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Sleep Quality in a Case-control Subset of Trisomy 21 and Typically Developing Children in Riyadh, Kingdom of Saudi Arabia

M. Al-Khudhairy, Farah Al Shami, Anfal AlOtebe, Ghadah Al Abdan, Hana Al Ghwery, Muntaha Al Zughaibi, Reem Al Abdan, Samaher Al Quhtani

Journal of Contemporary Dental Practice, 2019

100 participants · 2 citations

Abstract

AIM

To identify sleep-domains as well as clinical features in children with trisomy 21 that may shed light on a possible sleep disturbance as compared with typically developing (TD) age-matched-controls.

MATERIALS AND METHODS

A convenient sample of 100 Saudi Arabian children between the ages of 3-12 were invited to participate from several schools and centers in Riyadh during February 2018 to April 2018. Fifty of these children had trisomy 21, and 50 were TD age-matched-controls. A clinical examination of participants' oral characteristics as well as the Wisconsin's 22 item Children's Sleep Habit Questionnaire (CSHQ) were utilized to help identify the impact of these variables on sleep quality.

RESULTS

Sleep domains that harbored strong evidence in differences between the two groups were sleep anxiety, parasomnia, and sleep-disordered-breathing. The clinical features unique to trisomy 21 were Mallampati score, macroglossia, lip-incompetence, tongue-ridging, and wear-facets.

CONCLUSION

Clinical features and sleep quality coexist, providing better insight into the degree of sleep disturbance a child with trisomy 21 may have.

CLINICAL SIGNIFICANCE

Dental clinicians must consider such factors that preclude to poor sleep, which might place children with trisomy 21 at a further disadvantage despite the fact that their baseline is already at risk of being at such a stage.

How strong is the evidence?

Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 100 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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