, Deepak Goel, S. D. Kandpal, Nidhi Mittal, Mohan Dhyani, Manish Mittal

Published in: Indian Journal of Pediatrics | Issue 11/2016

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Abstract

Objective

To screen symptoms of sleep disorders among primary school children.

Methods

Four schools from urban area and four rural schools were included in this study. Symptoms of sleep disorders were assessed using the validated Hindi version of Childhood Sleep Habit Questionnaire in 8–13 y old children. Comparison was made between urban and rural group and between boys and girls. Descriptive statistics was calculated.

Results

Mean age of the subjects included in this study was 8.9 ± 1.5 y. Boys and girls were equally distributed, however, rural sample was smaller. More than one awakening each night was found in 12.2 % children. In the whole group, prevalence of bed-wetting was 8.7 %, sleep-talking 20.9 %, sleep-walking 3.2 %, teeth grinding 15.4 % and night terrors 8.4 %. Daytime sleepiness was reported by 25.5 % and napping by 56.4 %. 17.3 % used to fall asleep in unusual circumstances and the teacher or the friend in 6.9 % students noticed it. Snoring was reported by 11.4 % children, and 6.3 % reportedly struggled to breathe during sleep. Domicile and gender did not affect prevalence of parasomnia, however, symptoms of sleep apnea were more frequent among rural children. Daytime sleepiness was more common among rural children as compared to urban.

