Morning Blood Pressure Is Associated with Sleep Quality in Obese Adolescents

Hannon, Tamara S.; Tu, Wanzhu; Watson, Sara E.; Jalou, Hasnaa E.; Chakravorty, Sangeeta; Arslanian, Silva

doi:10.1016/j.jpeds.2013.10.011

Cited by 24 publications

(19 citation statements)

References 24 publications

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“…39 In addition, 1 study that examined sleep stages reported that percentage of REM and slow wave sleep were each inversely associated with BP measurements taken the next morning. 48 Eight studies observed no relationship between sleep and BP, 24;35–38;49–51 and 2 studies reported that longer sleep was associated with higher BP. 52;53 One study reported mixed results, such that shorter parent- reported sleep was associated with increased BP in 11–14 year-old boys and girls, but with decreased diastolic (D) BP in younger boys.…”

Section: Resultsmentioning

confidence: 98%

Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review

2016

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Cardiovascular risk factors develop in childhood and adolescence. This enumerative review addresses whether sleep characteristics, including sleep duration, continuity, quality, and daytime sleepiness, are associated with cardiovascular risk factors in young people. Thirty-nine studies were identified that examined the following risk factors: metabolic syndrome, glucose and insulin, lipids, blood pressure, and cardiovascular responses to psychological stressors. Due to the availability of other reviews, 16 longitudinal studies of obesity published in 2011 and later were also included in this report. Excluded from the review were studies of participants with suspected or diagnosed sleep disorders and reports from sleep deprivation experiments. Combining studies, evidence was strongest for obesity, followed by glucose, insulin, blood pressure (especially ambulatory blood pressure) and parasympathetic responses to psychological stressors. There was little evidence for metabolic syndrome cluster, lipids, and blood pressure responses to psychological stressors. The more positive associations were obtained for studies that incorporated objective measures of sleep and included adolescents. The foundational evidence is almost entirely cross-sectional, except for work on obesity. In summary, available evidence suggests that the associations between sleep characteristics and cardiovascular risk vary by risk factor. It is time to conduct studies to determine antecedent and consequent relationships and to expand risk factors to include markers of inflammation.

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Section: Resultsmentioning

confidence: 98%

Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review

2016

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“…Poor sleep quality is also associated with higher blood pressure in obese adolescents 113. This association may be primarily driven by the blunting of the usual nocturnal dip in blood pressure: insufficient actigraphically measured sleep duration was associated with elevated nocturnal blood pressures in African American and Caucasian adolescents independently of BMI 114.…”

Section: Sleep Restriction and Sleep Architecture: Impact On The Metsmentioning

confidence: 99%

Role of sleep quality in the metabolic syndrome

Koren¹,

Dumin²,

Gozal³

2016

DMSO

144

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Emerging evidence has assigned an important role to sleep as a modulator of metabolic homeostasis. The impact of variations in sleep duration, sleep-disordered breathing, and chronotype to cardiometabolic function encompasses a wide array of perturbations spanning from obesity, insulin resistance, type 2 diabetes, the metabolic syndrome, and cardiovascular disease risk and mortality in both adults and children. Here, we critically and extensively review the published literature on such important issues and provide a comprehensive overview of the most salient pathophysiologic pathways underlying the links between sleep, sleep disorders, and cardiometabolic functioning.

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“…Four subsequent cross-sectional studies (class IV) identified a significant association [79][80][81][82], but one casecontrol study did not confirm this finding [83]. In a published consensus statement on childhood hypertension, polysomnography for the exclusion of OSAS in children presenting with hypertension and snoring is recommended [84].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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Morning Blood Pressure Is Associated with Sleep Quality in Obese Adolescents

Cited by 24 publications

References 24 publications

Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review

Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review

Role of sleep quality in the metabolic syndrome

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

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