Childhood obstructive sleep apnea associates with neuropsychological deficits and neuronal brain injury.

Abstract:

BACKGROUND:Childhood obstructive sleep apnea (OSA) is associated with neuropsychological deficits of memory, learning, and executive function. There is no evidence of neuronal brain injury in children with OSA. We hypothesized that childhood OSA is associated with neuropsychological performance dysfunction, and with neuronal metabolite alterations in the brain, indicative of neuronal injury in areas corresponding to neuropsychological function. METHODS AND FINDINGS:We conducted a cross-sectional study of 31 children (19 with OSA and 12 healthy controls, aged 6-16 y) group-matched by age, ethnicity, gender, and socioeconomic status. Participants underwent polysomnography and neuropsychological assessments. Proton magnetic resonance spectroscopic imaging was performed on a subset of children with OSA and on matched controls. Neuropsychological test scores and mean neuronal metabolite ratios of target brain areas were compared. Relative to controls, children with severe OSA had significant deficits in IQ and executive functions (verbal working memory and verbal fluency). Children with OSA demonstrated decreases of the mean neuronal metabolite ratio N-acetyl aspartate/choline in the left hippocampus (controls: 1.29, standard deviation [SD] 0.21; OSA: 0.91, SD 0.05; p = 0.001) and right frontal cortex (controls: 2.2, SD 0.4; OSA: 1.6, SD 0.4; p = 0.03). CONCLUSIONS:Childhood OSA is associated with deficits of IQ and executive function and also with possible neuronal injury in the hippocampus and frontal cortex. We speculate that untreated childhood OSA could permanently alter a developing child's cognitive potential.

journal_name

PLoS Med

journal_title

PLoS medicine

authors

Halbower AC,Degaonkar M,Barker PB,Earley CJ,Marcus CL,Smith PL,Prahme MC,Mahone EM

doi

10.1371/journal.pmed.0030301

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

e301

issue

8

eissn

1549-1277

issn

1549-1676

pii

06-PLME-RA-0016R2

journal_volume

3

pub_type

杂志文章
  • Correction: Using Qualitative Evidence in Decision Making for Health and Social Interventions: An Approach to Assess Confidence in Findings from Qualitative Evidence Syntheses (GRADE-CERQual).

    abstract::[This corrects the article DOI: 10.1371/journal.pmed.1001895.]. ...

    journal_title:PLoS medicine

    pub_type: 已发布勘误

    doi:10.1371/journal.pmed.1002065

    authors: PLOS Medicine Staff.

    更新日期:2016-06-10 00:00:00

  • Pharmacological and rAAV gene therapy rescue of visual functions in a blind mouse model of Leber congenital amaurosis.

    abstract:BACKGROUND:Leber congenital amaurosis (LCA), a heterogeneous early-onset retinal dystrophy, accounts for approximately 15% of inherited congenital blindness. One cause of LCA is loss of the enzyme lecithin:retinol acyl transferase (LRAT), which is required for regeneration of the visual photopigment in the retina. MET...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.0020333

    authors: Batten ML,Imanishi Y,Tu DC,Doan T,Zhu L,Pang J,Glushakova L,Moise AR,Baehr W,Van Gelder RN,Hauswirth WW,Rieke F,Palczewski K

    更新日期:2005-11-01 00:00:00

  • Can animal models of disease reliably inform human studies?

    abstract::H. Bart van der Worp and colleagues discuss the controversies and possibilities of translating the results of animal experiments into human clinical trials. ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1000245

    authors: van der Worp HB,Howells DW,Sena ES,Porritt MJ,Rewell S,O'Collins V,Macleod MR

    更新日期:2010-03-30 00:00:00

  • Association between ambient air pollution and daily hospital admissions for ischemic stroke: A nationwide time-series analysis.

    abstract:BACKGROUND:Evidence of the short-term effects of ambient air pollution on the risk of ischemic stroke in low- and middle-income countries is limited and inconsistent. We aimed to examine the associations between air pollution and daily hospital admissions for ischemic stroke in China. METHODS AND FINDINGS:We identifie...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1002668

    authors: Tian Y,Liu H,Zhao Z,Xiang X,Li M,Juan J,Song J,Cao Y,Wang X,Chen L,Wei C,Hu Y,Gao P

