Autonomic dysfunction in children with sleep disordered breathing View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-05

AUTHORS

Lisa M. Walter, Gillian M. Nixon, Margot J. Davey, Vicki Anderson, Adrian M. Walker, Rosemary S. C. Horne

ABSTRACT

PURPOSE: Sleep disordered breathing (SDB) has adverse effects on cardiovascular health in adults, partly due to changes in autonomic activity. However, there have been limited studies in children. We analysed the impact of SDB and sleep stage on autonomic control of heart rate in 7-12-year-old children, utilizing spectral heart rate variability (HRV) as a measure of autonomic activity. METHODS: Eighty children underwent overnight polysomnography. Subjects were grouped according to their obstructive apnoea-hypopnoea index (OAHI): controls, OAHI ≤1 event/h and no history of snoring; primary snorers (PS) OAHI ≤1, Mild (OAHI 1-5) and moderate/severe (MS) OAHI >5. HRV was analysed during Wake, nonrapid eye movement (NREM) 1&2, slow wave sleep (SWS) and REM. RESULTS: Compared with controls, total power, low (LF) and high frequency (HF) power were reduced in all SDB severities during REM. LF/HF ratio was less in MS SDB (median = 0.34; range, 0.20-0.49; p < 0.05) versus controls (0.38; 0.26-0.55; p < 0.05) and PS (0.39; 0.23-0.57; p < 0.05) during SWS. In all groups, total power, LF and HF power were highest during NREM 1&2 while LF/HF ratio was lowest during SWS. Blood pressure was elevated in SDB in all sleep states. CONCLUSIONS: HRV was altered in 7-12-year-old children with SDB, which may signify an overall depression of autonomic tone, perhaps a consequence of their elevated blood pressure during sleep coupled with repeated exposure to SDB event-related cardiovascular disturbance. Further research is warranted to elucidate the long-term effects on the cardiovascular system of subjects exhibiting impaired HRV and elevated BP in childhood. More... »

PAGES

605-613

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11325-012-0727-x

DOI

http://dx.doi.org/10.1007/s11325-012-0727-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1051849044

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22684854


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    "description": "PURPOSE: Sleep disordered breathing (SDB) has adverse effects on cardiovascular health in adults, partly due to changes in autonomic activity. However, there have been limited studies in children. We analysed the impact of SDB and sleep stage on autonomic control of heart rate in 7-12-year-old children, utilizing spectral heart rate variability (HRV) as a measure of autonomic activity.\nMETHODS: Eighty children underwent overnight polysomnography. Subjects were grouped according to their obstructive apnoea-hypopnoea index (OAHI): controls, OAHI \u22641 event/h and no history of snoring; primary snorers (PS) OAHI \u22641, Mild (OAHI 1-5) and moderate/severe (MS) OAHI >5. HRV was analysed during Wake, nonrapid eye movement (NREM) 1&2, slow wave sleep (SWS) and REM.\nRESULTS: Compared with controls, total power, low (LF) and high frequency (HF) power were reduced in all SDB severities during REM. LF/HF ratio was less in MS SDB (median\u2009=\u20090.34; range, 0.20-0.49; p\u2009<\u20090.05) versus controls (0.38; 0.26-0.55; p\u2009<\u20090.05) and PS (0.39; 0.23-0.57; p\u2009<\u20090.05) during SWS. In all groups, total power, LF and HF power were highest during NREM 1&2 while LF/HF ratio was lowest during SWS. Blood pressure was elevated in SDB in all sleep states.\nCONCLUSIONS: HRV was altered in 7-12-year-old children with SDB, which may signify an overall depression of autonomic tone, perhaps a consequence of their elevated blood pressure during sleep coupled with repeated exposure to SDB event-related cardiovascular disturbance. Further research is warranted to elucidate the long-term effects on the cardiovascular system of subjects exhibiting impaired HRV and elevated BP in childhood.", 
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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11325-012-0727-x'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11325-012-0727-x'

Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11325-012-0727-x'


 

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