Síndrome da apneia obstrutiva do sono na infância: desempenho escolar e a relação com o desenvolvimento cognitivo e o comportamento

• Autor(a) principal: Silva, Fabio Ferreira da [UNIFESP]
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3558261; https://repositorio.unifesp.br/handle/11600/47445
• topic: obstructive sleep apnea; cognition; behavior; apprenticeship; child development; apneia obstrutiva do sono; cognição; comportamento; aprendizagem; desenvolvimento infantil

The Obstructive Sleep Apnea Syndrome (OSAS) and the primary snoring compose the Sleep Disordered Breathing (SDB). It is believed that the physiological functions of OSA can bring harm in cognitive development of child and can affect in different aspects. However, little is known about the school performance of children in school age who have SDB and their relation with the cognitive development and behavior. The aim of this study was comparing the school performance, cognitive development and the children?s behavior with the OSA and the primary snoring in the school age and verifying the relation between possible deficits in the skills of oral language, reading, writing and capacities of executive functions and operational memories . The sample consisted of 33 children, being 11 children with OSA, 11 children with primary snoring and 11 children control group, aged 7 to 12 years old, separated by gender, age and type of school who underwent polysomnographic exams and neuropsychological tests, including intellectual level domains, attention, executive functions, oral language, reading, writing and mathematics, as daily behavior measures. It has been compared the performance of the groups through of General Linear Model ? GLM, and it has been analyzed the correlation of the IAH and Sp02 and the obtained results of neuropsychological and behavioral tests, by Pearson's correlation coefficient. The results of neuropsychological allow to note that the sustained attention task (clinical index of CPT), executive functions (update) and estimated QI, there has been harm to the OSA and snoring groups, and in working memory, just for the primary snoring group. In the behavior there have been more indicative of commitment on the scales answered by parents, for the primary snoring group while teachers reported greater involvement in BRIEF in the OSA. In the assessment of oral language, reading, writing it was observed that the primary snoring group has underperformed compared to other groups. On the other hand, the evaluation of school performance, measured by questionnaire answered by teachers showed damage to both groups. There have been correlation between the levels of IAH and the cognitive measures, principally it is showing that this is a dimension to be considered and studied to better comprehension of the OSA symptomatology and the primary snoring in infancy.