    更新日期:2018-10-04 00:00:00

  • "A good personal scientific relationship": Philip Morris scientists and the Chulabhorn Research Institute, Bangkok.

    abstract:BACKGROUND:This paper examines the efforts of consultants affiliated with Philip Morris (PM), the world's leading transnational tobacco corporation, to influence scientific research and training in Thailand via the Chulabhorn Research Institute (CRI). A leading Southeast Asian institute for environmental health science...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.0050238

    authors: Mackenzie R,Collin J

    更新日期:2008-12-23 00:00:00

  • Towards Equity in Service Provision for Gay Men and Other Men Who Have Sex with Men in Repressive Contexts.

    abstract::Chris Beyrer and colleagues reflect on an underappreciated trend in multiple African, Asian, and Caribbean settings, in which the provision of HIV and other essential health services for sexual and gender minorities is expanding despite challenging legal and social environments. ...

    journal_title:PLoS medicine

    pub_type: 社论

    doi:10.1371/journal.pmed.1002154

    authors: Beyrer C,Makofane K,Orazulike I,Diouf D,Baral SD

    更新日期:2016-10-25 00:00:00

  • Patented drug extension strategies on healthcare spending: a cost-evaluation analysis.

    abstract:BACKGROUND:Drug manufacturers have developed "evergreening" strategies to compete with generic medication after patent termination. These include marketing of slightly modified follow-on drugs. We aimed to estimate the financial impact of these drugs on overall healthcare costs and also to examine the impact of listing...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001460

    authors: Vernaz N,Haller G,Girardin F,Huttner B,Combescure C,Dayer P,Muscionico D,Salomon JL,Bonnabry P

    更新日期:2013-01-01 00:00:00

  • Modelling the strategic use of antiretroviral therapy for the treatment and prevention of HIV.

    abstract::Nathan Ford and Gottfried Hirnschall reflect on recent research by Jan Hontelez and colleagues published in this week's PLOS Medicine. The authors argue that the future HIV modeling efforts should focus on helping programs make choices about which interventions need to be prioritized in order to achieve the levels of ...

    journal_title:PLoS medicine

    pub_type: 评论,杂志文章

    doi:10.1371/journal.pmed.1001535

    authors: Ford N,Hirnschall G

    更新日期:2013-10-01 00:00:00

  • Assessing the Causal Relationship of Maternal Height on Birth Size and Gestational Age at Birth: A Mendelian Randomization Analysis.

    abstract:BACKGROUND:Observational epidemiological studies indicate that maternal height is associated with gestational age at birth and fetal growth measures (i.e., shorter mothers deliver infants at earlier gestational ages with lower birth weight and birth length). Different mechanisms have been postulated to explain these as...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001865

    authors: Zhang G,Bacelis J,Lengyel C,Teramo K,Hallman M,Helgeland Ø,Johansson S,Myhre R,Sengpiel V,Njølstad PR,Jacobsson B,Muglia L

    更新日期:2015-08-18 00:00:00

  • Searching for Public Health Law's Sweet Spot: The Regulation of Sugar-Sweetened Beverages.

    abstract::David Studdert and colleagues explore how to balance public health, individual freedom, and good government when it comes to sugar-sweetened drinks. ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001848

    authors: Studdert DM,Flanders J,Mello MM

    更新日期:2015-07-07 00:00:00

  • The association between heat exposure and hospitalization for undernutrition in Brazil during 2000-2015: A nationwide case-crossover study.

    abstract:BACKGROUND:Global warming is predicted to indirectly result in more undernutrition by threatening crop production. Whether temperature rise could affect undernutrition directly is unknown. We aim to quantify the relationship between short-term heat exposure and risk of hospitalization due to undernutrition in Brazil. ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1002950

    authors: Xu R,Zhao Q,Coelho MSZS,Saldiva PHN,Abramson MJ,Li S,Guo Y

    更新日期:2019-10-29 00:00:00

  • Impaired hepatitis C virus-specific T cell responses and recurrent hepatitis C virus in HIV coinfection.

