The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.
Twenty-four-hour ambulatory blood pressure in children with sleep-disordered breathing
Abstract
Obstructive sleep apnea causes intermittent elevation of systemic blood pressure (BP) during sleep. To determine whether obstructive apnea in children has a tonic effect on diurnal BP, 24-hour ambulatory blood pressure was obtained from 60 children with mean age of 10.8 +/- 3.5 years. Thirty-nine children had obstructive apnea and 21 had primary snoring. Children with obstructive apnea had significantly greater mean BP variability during wakefulness and sleep, a higher night-to-day systolic BP, and a smaller nocturnal dipping of mean BP. Variability of mean arterial pressure during wakefulness was predicted by the desaturation, body mass, and arousal indices, whereas variability during sleep was predicted by apnea-hypopnea and body mass indices. Nocturnal BP dipping was predicted by the desaturation index. There were no significant differences in systolic, diastolic, or mean arterial BP during sleep between the groups. Diastolic BP during wakefulness was significantly different between the groups and correlated negatively with apnea-hypopnea index. We conclude that obstructive apnea in children is associated with 24-hour BP dysregulation and that, independent of obesity, the frequency of obstructive apnea, oxygen desaturation, and arousal contributes to abnormal BP control.
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“Sleep-disordered breathing in children is associated with adverse cardiovascular effects including dysregulation of blood pressure (196, 197) and cardiac dysfunction (198, 199).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [197]
Citations
Cites
Rechtschaffen, A. (1968) · Medical Entomology and Zoology · Cited by 11,772
Prospective Study of the Association between Sleep-Disordered Breathing and Hypertension
Peppard, P. E., Young, T., Palta, M., & Skatrud, J. (2000) · New England Journal of Medicine · doi:10.1056/nejm200005113421901 · Cited by 4,973
Nieto, F. J. (2000) · JAMA · doi:10.1001/jama.283.14.1829 · Cited by 3,369
Sleep-disordered Breathing and Cardiovascular Disease
SHAHAR, E., WHITNEY, C. W., REDLINE, S., LEE, E. T., NEWMAN, A. B., JAVIER NIETO, F., O'CONNOR, G. T., BOLAND, L. L., SCHWARTZ, J. E., & SAMET, J. M. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.1.2001008 · Cited by 2,901
Ogden, C. L., Kuczmarski, R. J., Flegal, K. M., Mei, Z., Guo, S. S., Wei, R. X., Grummer‐Strawn, L. M., Curtin, L. R., Roche, A. F., & Johnson, C. L. (2002) · PEDIATRICS · doi:10.1542/peds.109.1.45 · Cited by 2,017
Sleep-Disordered Breathing and School Performance in Children
Gozal, D. (1998) · PEDIATRICS · doi:10.1542/peds.102.3.616 · Cited by 1,178
Standards and Indications for Cardiopulmonary Sleep Studies in Children. American Thoracic Society
(1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.153.2.8564147 · Cited by 1,176
National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents (1996) · PEDIATRICS · doi:10.1542/peds.98.4.649 · Cited by 999
The Prognostic Value of Ambulatory Blood Pressures
Perloff, D. (1983) · JAMA · doi:10.1001/jama.1983.03330440030027 · Cited by 882
Peker, Y., Hedner, J. A., Norum, J., Kraiczi, H., & Carlson, J. T. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2105124 · Cited by 789
Hypertension and cerebral white matter lesions in a prospective cohort study
de Leeuw, F. ‐., de Groot, J. C., Oudkerk, M., Witteman, J. C. M., Hofman, A., van Gijn, J., & Breteler, M. M. B. (2002) · Brain · doi:10.1093/brain/awf077 · Cited by 614
Prognostic Significance of Blood Pressure and Heart Rate Variabilities
Kikuya, M., Hozawa, A., Ohokubo, T., Tsuji, I., Michimata, M., Matsubara, M., Ota, M., Nagai, K., Araki, T., Satoh, H., et al. (2000) · Hypertension · doi:10.1161/01.hyp.36.5.901 · Cited by 609
Guilleminault, C., Eldridge, F. L., Simmons, F. B., & Dement, W. C. (1976) · PEDIATRICS · doi:10.1542/peds.58.1.23 · Cited by 568
Blood Pressure in Children with Obstructive Sleep Apnea
Marcus, C. L., Greene, M. G., & Carroll, J. L. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.4.9704080 · Cited by 459
