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- Title
Anthropometric measures and obstructive sleep apnea in children and adolescents: a systematic review of the literature and meta-analysis.
- Authors
de Araújo Lopes, Luiza Lassi; Costa, Fábio Wildson Gurgel; Cevidanes, Lúcia Helena Soares; de Barros Silva, Paulo Goberlânio; Gurgel, Marcela Lima; Carvalho, Francisco Samuel Rodrigues; Júnior, Cauby Maia Chaves; Ribeiro, Thyciana Rodrigues
- Abstract
Background: Anthropometric measurements can be used to identify children at risk of developing obstructive sleep apnea (OSA). The study aimed to assess which anthropometric measurements (AMs) are most associated with an increased predisposition to develop OSA in healthy children and adolescents. Methods: We performed a systematic review (PROSPERO #CRD42022310572) that searched eight databases and gray literature. Results: In eight studies with low-to-high risk of bias, investigators reported the following AMs: body mass index (BMI), neck circumference, hip circumference, waist-to-hip ratio, neck-to-waist ratio, waist circumference, waist-to-height ratio, and facial AMs. The meta-analysis showed that the OSA group had an average of 1.00 cm greater for the neck circumference (p < 0.001; Cohen's d = 2.26 [0.72, 5.23]), 3.07 cm greater for the waist circumference (p = 0.030; Cohen's d = 0.28 [0.02, 0.53]), 3.96 cm greater for the hip circumference (p = 0.040; Cohen's d = 0.28 [0.02, 0.55]), 5.21° greater for the cervicomental angle (p = 0.020; Cohen's d = 0.31 [0.03, 0.59]), and 1.23° greater for maxillary-mandibular relationship angle (p < 0.001; Cohen's d = 0.47 [0.22, 0.72]) than the control group. The mandibular depth angle had a reduction of 1.86° (p = 0.001; Cohen's d = −0.36° [−0.65, −0.08]) in control than in patients with OSA. The BMI (p = 0.180), waist-to-hip ratio (p = 0.280), neck-to-waist ratio (p = 0.070), maxillary depth angle (p = 0.250), and upper/lower face height ratio (p = 0.070) showed no significant differences between groups. Conclusions: Compared to the control group, the OSA group exhibited a greater mean difference in neck circumference, the only anthropometric measurement with high certainty of evidence.
- Publication
Sleep & Breathing, 2024, Vol 28, Issue 1, p11
- ISSN
1520-9512
- Publication type
Article
- DOI
10.1007/s11325-023-02861-w