    abstract:BACKGROUND:Hepatitis C virus (HCV)-specific T cell responses are critical for spontaneous resolution of HCV viremia. Here we examined the effect of a lymphotropic virus, HIV-1, on the ability of coinfected patients to maintain spontaneous control of HCV infection. METHODS AND FINDINGS:We measured T cell responsiveness...

    journal_title:PLoS medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1371/journal.pmed.0030492

    authors: Kim AY,Schulze zur Wiesch J,Kuntzen T,Timm J,Kaufmann DE,Duncan JE,Jones AM,Wurcel AG,Davis BT,Gandhi RT,Robbins GK,Allen TM,Chung RT,Lauer GM,Walker BD

    更新日期:2006-12-01 00:00:00

  • Discovery and validation of a prognostic proteomic signature for tuberculosis progression: A prospective cohort study.

    abstract:BACKGROUND:A nonsputum blood test capable of predicting progression of healthy individuals to active tuberculosis (TB) before clinical symptoms manifest would allow targeted treatment to curb transmission. We aimed to develop a proteomic biomarker of risk of TB progression for ultimate translation into a point-of-care ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1002781

    authors: Penn-Nicholson A,Hraha T,Thompson EG,Sterling D,Mbandi SK,Wall KM,Fisher M,Suliman S,Shankar S,Hanekom WA,Janjic N,Hatherill M,Kaufmann SHE,Sutherland J,Walzl G,De Groote MA,Ochsner U,Zak DE,Scriba TJ,ACS and GC6–74

    更新日期:2019-04-16 00:00:00

  • Risk, treatment duration, and recurrence risk of postpartum affective disorder in women with no prior psychiatric history: A population-based cohort study.

    abstract:BACKGROUND:Some 5%-15% of all women experience postpartum depression (PPD), which for many is their first psychiatric disorder. The purpose of this study was to estimate the incidence of postpartum affective disorder (AD), duration of treatment, and rate of subsequent postpartum AD and other affective episodes in a nat...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1002392

    authors: Rasmussen MH,Strøm M,Wohlfahrt J,Videbech P,Melbye M

    更新日期:2017-09-26 00:00:00

  • Associations among circulating sphingolipids, β-cell function, and risk of developing type 2 diabetes: A population-based cohort study in China.

    abstract:BACKGROUND:Animal studies suggest vital roles of sphingolipids, especially ceramides, in the pathogenesis of type 2 diabetes (T2D) via pathways involved in insulin resistance, β-cell dysfunction, and inflammation, but human studies are limited. We aimed to evaluate the associations of circulating sphingolipids with inc...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1003451

    authors: Yun H,Sun L,Wu Q,Zong G,Qi Q,Li H,Zheng H,Zeng R,Liang L,Lin X

    更新日期:2020-12-09 00:00:00

  • Tobacco company efforts to influence the Food and Drug Administration-commissioned Institute of Medicine report clearing the smoke: an analysis of documents released through litigation.

    abstract:BACKGROUND:Spurred by the creation of potential modified risk tobacco products, the US Food and Drug Administration (FDA) commissioned the Institute of Medicine (IOM) to assess the science base for tobacco "harm reduction," leading to the 2001 IOM report Clearing the Smoke. The objective of this study was to determine ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001450

    authors: Tan CE,Kyriss T,Glantz SA

    更新日期:2013-01-01 00:00:00

  • Heritability of malaria in Africa.

    abstract:BACKGROUND:While many individual genes have been identified that confer protection against malaria, the overall impact of host genetics on malarial risk remains unknown. METHODS AND FINDINGS:We have used pedigree-based genetic variance component analysis to determine the relative contributions of genetic and other fac...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.0020340

    authors: Mackinnon MJ,Mwangi TW,Snow RW,Marsh K,Williams TN

    更新日期:2005-12-01 00:00:00

  • Organophosphate exposures during pregnancy and child neurodevelopment: Recommendations for essential policy reforms.

    abstract::In a Policy Forum, Irva Hertz-Picciotto and colleagues review the scientific evidence linking organophosphate pesticides to cognitive, behavioral, and neurological deficits in children and recommend actions to reduce exposures. ...

