TABLE 12

BP in Children Who Have OSAS

SourceLevelNo.Findings
Kohyama et al175IV23 suspected OSASREM diastolic BP index correlated with AHI
Age, BMI, and AHI were significant predictors of systolic BP index during REM
Kwok et al66III30 PSChildren with PS had increased daytime BP and reduced arterial distensibility
Leung et al252III96 suspected OSASChildren with a higher AHI had higher wake systolic BP and sleep systolic and diastolic BP
BMI, age, and desaturation index contributed to elevation of the diastolic BP during sleep, but only BMI contributed to the wake and sleeping systolic BP
Guilleminault et al253IIIRetrospective component: 301 suspected OSASSome children who have OSAS have orthostatic hypotension
Prospective component: 78 OSAS
Li et al176III306 community sampleOSAS was associated with elevated daytime and nocturnal BP
Amin et al177III140 suspected OSASOSAS associated with an increase in morning BP surge, BP load, and 24-h BP. BP parameters predicted changes in left ventricular wall thickness
Amin et al254III39 OSASOSAS was associated with 24-h BP dysregulation
21 PSAHI, Spo2, and arousal contribute to abnormal BP control independent of obesity
Enright et al255III239 community sampleObesity, sleep efficiency, and RDI were independently associated with elevated systolic BP
Kaditis et al174IV760 community sampleNo difference in morning BP between habitual snorers and nonhabitual snorers
  • PS, primary snoring; REM, rapid eye movement.