A 4-year prospective follow-up study of childhood OSA and its association with BP.

Abstract:

BACKGROUND:Childhood OSA is a prevalent condition associated with raised BP as documented in cross-sectional studies. This study aimed to determine whether baseline or change in OSA severity was associated with ambulatory BP at 4-year follow-up. METHODS:Children who participated in our previous OSA prevalence research were invited to undergo a repeat overnight sleep study and 24-h ambulatory BP monitoring in this 4-year follow-up study. BP parameters of subjects with differing baseline OSA severity, that is, obstructive apnea-hypopnea index (OAHI) < 1/h, 1 to 5/h, and > 5/h, were compared. Overweight and normal-weight children were analyzed separately. RESULTS:One hundred eighty-five of 306 subjects (60%) were included in the analysis, of whom 58 were overweight at baseline. Linear increasing trends of wake systolic BP (SBP), wake diastolic BP (DBP), and sleep SBP z scores at follow-up were found across groups of increasing baseline OSA severity in the normal weight but not in the overweight subgroup. After adjusting for BMI z score, baseline OAHI was independently associated with all BP z scores at follow-up but not associated with changes in BP z scores across 4 years. On the other hand, change in OAHI was independently associated with sleep SBP and DBP z scores at follow-up and with changes in sleep SBP and DBP z scores across 4 years. CONCLUSIONS:This study provides longitudinal data as additional proof that childhood OSA is associated with elevated BP independent of obesity.

journal_name

Chest

journal_title

Chest

authors

Li AM,Au CT,Ng C,Lam HS,Ho CKW,Wing YK

doi

10.1378/chest.13-1333

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

1255-1263

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)34797-8

journal_volume

145

pub_type

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