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Purpose <p>Obstructive Sleep Apnea (OSA) impairs children’s quality of life (QoL), but the impact of air pollution and heat wave on pediatric OSA-related QoL remains unclear. This retrospective cross-sectional study investigated associations between short-term air pollutant (PM<sub>2.5</sub>, PM<sub>10</sub>, SO<sub>2</sub>, and NO<sub>2</sub>) exposure, heat wave, and QoL in children with OSA, including pollutant lag effects.</p> Methods <p>A retrospective cross-sectional study was conducted at Henan Provincial Children’s Hospital (2021–2023). Eligible participants were ≤ 14-year-old Henan residents with confirmed OSA (OAHI &gt; 1) via polysomnography. QoL was assessed by the OSA-18 Scale. Air pollutant and heat wave data were from national monitoring networks. Generalized Linear Regression Models (GLMs) analyzed continuous QoL outcomes, with sensitivity analyses performed.</p> Results <p>1869 children were included. The statistical analysis results showed that PM<sub>2.5</sub> lag03-lag07; PM<sub>10</sub> lag0-lag6, lag01-lag07; SO<sub>2</sub> lag0-lag2, lag01-lag07; NO<sub>2</sub> lag7, lag05-lag07 were statistically correlated with the impact on the QoL of pediatric patients. The maximum effect values OR were 1.042 (95% CI 1.006, 1.079), 1.030 (95% CI 1.016, 1.045), 1.774 (95% CI 1.279, 2.462), and 1.101 (95% CI 1.013, 1.197), respectively. Additionally, heat wave was associated with worse QoL (OR:1.537, 95% CI 1.021, 2.313). Sensitivity analyses confirmed result stability.</p> Conclusions <p>Air pollutants (especially SO<sub>2</sub> and NO<sub>2</sub>) and heat waves reduce QoL in children with OSA, highlighting the need for targeted environmental interventions.</p>

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Air pollution and heat wave seriously affect the quality of life of children with obstructive sleep apnea

  • 期刊论文

  • 发表日期：

    2026年2月1日

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  • Huilei Wu,
  • Xiaorong Fu,
  • Qingqing Yu,
  • Zhenhui Yang,
  • Xiaolong Su,
  • Weidong Wu,
  • Guofu Zhang,
  • Hui Wu

摘要

Purpose

Obstructive Sleep Apnea (OSA) impairs children’s quality of life (QoL), but the impact of air pollution and heat wave on pediatric OSA-related QoL remains unclear. This retrospective cross-sectional study investigated associations between short-term air pollutant (PM2.5, PM10, SO2, and NO2) exposure, heat wave, and QoL in children with OSA, including pollutant lag effects.

Methods

A retrospective cross-sectional study was conducted at Henan Provincial Children’s Hospital (2021–2023). Eligible participants were ≤ 14-year-old Henan residents with confirmed OSA (OAHI > 1) via polysomnography. QoL was assessed by the OSA-18 Scale. Air pollutant and heat wave data were from national monitoring networks. Generalized Linear Regression Models (GLMs) analyzed continuous QoL outcomes, with sensitivity analyses performed.

Results

1869 children were included. The statistical analysis results showed that PM2.5 lag03-lag07; PM10 lag0-lag6, lag01-lag07; SO2 lag0-lag2, lag01-lag07; NO2 lag7, lag05-lag07 were statistically correlated with the impact on the QoL of pediatric patients. The maximum effect values OR were 1.042 (95% CI 1.006, 1.079), 1.030 (95% CI 1.016, 1.045), 1.774 (95% CI 1.279, 2.462), and 1.101 (95% CI 1.013, 1.197), respectively. Additionally, heat wave was associated with worse QoL (OR:1.537, 95% CI 1.021, 2.313). Sensitivity analyses confirmed result stability.

Conclusions

Air pollutants (especially SO2 and NO2) and heat waves reduce QoL in children with OSA, highlighting the need for targeted environmental interventions.