    journal_title:PLoS medicine

    pub_type: 杂志文章,评审

    doi:10.1371/journal.pmed.1002671

    authors: Hertz-Picciotto I,Sass JB,Engel S,Bennett DH,Bradman A,Eskenazi B,Lanphear B,Whyatt R

    更新日期:2018-10-24 00:00:00

  • Transmission of Multidrug-Resistant and Drug-Susceptible Tuberculosis within Households: A Prospective Cohort Study.

    abstract:BACKGROUND:The "fitness" of an infectious pathogen is defined as the ability of the pathogen to survive, reproduce, be transmitted, and cause disease. The fitness of multidrug-resistant tuberculosis (MDRTB) relative to drug-susceptible tuberculosis is cited as one of the most important determinants of MDRTB spread and ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001843

    authors: Grandjean L,Gilman RH,Martin L,Soto E,Castro B,Lopez S,Coronel J,Castillo E,Alarcon V,Lopez V,San Miguel A,Quispe N,Asencios L,Dye C,Moore DA

    更新日期:2015-06-23 00:00:00

  • Preoperative/neoadjuvant therapy in pancreatic cancer: a systematic review and meta-analysis of response and resection percentages.

    abstract:BACKGROUND:Pancreatic cancer has an extremely poor prognosis and prolonged survival is achieved only by resection with macroscopic tumor clearance. There is a strong rationale for a neoadjuvant approach, since a relevant percentage of pancreatic cancer patients present with non-metastatic but locally advanced disease a...

    journal_title:PLoS medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1371/journal.pmed.1000267

    authors: Gillen S,Schuster T,Meyer Zum Büschenfelde C,Friess H,Kleeff J

    更新日期:2010-04-20 00:00:00

  • Lentiviral expression of retinal guanylate cyclase-1 (RetGC1) restores vision in an avian model of childhood blindness.

    abstract:BACKGROUND:Leber congenital amaurosis (LCA) is a genetically heterogeneous group of retinal diseases that cause congenital blindness in infants and children. Mutations in the GUCY2D gene that encodes retinal guanylate cyclase-1 (retGC1) were the first to be linked to this disease group (LCA type 1 [LCA1]) and account f...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.0030201

    authors: Williams ML,Coleman JE,Haire SE,Aleman TS,Cideciyan AV,Sokal I,Palczewski K,Jacobson SG,Semple-Rowland SL

    更新日期:2006-06-01 00:00:00

  • HIV self-testing among female sex workers in Zambia: A cluster randomized controlled trial.

    abstract:BACKGROUND:HIV self-testing (HIVST) may play a role in addressing gaps in HIV testing coverage and as an entry point for HIV prevention services. We conducted a cluster randomized trial of 2 HIVST distribution mechanisms compared to the standard of care among female sex workers (FSWs) in Zambia. METHODS AND FINDINGS:T...

    journal_title:PLoS medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1371/journal.pmed.1002442

    authors: Chanda MM,Ortblad KF,Mwale M,Chongo S,Kanchele C,Kamungoma N,Fullem A,Dunn C,Barresi LG,Harling G,Bärnighausen T,Oldenburg CE

    更新日期:2017-11-21 00:00:00

  • Fetal growth and risk of stillbirth: a population-based case-control study.

    abstract:BACKGROUND:Stillbirth is strongly related to impaired fetal growth. However, the relationship between fetal growth and stillbirth is difficult to determine because of uncertainty in the timing of death and confounding characteristics affecting normal fetal growth. METHODS AND FINDINGS:We conducted a population-based c...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001633

    authors: Bukowski R,Hansen NI,Willinger M,Reddy UM,Parker CB,Pinar H,Silver RM,Dudley DJ,Stoll BJ,Saade GR,Koch MA,Rowland Hogue CJ,Varner MW,Conway DL,Coustan D,Goldenberg RL,Eunice Kennedy Shriver National Institute of Child Hea

    更新日期:2014-04-22 00:00:00

  • Suspected heroin-related overdoses incidents in Cincinnati, Ohio: A spatiotemporal analysis.