Self-citationAmin, R. S., Kimball, T. R., Bean, J. A., Jeffries, J. L., Willging, J. P., Cotton, R. T., Witt, S. A., Glascock, B. J., & Daniels, S. R. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2105118 · Cited by 452
Self-citationSnoring During Early Childhood and Academic Performance at Ages Thirteen to Fourteen Years
Gozal, D., & Pope, D. W. (2001) · PEDIATRICS · doi:10.1542/peds.107.6.1394 · Cited by 441
Periventricular cerebral white matter lesions predict rate of cognitive decline
de Groot, J. C., de Leeuw, F., Oudkerk, M., van Gijn, J., Albert Hofman, D., JOLLES, J., & Breteler, M. M. B. (2002) · Annals of Neurology · doi:10.1002/ana.10294 · Cited by 434
Sympathetic nerve activity in obstructive sleep apnoea
Narkiewicz, K., & Somers, V. K. (2003) · Acta Physiologica Scandinavica · doi:10.1046/j.1365-201x.2003.01091.x · Cited by 418
Chemoreflexes – physiology and clinical implications
Kára, T., Narkiewicz, K., & Somers, V. K. (2003) · Acta Physiologica Scandinavica · doi:10.1046/j.1365-201x.2003.01083.x · Cited by 338
Cerebral white matter lesions and subjective cognitive dysfunction
de Groot, J. C., de Leeuw, F., Oudkerk, M., Albert Hofman, D., Jolles, J., & Breteler, M. M. B. (2001) · Neurology · doi:10.1212/wnl.56.11.1539 · Cited by 306
Blood pressure nomograms for children and adolescents, by height, sex, and age, in the United States
ROSNER, B. A., Prineas, R. J., Loggie, J. M. H., & Daniels, S. R. (1993) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)80382-8 · Cited by 303
Self-citationBlood Pressure Variability and Organ Damage in a General Population
Sega, R., Corrao, G., Bombelli, M., Beltrame, L., Facchetti, R., Grassi, G. M., Ferrario, M., & Mancia, G. (2002) · Hypertension · doi:10.1161/hy0202.104376 · Cited by 276
(1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.160.4.16041 · Cited by 255
Hoshide, S. (2003) · American Journal of Hypertension · doi:10.1016/s0895-7061(03)00567-3 · Cited by 239
Snoring, Intermittent Hypoxia and Academic Performance in Primary School Children
Urschitz, M. S., Guenther, A., Eggebrecht, E., Wolff, J., Urschitz‐Duprat, P. M., Schlaud, M., & Poets, C. F. (2003) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200212-1397oc · Cited by 237
Liu, M. (2003) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/18.3.563 · Cited by 231
Obstructive Sleep Apnea as a Risk Marker in Coronary Artery Disease
Schäfer, H., Koehler, U., Ewig, S., Hasper, E., Tasci, S., & Lüderitz, B. (1999) · Cardiology · doi:10.1159/000006952 · Cited by 219
Prognostic value of ambulatory blood pressure measurements: further analyses.
Perloff, D. L., Sokolow, M., Cowan, R., & Juster, R. P. (1989) · PubMed · Cited by 209
Assessment of Cardiac Autonomic Modulation during Adolescent Obesity
Rabbia, F., Silke, B., Conterno, A., Grosso, T., Vito, B. D., Rabbone, I., Chiandussi, L., & Veglio, F. (2003) · Obesity Research · doi:10.1038/oby.2003.76 · Cited by 198
Autonomic cardiovascular regulation in obesity
Laederach, K., Mussgay, L., & Rüddel, H. (2000) · Journal of Endocrinology · doi:10.1677/joe.0.1640059 · Cited by 189
Task Force II: Blood pressure measurement and cardiovacular outcome
Staessen, J. A., Asmar, R. G., Buyzere, M. D., Imai, Y., Parati, G., Shimada, K., Stergiou, G. S., Redón, J., & Verdecchia, P. (2001) · Blood Pressure Monitoring · doi:10.1097/00126097-200112000-00016 · Cited by 187
Impairment in Cardiac Autonomic Regulation Preceding Arterial Hypertension in Humans
Lucini, D., Mela, G. S., Malliani, A., & Pagani, M. (2002) · Circulation · doi:10.1161/01.cir.0000039106.89299.ab · Cited by 186
Enright, P., Goodwin, J. L., Sherrill, D. L., Quan, J. R., & Quan, S. F. (2003) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.157.9.901 · Cited by 170
Variability in Midlife Systolic Blood Pressure Is Related to Late-Life Brain White Matter Lesions
Havlik, R. J., Foley, D. J., Sayer, B., Masaki, K., White, L. R., & Launer, L. J. (2002) · Stroke · doi:10.1161/hs0102.101890 · Cited by 162
Reduced cardiovagal baroreflex gain in visceral obesity: implications for the metabolic syndrome