Conclusions

Symptoms of sleep disorders are prevalent among primary school children. Common disorders are parasomnia, sleep apnea and daytime sleepiness.
Literature
1.
go back to reference Potasz C, Juliano ML, Varela MJ, et al. Prevalence of sleep disorders in children of a public hospital in São Paulo. Arq Neuropsiquiatr. 2010;68:235–41.CrossRefPubMed Potasz C, Juliano ML, Varela MJ, et al. Prevalence of sleep disorders in children of a public hospital in São Paulo. Arq Neuropsiquiatr. 2010;68:235–41.CrossRefPubMed
2.
go back to reference Smedje H, Broman JE, Hetta J. Short-term prospective study of sleep disturbances in 5-8-year-old children. Acta Paediatr. 2001;90:1456–63.CrossRefPubMed Smedje H, Broman JE, Hetta J. Short-term prospective study of sleep disturbances in 5-8-year-old children. Acta Paediatr. 2001;90:1456–63.CrossRefPubMed
3.
go back to reference Aishworiya R, Chan P, Kiing J, Chong SC, Laino AG, Tay SK. Sleep behaviour in a sample of preschool children in Singapore. Ann Acad Med Singap. 2012;41:99–104.PubMed Aishworiya R, Chan P, Kiing J, Chong SC, Laino AG, Tay SK. Sleep behaviour in a sample of preschool children in Singapore. Ann Acad Med Singap. 2012;41:99–104.PubMed
4.
go back to reference Liu X, Ma Y, Wang Y, et al. Brief report: an epidemiologic survey of the prevalence of sleep disorders among children 2 to 12 years old in Beijing, China. Pediatrics. 2005;115:266–8. Liu X, Ma Y, Wang Y, et al. Brief report: an epidemiologic survey of the prevalence of sleep disorders among children 2 to 12 years old in Beijing, China. Pediatrics. 2005;115:266–8.
5.
go back to reference Baweja R, Calhoun S, Singareddy R. Sleep problems in children. Minerva Pediatr. 2013;65:457–72.PubMed Baweja R, Calhoun S, Singareddy R. Sleep problems in children. Minerva Pediatr. 2013;65:457–72.PubMed
6.
go back to reference Bharti B, Malhi P, Kashyap S. Patterns and problems of sleep in school going children. Indian Pediatr. 2006;43:35–8.PubMed Bharti B, Malhi P, Kashyap S. Patterns and problems of sleep in school going children. Indian Pediatr. 2006;43:35–8.PubMed
7.
go back to reference Cai Y-M, Yi Z-W, Huang H, Li J-M, Luo X-M. Epidemiological investigation of sleep disorders for children at ages of 2-12 years in Changsha City. Zhongguo Dang Dai Er Ke Za Zhi. 2008;10:353–6.PubMed Cai Y-M, Yi Z-W, Huang H, Li J-M, Luo X-M. Epidemiological investigation of sleep disorders for children at ages of 2-12 years in Changsha City. Zhongguo Dang Dai Er Ke Za Zhi. 2008;10:353–6.PubMed
8.
go back to reference Ravikiran SR, Jagadeesh Kumar PM, Latha KS. Sleep problems in preschool and school aged rural Indian children. Indian Pediatr. 2011;48:221–3.CrossRefPubMed Ravikiran SR, Jagadeesh Kumar PM, Latha KS. Sleep problems in preschool and school aged rural Indian children. Indian Pediatr. 2011;48:221–3.CrossRefPubMed
9.
go back to reference Tan H-L, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep. 2013;5:109–23.PubMedPubMedCentral Tan H-L, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep. 2013;5:109–23.PubMedPubMedCentral
10.
go back to reference Ren Z, Qiu A. Sleep-related breathing disorder is associated with hyperactivity in preschoolers. Singap Med J. 2014;55:257–60.CrossRef Ren Z, Qiu A. Sleep-related breathing disorder is associated with hyperactivity in preschoolers. Singap Med J. 2014;55:257–60.CrossRef
11.
go back to reference Murthy CLS, Bharti B, Malhi P, Khadwal A. Sleep habits and sleep problems in healthy preschoolers. Indian J Pediatr. 2015;82:606–11.CrossRefPubMed Murthy CLS, Bharti B, Malhi P, Khadwal A. Sleep habits and sleep problems in healthy preschoolers. Indian J Pediatr. 2015;82:606–11.CrossRefPubMed
12.
go back to reference Sahin U, Ozturk O, Ozturk M, Songur N, Bircan A, Akkaya A. Habitual snoring in primary school children: prevalence and association with sleep-related disorders and school performance. Med Princ Pract. 2009;18:458–65.CrossRefPubMed Sahin U, Ozturk O, Ozturk M, Songur N, Bircan A, Akkaya A. Habitual snoring in primary school children: prevalence and association with sleep-related disorders and school performance. Med Princ Pract. 2009;18:458–65.CrossRefPubMed
13.
go back to reference Owens JA, Spirito A, McGuinn M. The Children’s sleep habits questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;23:1043–51.PubMed Owens JA, Spirito A, McGuinn M. The Children’s sleep habits questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;23:1043–51.PubMed
14.
go back to reference Narendhran R, Bharti B, Malhi P. Children sleep habits questionnaire (CSHQ): psychometric validation in Indian school children. Indian J Sleep Med. 2008;3:102–6. Narendhran R, Bharti B, Malhi P. Children sleep habits questionnaire (CSHQ): psychometric validation in Indian school children. Indian J Sleep Med. 2008;3:102–6.
