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• W2103729503 abstract "<h3>Objective</h3> To assess the relative contribution of potential risk factors for adverse neurobehavioral outcomes in children referred for evaluation of sleep-disordered breathing (SDB), including weight, mean sleep duration, and comorbid sleep disorders. <h3>Design</h3> Medical record review. <h3>Setting</h3> Academic pediatric medical center. <h3>Participants</h3> Clinical sample of 235 children aged 3 to 18 years undergoing overnight polysomnography for symptoms of SDB. <h3>Outcome Measures</h3> History of behavioral, emotional, and academic problems and Child Behavior Checklist (CBCL) scores. <h3>Results</h3> More than half (56%) of the sample was overweight or at risk for overweight, more than one-third (36%) was classified as being short sleepers, and almost half (49%) had at least 1 additional sleep diagnosis. Forty-seven perent had a history of behavioral problems and 23% had a reported diagnosis of attention-deficit/hyperactivity disorder. There were no significant differences in CBCL scores based on any measure of SDB disease severity. Increased weight was associated with increased internalizing CBCL scores in a dose-dependent fashion (<i>P</i> = .003), while short sleepers were more likely to have elevated externalizing scores (<i>P</i> < .001). Overall, the strongest predictor of adverse behavioral outcomes was the presence of at least 1 additional sleep diagnosis (<i>P</i> < .001). <h3>Conclusions</h3> The relationship between SDB and parent-reported behavioral outcomes in children is complex. In addition to SDB-related impairments, clinicians should consider the relative contributions of being overweight, insufficient sleep, and comorbid sleep disorders when assessing behavior in these children." @default.
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• W2103729503 date "2008-04-01" @default.
• W2103729503 modified "2023-10-15" @default.
• W2103729503 title "Effect of Weight, Sleep Duration, and Comorbid Sleep Disorders on Behavioral Outcomes in Children With Sleep-Disordered Breathing" @default.
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• W2103729503 doi "https://doi.org/10.1001/archpedi.162.4.313" @default.
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