Published in:
01-11-2020 | Sleep Apnea | Pediatric Hypertension (C Hanevold, Section Editor)
Effect of Sleep Disorders on Blood Pressure and Hypertension in Children
Authors:
Lourdes M. DelRosso, Maria Paola Mogavero, Raffaele Ferri
Published in:
Current Hypertension Reports
|
Issue 11/2020
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Abstract
Purpose of Review
In this review, we aim to discuss the pathophysiologic basis of hypertension in sleep disorders and the current evidence in the medical literature linking sleep disorders and hypertension in children.
Recent Findings
The medical literature in adults is clear about the contribution of sleep disorders, poor sleep quality, and sleep deprivation to hypertension and increased cardiovascular risk. The literature on cardiovascular consequences of sleep disorders in children is not as robust, but there is some evidence of early cardiovascular changes in children with sleep deprivation and obstructive sleep apnea.
Summary
Children with obstructive sleep apnea have increased sympathetic activation during sleep, blunted dipping, or elevated systolic or diastolic pressures. Although the literature on other sleep disorders such as narcolepsy and restless legs syndrome is scarce, there is evidence in adults and some recent supportive data in children.