For most children and teens, the beginning of a new school year is just around the corner. Not only will they be hitting the books again after a three-month-long summer break, but many of them will also participate in after-school activities.
More research is emerging that sheds light on a serious problem affecting student-athletes nationwide: the number of children and teens who are considered obese is rising dramatically. According to the American Academy of Sleep Medicine (AASM), obesity raises the risk of cardiovascular disease and other health problems, and also increases the likelihood of developing obstructive sleep apnea (OSA).
William Kohler, MD, medical director of the Florida Sleep Institute in Spring Hill, director of pediatric sleep services at University Community Hospital in Tampa, and an AASM pediatric sleep expert, warns that the health problems brought on by obesity, such as OSA, should serve as a wake-up call to not only student-athletes and their parents, but also to their instructors and coaching staff.
"OSA can increase the risk for stroke, diabetes and cardiovascular disease," says Dr. Kohler. "When the child or teen puts on weight, the throat can narrow, and anything which narrows the posterior pharynx can lead to the development of OSA. OSA is a serious disorder that can be harmful, or even fatal, if it is not recognized and treated."
OSA causes a child or teen to stop breathing during sleep and can disturb his or her sleep several times on any given night, resulting in daytime sleepiness. Children or teens who are chronically tired may have cognitive, attention or behavioral problems, whether in the classroom or on the playing field, says Dr. Kohler, adding that they may be irritable or cranky or have ADHD.
Dr. Kohler notes that OSA symptoms may prevent a student-athlete from participating in a critical game or deter the ability to perform well in individual or head-to-head competition. In addition, OSA can lead to poor academic achievement, which can make a student ineligible to compete in after-school activities, says Dr. Kohler.
"Parents need to watch for signs of OSA such as snoring, morning headache, morning dry mouth and excessive tiredness," warns Dr. Kohler. "It is important for the parents of a child or a teen who may have OSA to consult with a sleep specialist, who can evaluate, diagnose, treat and manage OSA or any other kind of sleep disorder."
Upon meeting with a sleep specialist, the patient will discover that there are safe and effective treatments for those diagnosed with OSA. Scientific evidence shows that continuous positive airway pressure (CPAP) is the best treatment for OSA. CPAP provides a steady stream of pressurized air to patients through a mask that they wear during sleep. This airflow keeps the airway open, preventing the pauses in breathing that characterize sleep apnea and restoring normal oxygen levels.
Several studies that outline the adverse effects of OSA and other sleep problems among children and teens with regards to their athletic and academic performance were presented at SLEEP 2007, the 21st Annual Meeting of the Associated Professional Sleep Societies, this past June:
The prevalence of children and teens with OSA, as well as the negative consequences of living with OSA, have also been highlighted in several studies published in issues of SLEEP and the Journal of Clinical Sleep Medicine.
The adverse effects of OSA made headlines last year, when OSA was established as a contributing cause in the death of Reggie White, a defensive end for the Philadelphia Eagles and Green Bay Packers, at the age of 43. The AASM stresses that early detection and treatment for OSA is the best way for children and teens to avoid the same fate.
On behalf of the AASM, Dr. Kohler offers the following tips for children and teens on how to get a good night's sleep:
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