    abstract:BACKGROUND:Opioid misuse and deaths are increasing in the United States. In 2017, Ohio had the second highest overdose rates in the US, with the city of Cincinnati experiencing a 50% rise in opioid overdoses since 2015. Understanding the temporal and geographic variation in overdose emergencies may help guide public po...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1002956

    authors: Li ZR,Xie E,Crawford FW,Warren JL,McConnell K,Copple JT,Johnson T,Gonsalves GS

    更新日期:2019-11-12 00:00:00

  • Primary prevention of gestational diabetes mellitus and large-for-gestational-age newborns by lifestyle counseling: a cluster-randomized controlled trial.

    abstract:BACKGROUND:Our objective was to examine whether gestational diabetes mellitus (GDM) or newborns' high birthweight can be prevented by lifestyle counseling in pregnant women at high risk of GDM. METHOD AND FINDINGS:We conducted a cluster-randomized trial, the NELLI study, in 14 municipalities in Finland, where 2,271 wo...

    journal_title:PLoS medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1371/journal.pmed.1001036

    authors: Luoto R,Kinnunen TI,Aittasalo M,Kolu P,Raitanen J,Ojala K,Mansikkamäki K,Lamberg S,Vasankari T,Komulainen T,Tulokas S

    更新日期:2011-05-01 00:00:00

  • EGF receptor-targeted synthetic double-stranded RNA eliminates glioblastoma, breast cancer, and adenocarcinoma tumors in mice.

    abstract:BACKGROUND:Glioblastoma multiforme (GBM) is the most lethal form of brain cancer. With the available treatments, survival does not exceed 12-14 mo from the time of diagnosis. We describe a novel strategy to selectively induce the death of glioblastoma cells and other cancer cells that over-express the EGF receptor. Usi...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.0030006

    authors: Shir A,Ogris M,Wagner E,Levitzki A

    更新日期:2006-01-01 00:00:00

  • Contribution of H. pylori and smoking trends to US incidence of intestinal-type noncardia gastric adenocarcinoma: a microsimulation model.

    abstract:BACKGROUND:Although gastric cancer has declined dramatically in the US, the disease remains the second leading cause of cancer mortality worldwide. A better understanding of reasons for the decline can provide important insights into effective preventive strategies. We sought to estimate the contribution of risk factor...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001451

    authors: Yeh JM,Hur C,Schrag D,Kuntz KM,Ezzati M,Stout N,Ward Z,Goldie SJ

    更新日期:2013-01-01 00:00:00

  • The role of HIV-related stigma in utilization of skilled childbirth services in rural Kenya: a prospective mixed-methods study.

    abstract:BACKGROUND:Childbirth with a skilled attendant is crucial for preventing maternal mortality and is an important opportunity for prevention of mother-to-child transmission of HIV. The Maternity in Migori and AIDS Stigma Study (MAMAS Study) is a prospective mixed-methods investigation conducted in a high HIV prevalence a...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001295

    authors: Turan JM,Hatcher AH,Medema-Wijnveen J,Onono M,Miller S,Bukusi EA,Turan B,Cohen CR

    更新日期:2012-01-01 00:00:00

  • What is the relationship of medical humanitarian organisations with mining and other extractive industries?

    abstract::Philippe Calain discusses the health and environmental hazards of extractive industries like mining and explores the tensions that arise when medical humanitarian organizations are called to intervene in emergencies involving the extractive sector. ...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1001302

    authors: Calain P

    更新日期:2012-01-01 00:00:00

  • Changes in the amount of nutrient of packaged foods and beverages after the initial implementation of the Chilean Law of Food Labelling and Advertising: A nonexperimental prospective study.

    abstract:BACKGROUND:In June 2016, the first phase of the Chilean Food Labelling and Advertising Law that mandated front-of-package warning labels and marketing restrictions for unhealthy foods and beverages was implemented. We assess foods and beverages reformulation after this initial implementation. METHODS AND FINDINGS:A da...

    journal_title:PLoS medicine

    pub_type: 杂志文章

    doi:10.1371/journal.pmed.1003220

    authors: Reyes M,Smith Taillie L,Popkin B,Kanter R,Vandevijvere S,Corvalán C

    更新日期:2020-07-28 00:00:00