Beske, S. D., Alvarez, G. E., Ballard, T. P., & Davy, K. P. (2002) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00642.2001 · Cited by 143
Imadojemu, V. A., Gleeson, K., Quraishi, S. A., Kunselman, A. R., Sinoway, L. I., & Leuenberger, U. A. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.165.7.2102003 · Cited by 139
Nagai, N., Matsumoto, T., Kita, H., & Moritani, T. (2003) · Obesity Research · doi:10.1038/oby.2003.6 · Cited by 133
Carotid Artery Wall Thickness in Patients With Obstructive Sleep Apnea Syndrome
Silvestrini, M., Rizzato, B., Placidi, F., Baruffaldi, R., Bianconi, A., & Diomedi, M. (2002) · Stroke · doi:10.1161/01.str.0000019123.47840.2d · Cited by 129
Blood pressure in sleep disordered breathing
Kohyama, J. (2003) · Archives of Disease in Childhood · doi:10.1136/adc.88.2.139 · Cited by 128
Heart rate variability in childhood obesity
Martini, G., Riva, P., Rabbia, F., Molini, V., Ferrero, G. B., Cerutti, F., Carra, R., & Veglio, F. (2001) · Clinical Autonomic Research · doi:10.1007/bf02322051 · Cited by 117
Obstructive Apnea during Sleep Is Associated with Peripheral Vasoconstriction
Imadojemu, V. A., Gleeson, K., Gray, K. S., Sinoway, L. I., & Leuenberger, U. A. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.165.1.2009062 · Cited by 115
Relationship Between Blood Pressure and Subcortical Lesions in Healthy Elderly People
Goldstein, I. B., Bartzokis, G., Hance, D. B., & Shapiro, D. (1998) · Stroke · doi:10.1161/01.str.29.4.765 · Cited by 102
Altered circadian blood pressure profile and prognosis.
Verdecchia, P., Schillaci, G., Borgioni, C., Ciucci, A., Gattobigio, R., Guerrieri, M., Comparato, E., Benemio, G., & Porcellati, C. (1997) · PubMed · Cited by 96
The Effect of Correction of Sleep-Disordered Breathing on BP in Untreated Hypertension
Hla, K. M., Skatrud, J. B., Finn, L. A., Palta, M., & Young, T. B. (2002) · CHEST Journal · doi:10.1378/chest.122.4.1125 · Cited by 95
Variability in Systolic Blood Pressure--A Risk Factor for Coronary Heart Disease?
Grove, J., REED, D. M., Yano, K., & Hwang, L.-J. (1997) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009169 · Cited by 85
Blood pressure variability as an adverse prognostic risk factor in end-stage renal disease
Tozawa, M., Iseki, K., Yoshi, S., & Fukiyama, K. (1999) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/14.8.1976 · Cited by 81
Verdecchia, P., Clement, D. L., Fagard, R. H., Palatini, P., & Parati, G. (1999) · Blood Pressure Monitoring · doi:10.1097/00126097-199900460-00004 · Cited by 77
Obstructed breathing in children during sleep monitored by echocardiography
Shiomi, T., Guilleminault, C., Stoohs, R. A., & Schnittger, I. (1993) · Acta Paediatrica · doi:10.1111/j.1651-2227.1993.tb17629.x · Cited by 75
Task Force III: Target-organ damage, morbidity and mortality
Verdecchia, P., Clement, D., Fagard, R., Palatini, P., & Parati, G. (1999) · Blood Pressure Monitoring · doi:10.1097/00126097-199912000-00004 · Cited by 75
Determinants of blood pressure in childhood and adolescence
Vandongen, R., Jenner, D. A., & English, D. R. (1989) · Journal of Hypertension · doi:10.1097/00004872-198902001-00002 · Cited by 66
Davrath, L. R., Goren, Y., Pinhas, I., Toledo, E., & AKSELROD, S. (2003) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00208.2003 · Cited by 56
Reliability of nocturnal blood pressure dipping
Dimsdale, J. E., von Känel, R., Profant, J., Nelesen, R. A., Ancoli‐Israel, S., & Ziegler, M. G. (2000) · Blood Pressure Monitoring · doi:10.1097/00126097-200008000-00004 · Cited by 43
Schillaci, G., Verdecchia, P., Zampi, I., Battistelli, M., Bartoccini, C., & Porcellati, C. (1994) · PubMed · Cited by 18
Ambulatory blood pressure reproducibility and application of the method in a healthy Finnish cohort
Hietanen, E. K., & Wendelin‐Saarenhovi, M. (1996) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365519609088802 · Cited by 15
Vascular Dysfunction in Sleep Apnea
Imadojemu, V. A., Sinoway, L. I., & Leuenberger, U. A. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2312014 · Cited by 13
Sun, M., Tien, J., Jones, R., & Ward, R. (1996) · PubMed · Cited by 13
[Normal values during ambulatory blood pressure monitoring in male adolescents].
