Mengying Xia, Jaejin An, Monika M Safford, Lisandro D Colantonio, Mario Sims, Kristi Reynolds, Andrew E Moran, Yiyi Zhang
Cardiovascular Risk Associated With Social Determinants of Health at Individual and Area Levels
JAMA network open
background childhood sleep disordered breathing sdb linked poorer academic performance however research investigated extent improvement sdb may alter outcomes across key academic skills study aimed investigate childrens early sdb status could predict later academic outcomes improvement sdb status across early childhood years would coincide better later performance key academic skills related reading numeracy listening comprehension methods eighty five case children sdb symptom score 25 maximum 77 matched 85 control children score 12 recruitment age 3 sdb severity symptom history clinical assessment evaluated ages 3 4 6 8 years performance individuallyadministered academic skills assessed age 8 91 retention age 3 case children categorized improved notimproved groups based sdb trajectories 5 years contributions sdb status trajectory group academic performance determined using regression analysis adjusted demographic variables results history sdb age 3 predicted significantly poorer performance key academic skills oral reading listening skills age 8 children whose sdb improved 45 performed better oral reading fluency whose sdb improve difficulties specific tasks involving oral language listening retell remained compared controls conclusion findings support links early sdb worse academic outcomes suggest key academic areas concern around oral language findings highlight need child mental health professionals aware childrens sleep problems particularly sdb past present assessing potential barriers childrens achievement assist appropriate timely referrals evaluation childrens sleep difficulties collaborative evaluation response intervention sleep difficulties