Abstract
Introduction: To evaluate the effect of continuous positive airway pressure (CPAP) treatment on blood pressure (BP) in children with obstructive sleep apnea (OSA). Study design: Retrospective chart review of children aged 7-17 referred to Benioff Children's Hospital Oakland for the evaluation of snoring. Data collected included age, body mass index (BMI), BP, heart rate, apnea-hypopnea index, and oxygen saturation nadir. Children were divided into 3 groups: snorers, untreated OSA, and OSA treated with CPAP. Seventy-five children were identified, 25 in each group. Results: There was no difference in age or apnea-hypopnea index among the groups. The CPAP group had higher BMI than the snorers and untreated OSA groups. Systolic BP was higher in the 2 OSA groups compared with the snorers. After CPAP treatment, systolic BP decreased. The BP decrease was significantly greater in patients with higher BMI at baseline. There was no significant change in diastolic BP in the 3 groups. Conclusion: Children with OSA have higher systolic BP than habitual snorers. Treatment with CPAP in children with OSA for 6 months reduced their systolic BP despite a small increase in their BMI.
| Original language | English |
|---|---|
| Journal | Journal of Pediatrics |
| DOIs | |
| Publication status | Accepted/In press - Jan 1 2017 |
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Keywords
- CPAP
- Obstructive sleep apnea
- Systolic blood pressure
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Systolic Blood Pressure Elevation in Children with Obstructive Sleep Apnea Is Improved with Positive Airway Pressure Use. / DelRosso, Lourdes M.; King, Janet; Ferri, Raffaele.
In: Journal of Pediatrics, 01.01.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Systolic Blood Pressure Elevation in Children with Obstructive Sleep Apnea Is Improved with Positive Airway Pressure Use
AU - DelRosso, Lourdes M.
AU - King, Janet
AU - Ferri, Raffaele
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Introduction: To evaluate the effect of continuous positive airway pressure (CPAP) treatment on blood pressure (BP) in children with obstructive sleep apnea (OSA). Study design: Retrospective chart review of children aged 7-17 referred to Benioff Children's Hospital Oakland for the evaluation of snoring. Data collected included age, body mass index (BMI), BP, heart rate, apnea-hypopnea index, and oxygen saturation nadir. Children were divided into 3 groups: snorers, untreated OSA, and OSA treated with CPAP. Seventy-five children were identified, 25 in each group. Results: There was no difference in age or apnea-hypopnea index among the groups. The CPAP group had higher BMI than the snorers and untreated OSA groups. Systolic BP was higher in the 2 OSA groups compared with the snorers. After CPAP treatment, systolic BP decreased. The BP decrease was significantly greater in patients with higher BMI at baseline. There was no significant change in diastolic BP in the 3 groups. Conclusion: Children with OSA have higher systolic BP than habitual snorers. Treatment with CPAP in children with OSA for 6 months reduced their systolic BP despite a small increase in their BMI.
AB - Introduction: To evaluate the effect of continuous positive airway pressure (CPAP) treatment on blood pressure (BP) in children with obstructive sleep apnea (OSA). Study design: Retrospective chart review of children aged 7-17 referred to Benioff Children's Hospital Oakland for the evaluation of snoring. Data collected included age, body mass index (BMI), BP, heart rate, apnea-hypopnea index, and oxygen saturation nadir. Children were divided into 3 groups: snorers, untreated OSA, and OSA treated with CPAP. Seventy-five children were identified, 25 in each group. Results: There was no difference in age or apnea-hypopnea index among the groups. The CPAP group had higher BMI than the snorers and untreated OSA groups. Systolic BP was higher in the 2 OSA groups compared with the snorers. After CPAP treatment, systolic BP decreased. The BP decrease was significantly greater in patients with higher BMI at baseline. There was no significant change in diastolic BP in the 3 groups. Conclusion: Children with OSA have higher systolic BP than habitual snorers. Treatment with CPAP in children with OSA for 6 months reduced their systolic BP despite a small increase in their BMI.
KW - CPAP
KW - Obstructive sleep apnea
KW - Systolic blood pressure
UR - http://www.scopus.com/inward/record.url?scp=85038880915&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85038880915&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2017.11.043
DO - 10.1016/j.jpeds.2017.11.043
M3 - Article
AN - SCOPUS:85038880915
JO - Journal of Pediatrics
JF - Journal of Pediatrics
SN - 0022-3476
ER -