Navigation Links
Snoring Kids Should Be Screened for Sleep Apnea: Experts
Date:8/28/2012

By Denise Mann
HealthDay Reporter

TUESDAY, Aug. 28 (HealthDay News) -- Kids who snore should be evaluated for sleep apnea. That's the main recommendation that comes from a set of updated guidelines released by the American Academy of Pediatrics.

"The evidence is much stronger today," said Dr. Carole Marcus, a professor of pediatrics at the Children's Hospital of Philadelphia. "Pediatricians should routinely ask parents about snoring, but if they don't, parents should bring it up," she said. "Snoring in kids can be a sign of a serious medical illness."

Marcus was referring to sleep apnea, which is marked by pauses in breathing that occur throughout the night and disrupt sleep. When left untreated, sleep apnea in children can result in behavioral and learning difficulties and may also affect growth. These consequences are largely related to lack of quality sleep.

Researchers led by Marcus reviewed studies on diagnosis and management of sleep apnea in kids published between 1999 and 2011, most of them appearing after the last set of guidelines were released in 2002. The new guidelines are published in the September issue of Pediatrics.

If a child snores, pediatricians need to follow-up with a thorough history and exam, she noted. "If this all points to sleep apnea, then get a sleep study," Marcus said. The gold standard for diagnosing sleep apnea is a formal sleep study, but this is not always possible for young children because it involves sleeping in a laboratory environment away from home. Other options may include a home sleep study where children are hooked up to a monitor in the comfort of their regular bedroom, or asking parents to videotape the child during what they believe may be an apnea episode.

Many children with sleep apnea have enlarged tonsils and adenoids. In these kids, removing tonsils and adenoids may cure the sleep apnea. Other treatments include positive airway pressure (PAP) machines to help keep the airways open during sleep. Some medications may also help treat sleep apnea.

Dr. Michael Rothschild, the director of pediatric otolaryngology at Mount Sinai Medical Center in New York City, agreed that kids who snore should be screened for sleep apnea. "If the child snores, but has small tonsils and I get a good history from parents, and they show no signs of struggling when I watch a video of them at night, I feel comfortable that this is just uncomplicated snoring," he said. "Not every kid who snores needs surgery."

And surgery alone doesn't cure every kid with sleep apnea, Rothschild added. Obesity is on the rise among kids, and is linked to sleep apnea. "There are obese kids with small tonsils and thin kids with big tonsils," he said. In obese children, weight loss is also part of the treatment plan as surgery alone may not resolve the sleep apnea entirely.

The guidelines recommend weight loss in obese or overweight children who snore, in addition to other therapy.

More information

Get the facts about sleep apnea from the U.S. National Heart, Lung, and Blood Institute.

SOURCES: Michael Rothschild, M.D., director, pediatric otolaryngology, Mount Sinai Medical Center, New York City; Carole L. Marcus, MBBCh, professor of pediatrics, Children's Hospital of Philadelphia; September 2012, Pediatrics


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Snoring Isn't Sexy Member Dr. Mark Levy attends Academy of Clinical Sleep Disorders Disciplines Conference in Phoenix, Arizona
2. Snoring Isn’t Sexy Member, Dr. Mark Levy attends the American Academy of Dental Sleep Medicine Meeting in Boston, MA
3. Study links persistent and loud snoring in young children with problem behaviors
4. Snoring Toddlers May Have More Behavior Problems
5. Canada should play a role in addressing the global cancer epidemic
6. New standards for treating traumatic shoulder injuries to improve patient care
7. Should oxygen be used for patients with chronic heart failure?
8. Men Can Still Ask for PSA Test, and Some Should, Doctors Say
9. Canada should significantly increase its funding of randomized clinical trials
10. Routine care for Crohns disease in children should include measurement of bone age
11. Older Women Should Not Take Calcium, Vitamin D: Task Force
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Snoring Kids Should Be Screened for Sleep Apnea: Experts
(Date:6/24/2016)... ... June 24, 2016 , ... ... micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas ... , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct ...
(Date:6/24/2016)... ... ... BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a ... an hour by 2020 and then adjusting it yearly to increase at the same rate ... assure the wage floor does not erode again, and make future increases more predictable. , ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB ... Decision Making in Emergency Medicine conference in Ponte Vedra Beach, FL. The awards ... in Emergency Medicine Practice and Pediatric Emergency Medicine Practice. , “With ...
(Date:6/24/2016)... ... June 24, 2016 , ... Puradigm® & Innovative ... has initiated cultivation and processing operations at its production facility, and opened its ... Puradigm is the manufacturer of a complete system of proactive air and surface ...
(Date:6/24/2016)... , ... June 24, 2016 , ... National recruitment firm ... life sciences executive with extensive sequencing and genomics experience, as Vice President of North ... Ms. Hill will be responsible for leading the sales team in the commercialization of ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 ... the addition of the " Global Markets for ... This report focuses on ... updated review, including its applications in various applications. The ... which includes three main industries: pharmaceutical and biotechnology, food ...
(Date:6/24/2016)... , June 24, 2016 The Academy ... of recommendations that would allow biopharmaceutical companies ... with entities that make formulary and coverage decisions, a ... "value" of new medicines. The recommendations address ... not appear on the drug label, a prohibition that ...
(Date:6/24/2016)... SAN CLEMENTE, Calif. , June 24, 2016  American ... function testing company, is now able to perform sophisticated lung assessments ... ndd Medical Technologies , Inc. Patients are no ...  Thanks to ndd,s EasyOne PRO ® , ARL patients like Jeanne ... needed testing done in the comfort of her own home. ...
Breaking Medicine Technology: