Neck circumference percentile: A screening tool for pediatric obstructive sleep apnea

• DOI: 10.1002/ppul.23003
• Publication Date: 2014-02-24T17:35:17Z
• Authors: Sherri Katz; Kimmo Murto; Nicholas Barrowman; Janine Clarke; Lynda Hoey; Franco Momoli; Robert Laberge; Jean-Philippe Vac...
• Keywords: Circumference

Rationale Large neck circumference (NC) is associated with obstructive sleep apnea (OSA) in adults, especially males. Since NC changes age and sex, a lack of reference ranges makes size difficult to assess as screening tool children. Methods Using population-based dataset 1,913 children, we developed for by sex children aged 6–17 years. In this study, collected data on 245 years presenting the Children's Hospital Eastern Ontario polysomnography. The association between > 95th percentile OSA (total apnea-hypopnea-index 5 events/hr and/or obstructive-apnea-index ≥ 1 event/hr) was explored. Thresholds BMI waist were also examined. Results Individuals had increased risk (relative 1.7 [95% CI 1.0–3.0], P = 0.04), compared those ≤ percentile. gave similar results 1.8 1.1–2.9], 0.02). When examined significant males ≥12 3.3 1.0–10.4], but not females (P 0.63). Neither nor significant. Conclusions Children youth have significantly OSA. This effect years, whereas not. may be an additional youth. Pediatr Pulmonol. 2015; 50:196–201. © 2014 Wiley Periodicals, Inc.