Sulbaran, T. A., & Rondón, E. S. (1997) · PubMed · Cited by 2
Research works printed but not linked: 54
- 2001, Am J Respir Crit Care Med, 19
- 2002, Stroke, 1782
- 1999, Cardiology, 79
- 2002, Chest, 1125
- 2000, N Engl J Med, 1378
- 2000, JAMA, 1829
- 2003, Am J Physiol Heart Circ Physiol, H1697
- 2002, Circulation, 2673
- 2003, Nephrol Dial Transplant, 563
- 2002, Stroke, 26
- 2001, Blood Press Monit, 355
- 1999, Nephrol Dial Transplant, 1976
- 1998, Stroke, 765
- 1999, Blood Press Monit, 303
- 1997, Blood Press Monit, 347
- 2002, Hypertension, 710
- 2002, Am J Respir Crit Care Med, 1395
- 2002, Ann Neurol, 335
- 1996, Am J Respir Crit Care Med, 866
- 1999, Am J Respir Crit Care Med, 1381
- 1996, Biomed Instrum Technol, 439
- 1997, Invest Clin, 55
- 1994, J Hum Hypertens, 23
- 1996, Scand J Clin Lab Invest, 471
- 2003, Arch Pediatr Adolesc Med, 901
- 2000, Blood Press Monit, 217
- 1996, Pediatrics, 649
- 1993, J Pediatr, 871
- 2002, Pediatrics, 45
- 1976, Pediatrics, 23
- 1993, Acta Paediatr, 863
- 1998, Am J Respir Crit Care Med, 1098
- 2003, Arch Dis Child, 139
- 2004, Am J Respir Crit Care Med, 328
- 2002, Am J Respir Crit Care Med, 950
- 2002, Am J Respir Crit Care Med, 61
- 2000, Hypertension, 901
- 1997, Am J Epidemiol, 771
- 2002, Brain, 765
- 2001, Neurology, 1539
- 1998, Pediatrics, 616
- 2001, Pediatrics, 1394
- 2002, Am J Respir Crit Care Med, 159
- 2003, Am J Respir Crit Care Med, 464
- 1983, JAMA, 2792
- 1989, J Hypertens Suppl, S3
- 2003, Am J Hypertens, 434
- 2003, Acta Physiol Scand, 385
- 2003, Acta Physiol Scand, 377
- 2001, Clin Auton Res, 87
- 2003, Obes Res, 25
- 2000, J Endocrinol, 59
- 2002, Am J Physiol Heart Circ Physiol, H630
- 2003, Obes Res, 541
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Self-citation
Metadata
- Authors
- Amin, R. S., Carroll, J. L., Jeffries, J. L., Grone, C., Bean, J. A., Chini, B., Bokulic, R., & Daniels, S. R.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-04
- Volume
- 169
- Issue
- 8
- Pages
- 950-956
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- OpenAlex
- W2106542853
- Cited by
- 354
- References
- 57
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 9 · 2023: 11 · 2022: 7 · 2021: 10 · 2020: 14 · 2019: 8 · 2018: 15 · 2017: 12 · 2016: 21 · 2015: 17 · 2014: 16 · 2013: 18 · 2012: 23
- FWCI
- 15.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- obstructive sleep apnea, pediatric sleep-disordered breathing, ambulatory blood pressure, nocturnal blood pressure dipping, blood pressure variability, oxygen desaturation, arousal index, apnea-hypopnea index, body mass index, primary snoring, diastolic blood pressure
- MeSH terms
- Adolescent, Arousal, Blood Gas Analysis, Blood Pressure, Child, Child, Preschool, Circadian Rhythm, Female, Humans, Male, Oxyhemoglobins, Severity of Illness Index, Sleep, Sleep Apnea Syndromes, Body Mass Index, Polysomnography, Blood Pressure Monitoring, Ambulatory
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