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In Search of Clear Markers for Children at Risk

Commentary by Bruno Giordani, PhD; Ronald D. Chervin, MD, MS

JAMA. 2008;299(17):2078-2080.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

ARCHIVES OF PEDIATRICS AND ADOLESCENT MEDICINE

Effect of Weight, Sleep Duration, and Comorbid Sleep Disorders on Behavioral Outcomes in Children With Sleep-Disordered Breathing

Judith A. Owens, MD, MPH; Robyn Mehlenbeck, PhD; Juhee Lee, BA; Melissa M. King, MD

Objective To assess the relative contribution of potential risk factors for adverse neurobehavioral outcomes in children referred for evaluation of sleep-disordered breathing (SDB), including weight, mean sleep duration, and comorbid sleep disorders.

Design Medical record review.

Setting Academic pediatric medical center.

Participants Clinical sample of 235 children aged 3 to 18 years undergoing overnight polysomnography for symptoms of SDB.

Outcome Measures History of behavioral, emotional, and academic problems and Child Behavior Checklist (CBCL) scores.

Results More than half (56%) of the sample was overweight or at risk for overweight, more than one-third (36%) was classified as being short sleepers, and almost half . . . [Full Text of this Article]