Original Research Article
Year: 2019 | Month: June | Volume: 6 | Issue: 6 | Pages: 350-357
Sleep Related Habits and Problems in a Community of School Children in Delhi
Dr Shruti Virmani1, Lavanya Virmani2, Prosenjit Patra3
1Senior Specialist and Asst Prof, Dept of Pediatrics, PGIMSR, Basaidarapur New Delhi-110015
2Fellow of Samuel Centre for Social Connectedness, Montreal, Canada
3Physiotherapist, Dept of Physiotherapy, ESI Model Hospital, Basaidarapur New Delhi-110015
Corresponding Author: Lavanya Virmani
ABSTRACT
This study aims to highlight the nature of sleep problems secondary to sleep disordered breathing (SDB) in children and bedtime behavioural patterns. This cross sectional study was done in a special cohort of children, under the ESIC(employees state insurance corporation) scheme, aged 5 to 13 years (males:107,females:94) and attending the paediatric outpatient department for various medical problems . The questionnaire used for this study was based on paediatric sleep questionnaire University of Michigan USA. The questionnaires were filled in by caregivers of 201 patients attending the paediatric OPD. The overall prevalence of symptoms suggestive of sleep disordered breathing (SDB) was found in 31.8%(64) patients and that of sleep habits contributing to development of behavioural insomnia in children (BIC) ,sleep association type and limit setting type was found in 55.2%(111)patients.
Sleep disordered breathing symptoms were positively correlated with medical conditions,. Snoring and snorting were positively correlated with all 3 medical conditions, i.e.tonsilar enlargement, asthma and allergy, while open mouth breathing, complaints of trouble while sleeping was positively correlated with asthma and allergy. Some Sleep disordered breathing symptoms correlated with daytime behaviour problems. Snoring correlated with inattention, snorting with decreased concentration. Open mouth breathing and grinding were correlated with daytime fatigue. Dry mouth, open mouth breathing and grinding were positively correlated with decreased alertness on morning awakening.
Only 3 patients (1.4%) complained of sleep disruption associated with enuresis; however 198(98.5%) patients did not primarily complain of sleep problems associated with any other medical condition.
Key words: Behavioural Insomnia in Children (BIC), Sleep Disordered Breathing (SDB), Obstructive Sleep Apnoea (OSA)
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