OBJECTIVE: To evaluate the effect of snoring and obstructive respiratory events on the distribution of sleep stages and arousals in a nonselected group of adolescents from the general population. DESIGN: Cross-sectional study. SETTING: Randomly selected secondary schools in Seville, Spain. @entity1 A general population sample of 43 adolescents (mean [SD] age, 13.6 [1.77] years). INTERVENTIONS: A questionnaire for the investigation of sleep-related @entity387 was administered. Symptoms were evaluated according to a 4-point frequency scale. Snorers answered "sometimes" or "often" to the question about snoring, and nonsnorers answered "never" or "rarely." All subjects underwent standard polysomnography at the sleep laboratory. RESULTS: Twenty-eight subjects were snorers; 15 were nonsnorers. No statistically significant differences were noted between both groups in the percentages of sleep stages, arousal index, awakenings, or wakefulness during sleep. Snorers showed a significantly higher number of respiratory arousals than nonsnorers (mean [SD], 1.14 [1.5] vs 0.33 [0.6], P<.05). However, neither the @entity27 index (AHI) nor the @entity26 desaturation index correlated with the arousal index. Twelve snorers (27.5%) had an AHI of 2 or more; 13 nonsnorers (30.2%) had an AHI of less than 2. Snorers with some obstructive respiratory events had a significantly higher number of awakenings, a lower percentage of stage 4 sleep, and a higher number of respiratory events compared with nonsnorers. However, the total number of arousals and the arousal index were similar for both groups. Wakefulness during sleep tended to be longer in snorers than in nonsnorers although differences were not significant. The percentage of respiratory events that terminated with an arousal was greater in snorers who had an AHI of 2 or more than in nonsnorers who had an AHI of less than 2 (mean [SD], 8.4% [9.5%] vs 4.9% [11.53%], P<.05). CONCLUSIONS: These data indicate normal @entity25 in the adolescents. Although snorers as well as adolescents with some @entity854 showed a higher number of respiratory arousals than control subjects, most obstructive events did not terminate with a cortical arousal, which may suggest that adolescents share with younger @entity1 this mechanism for preserving @entity25 .

Effect of snoring and obstructive respiratory events on XXXX in adolescents.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients'] @entity387 :: ('MESH:D012891', 'Disease') :: ['breathing disorders'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity27 :: ('MESH:D020181', 'Disease') :: ['apnea-hypopnea'] @entity854 :: ('MESH:D018376', 'Disease') :: ['polysomnographic abnormality'] @entity25 :: ('MESH:D012893', 'Disease') :: ['sleep architecture']
@entity25 :: (MESH:D012893,Disease) :: ['sleep architecture']