15.
go back to reference Li S, Jin X, Shen X, et al. Development and psychometric properties of the Chinese version of Children’s sleep habits questionnaire. Zhonghua Er Ke Za Zhi. 2007;45:176–80.PubMed Li S, Jin X, Shen X, et al. Development and psychometric properties of the Chinese version of Children’s sleep habits questionnaire. Zhonghua Er Ke Za Zhi. 2007;45:176–80.PubMed
16.
go back to reference Waumans RC, Terwee CB, Van den Berg G, Knol DL, Van Litsenburg RRL, Gemke RJBJ. Sleep and sleep disturbance in children: reliability and validity of the Dutch version of the child sleep habits questionnaire. Sleep. 2010;33:841–5.PubMedPubMedCentral Waumans RC, Terwee CB, Van den Berg G, Knol DL, Van Litsenburg RRL, Gemke RJBJ. Sleep and sleep disturbance in children: reliability and validity of the Dutch version of the child sleep habits questionnaire. Sleep. 2010;33:841–5.PubMedPubMedCentral
17.
go back to reference Silva FG, Silva CR, Braga LB, Neto AS. Portuguese Children’s sleep habits questionnaire - validation and cross-cultural comparison. J Pediatr. 2014;90:78–84.CrossRef Silva FG, Silva CR, Braga LB, Neto AS. Portuguese Children’s sleep habits questionnaire - validation and cross-cultural comparison. J Pediatr. 2014;90:78–84.CrossRef
18.
go back to reference Markovich AN, Gendron MA, Corkum PV. Validating the Children’s sleep habits questionnaire against polysomnography and actigraphy in school-aged children. Front psychiatry. 2014;5:188.PubMed Markovich AN, Gendron MA, Corkum PV. Validating the Children’s sleep habits questionnaire against polysomnography and actigraphy in school-aged children. Front psychiatry. 2014;5:188.PubMed
19.
go back to reference Li L, Ren J, Shi L, et al. Frequent nocturnal awakening in children: prevalence, risk factors, and associations with subjective sleep perception and daytime sleepiness. BMC Psychiatry. 2014;14:204.CrossRefPubMedPubMedCentral Li L, Ren J, Shi L, et al. Frequent nocturnal awakening in children: prevalence, risk factors, and associations with subjective sleep perception and daytime sleepiness. BMC Psychiatry. 2014;14:204.CrossRefPubMedPubMedCentral
20.
go back to reference Blair PS, Humphreys JS, Gringras P, et al. Childhood sleep duration and associated demographic characteristics in an English cohort. Sleep. 2012;35:353–60.PubMedPubMedCentral Blair PS, Humphreys JS, Gringras P, et al. Childhood sleep duration and associated demographic characteristics in an English cohort. Sleep. 2012;35:353–60.PubMedPubMedCentral
21.
go back to reference Ipsiroglu OS, Fatemi A, Werner I, Paditz E, Schwarz B. Self-reported organic and nonorganic sleep problems in schoolchildren aged 11 to 15 years in Vienna. J Adolesc Health. 2002;31:436–42.CrossRefPubMed Ipsiroglu OS, Fatemi A, Werner I, Paditz E, Schwarz B. Self-reported organic and nonorganic sleep problems in schoolchildren aged 11 to 15 years in Vienna. J Adolesc Health. 2002;31:436–42.CrossRefPubMed
22.
go back to reference Vaher H, Kasenõmm P, Vasar V, Veldi M. A survey of parentally reported sleep health disorders in Estonian 8-9 year old children. BMC Pediatr. 2013;13:200.CrossRefPubMedPubMedCentral Vaher H, Kasenõmm P, Vasar V, Veldi M. A survey of parentally reported sleep health disorders in Estonian 8-9 year old children. BMC Pediatr. 2013;13:200.CrossRefPubMedPubMedCentral
23.
go back to reference Carter KA, Hathaway NE, Lettieri CF. Common sleep disorders in children. Am Fam Physician. 2014;89:368–77.PubMed Carter KA, Hathaway NE, Lettieri CF. Common sleep disorders in children. Am Fam Physician. 2014;89:368–77.PubMed
24.
go back to reference Ma J, Li S, Jiang F, Jin X, Shen X, Li F. Co-sleeping and childhood enuresis in China. J Dev Behav Pediatr. 2014;35:44–9.CrossRefPubMed Ma J, Li S, Jiang F, Jin X, Shen X, Li F. Co-sleeping and childhood enuresis in China. J Dev Behav Pediatr. 2014;35:44–9.CrossRefPubMed
25.
go back to reference Salcedo Aguilar F, Rodríguez Almonacid FM, Monterde Aznar ML, García Jiménez MA, Redondo Martínez P, Marcos Navarro AI. Sleeping habits and sleep disorders during adolescence: relation to school performance. Aten Primaria. 2005;35:408–14.CrossRefPubMed Salcedo Aguilar F, Rodríguez Almonacid FM, Monterde Aznar ML, García Jiménez MA, Redondo Martínez P, Marcos Navarro AI. Sleeping habits and sleep disorders during adolescence: relation to school performance. Aten Primaria. 2005;35:408–14.CrossRefPubMed
Metadata
Title
Prevalence of Sleep Disorders Among Primary School Children
Authors
Ravi Gupta
Deepak Goel
S. D. Kandpal
Nidhi Mittal
Mohan Dhyani
Manish Mittal
Publication date
01-11-2016
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 11/2016
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-016-2138-7

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