Obstructive sleep apnea and periodic limb movement disorder in a population of children with hypertension and/or nocturnal nondipping blood pressures
Abstract
There is a reported association between hypertension (HTN) and sleep disorders. The American Academy of Pediatrics recommends screening children with HTN for sleep disorders because sleep disorders increase the risk for cardiovascular disease. We quantified the frequency and severity of sleep disorders within our institution's hypertensive pediatric population and evaluated the effectiveness of performing nocturnal polysomnography (NPSG). In the hypertensive pediatric population referred for NPSG at our institution, 64% were diagnosed with obstructive sleep apnea (OSA) and/or periodic limb movement disorder. Thirty-three percent of those children with HTN had moderate to severe OSA, whereas only 20% of all children evaluated by NPSG had moderate to severe OSA. Those children with HTN were also two times more likely to be diagnosed with periodic limb movement disorder. Screening for sleep disorders and obtaining NPSG in children with HTN increase the identification of comorbid sleep disorders and reduce the risk for cardiovascular disease.
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A recent retrospective study found that 55% of children with hypertension referred for polysomnography were found to have sleep-disordered breathing.
“A recent retrospective study found that 55% of children with hypertension referred for polysomnography were found to have sleep-disordered breathing (195).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [195]
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- Authors
- Hartzell, K., Avis, K., Lozano, D., & Feig, D.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Hartzell, Kimberly
- ORCID
- Feig, Daniel
- Venue
- Journal of the American Society of Hypertension
- Publisher
- Elsevier BV
- Published
- 2016-02
- Volume
- 10
- Issue
- 2
- Pages
- 101-107
- ISSN
- 1878-7436 (ISSN-L)
- 1933-1711
- OpenAlex
- W2210612926
- Cited by
- 17
- References
- 36
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 2
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Society of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- obstructive sleep apnea, periodic limb movement disorder, pediatric hypertension, sleep disorder screening, nocturnal polysomnography, cardiovascular risk, comorbid sleep disorders
- MeSH terms
- Adolescent, Alabama, Blood Pressure, Cardiovascular Diseases, Child, Child, Preschool, Female, Humans, Hypertension, Male, Mass Screening, Comorbidity, Prevalence, Polysomnography, Practice Guidelines as Topic, Blood Pressure Monitoring, Ambulatory, Sleep Apnea, Obstructive, Nocturnal Myoclonus Syndrome
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