https://scholars.lib.ntu.edu.tw/handle/123456789/583194
標題: | Comparisons of Office and 24-Hour Ambulatory Blood Pressure Monitoring in Children with Obstructive Sleep Apnea | 作者: | Kang, Kun-Tai SHUENN-NAN CHIU WEN-CHIN WENG PEI-LIN LEE WEI-CHUNG HSU |
公開日期: | 2017 | 出版社: | Mosby Inc. | 卷: | 182 | 起(迄)頁: | 177-183.e2 | 來源出版物: | Journal of Pediatrics | 摘要: | Objective To compare office blood pressure (BP) and 24-hour ambulatory BP (ABP) monitoring to facilitate the diagnosis and management of hypertension in children with obstructive sleep apnea (OSA). Study design Children aged 4-16 years with OSA-related symptoms were recruited from a tertiary referral medical center. All children underwent overnight polysomnography, office BP, and 24-hour ABP studies. Multiple linear regression analyses were applied to elucidate the association between the apnea–hypopnea index and BP. Correlation and consistency between office BP and 24-hour ABP were measured by Pearson correlation, intraclass correlation, and Bland-Altman analyses. Results In the 163 children enrolled (mean age, 8.2?±?3.3 years; 67% male). The prevalence of systolic hypertension at night was significantly higher in children with moderate-to-severe OSA than in those with primary snoring (44.9% vs 16.1%, P?=?.006). Pearson correlation and intraclass correlation analyses revealed associations between office BP and 24-hour BP, and Bland-Altman analysis indicated an agreement between office and 24-hour BP measurements. However, multiple linear regression analyses demonstrated that 24-hour BP (nighttime systolic BP and mean arterial pressure), unlike office BP, was independently associated with the apnea–hypopnea index, after adjustment for adiposity variables. Conclusions Twenty-four-hour ABP is more strongly correlated with OSA in children, compared with office BP. ? 2016 Elsevier Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85007574033&doi=10.1016%2fj.jpeds.2016.11.032&partnerID=40&md5=fb89701e3dd017cb405eb50b483ed4d5 https://scholars.lib.ntu.edu.tw/handle/123456789/583194 |
ISSN: | 0022-3476 | DOI: | 10.1016/j.jpeds.2016.11.032 | SDG/關鍵字: | adolescent; apnea hypopnea index; Article; blood pressure monitoring; child; comparative study; controlled study; disease severity; female; human; hypertension; major clinical study; male; masked hypertension; mean arterial pressure; obesity; polysomnography; priority journal; sleep disordered breathing; snoring; systolic hypertension; white coat hypertension; age distribution; ambulatory care; ambulatory electrocardiography; blood pressure measurement; circadian rhythm; cohort analysis; incidence; masked hypertension; multivariate analysis; physiologic monitoring; preschool child; procedures; retrospective study; risk assessment; sex ratio; Sleep Apnea, Obstructive; statistical model; Taiwan; white coat hypertension; Adolescent; Age Distribution; Ambulatory Care; Blood Pressure Determination; Child; Child, Preschool; Circadian Rhythm; Cohort Studies; Electrocardiography, Ambulatory; Female; Humans; Incidence; Linear Models; Male; Masked Hypertension; Monitoring, Physiologic; Multivariate Analysis; Polysomnography; Retrospective Studies; Risk Assessment; Sex Distribution; Sleep Apnea, Obstructive; Taiwan; White Coat Hypertension |
顯示於: | 醫學系 |
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