Adolescents with Obstructive Sleep Apnea Adhere Poorly to Positive Airway Pressure (PAP), but PAP Users Show Improved Attention and School Performance
2011

Adolescents with Sleep Apnea and Their Attention and School Performance

Sample size: 28 publication Evidence: moderate

Author Information

Author(s): Beebe Dean W., Byars Kelly C.

Primary Institution: Cincinnati Children’s Hospital Medical Center

Hypothesis

Adolescent PAP users would show a more positive change in academic performance and attention as compared to those nonadherent to PAP, and to untreated controls.

Conclusion

Although many adolescents prescribed PAP for OSA are non-adherent to the treatment, those who adhere to treatment can display improved attention and academic functioning.

Supporting Evidence

  • PAP Users showed stable or improved functioning, while Non-Adherent participants showed worsening functioning.
  • 83% of PAP Users had improved attention over time.
  • Non-Adherent participants' attention worsened.

Takeaway

Some teenagers with sleep apnea don't use their treatment, but those who do can do better in school and pay more attention.

Methodology

The study assessed self-reported academic grades, quality of life, and attention in adolescents with OSA before and after starting PAP treatment.

Potential Biases

Assignment to groups was not random, which may introduce bias.

Limitations

The sample size was small, and there was significant loss of subjects to follow-up.

Participant Demographics

Participants were obese adolescents aged 10-16, with a mix of boys and girls.

Statistical Information

P-Value

0.028

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0016924

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication