Citation

Karpinski AC, Scullin MH, Montgomery-Downs HE. Sleep Med. 2008; 9(4): 418-424.

Affiliation

West Virginia University, Department of Psychology, Morgantown, West Virginia, WV 26506-6040, USA.

Copyright

(Copyright © 2008, Elsevier Publishing)

DOI

10.1016/j.sleep.2007.06.004

PMID

17689143

Abstract

BACKGROUND: Pediatric sleep-disordered breathing is known to negatively impact cognitive development. While a theoretical basis has been proposed for the developmental effect of pediatric sleep-disordered breathing on executive function specifically, this had not been directly examined among preschool-age children. This population may be particularly vulnerable if school-readiness is compromised. The purpose of the current study was to use a multi-dimensional approach to assessing executive function among preschool-age children at risk for sleep-disordered breathing. METHODS: Thirty-nine preschool children were administered executive function tasks assessing the dimensions of inhibition, working memory, and planning as part of a larger study. A parent or guardian completed a validated questionnaire concerning the child's snoring and other behaviors indicating risk for sleep-disordered breathing. RESULTS: After controlling for age in a series of regressions, higher parent-reported risk for sleep-disordered breathing was associated with substantially lower performance on each executive function dimension. In comparing the group means of children at high and low risk for sleep-disordered breathing, the single snoring frequency item also showed that children who snored frequently or almost always had lower performance on each executive function dimension. CONCLUSIONS: The results suggest that sleep-disordered breathing may be associated with impaired executive function in preschoolers, with its strongest impact on the inhibition dimension, further emphasizing the importance of early intervention for sleep-disordered breathing in this early age group.

Language: en