Normative values of polysomnographic parameters in childhood and adolescence: Cardiorespiratory parameters
To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage. One-night polysomnograhy was performed at subjects’ habitual bedtimes in 16 laboratories on 209 healthy German children, 1–18 years old. Normative va...
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| Published in | Sleep medicine Vol. 12; no. 10; pp. 988 - 996 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.12.2011
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1389-9457 1878-5506 1878-5506 |
| DOI | 10.1016/j.sleep.2011.05.006 |
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| Abstract | To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage.
One-night polysomnograhy was performed at subjects’ habitual bedtimes in 16 laboratories on 209 healthy German children, 1–18
years old.
Normative values of cardiorespiratory parameters in pediatric sleep are presented. No obstructive and mixed apneas occurred. Hypopneas were seldom. Respiratory frequency and apnea-hypopnea-index decreased with age (
p
<
0.001). In all groups central apneas ⩾20
s were present but uncommon. Oxygen desaturations or respiratory arousals following central apnea were rare. Heart rate showed an inverse correlation to age (
p
<
0.001). Heart rate was lower in sleep, lowest in stage N. The mean heart rate of females was higher than males (
p
<
0.05). Neither Tanner stage nor corresponding age (
p
<
0.05) influenced: mean apnea duration, central apnea index ⩾20
s, hypopnea index, index of periodic breathing, or oxygen saturation nadir. All other parameters except maximal apnea duration and central apnea index after movements with oxygen desaturation show dependency on both Tanner stage and corresponding age (
p
<
0.05).
Using AASM rules, the development of cardiorespiratory parameters in healthy children, ages 1–18 is shown. Age-related norms may improve sleep pathology identification. |
|---|---|
| AbstractList | To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage.OBJECTIVETo provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage.One-night polysomnograhy was performed at subjects' habitual bedtimes in 16 laboratories on 209 healthy German children, 1-18 years old.METHODSOne-night polysomnograhy was performed at subjects' habitual bedtimes in 16 laboratories on 209 healthy German children, 1-18 years old.Normative values of cardiorespiratory parameters in pediatric sleep are presented. No obstructive and mixed apneas occurred. Hypopneas were seldom. Respiratory frequency and apnea-hypopnea-index decreased with age (p<0.001). In all groups central apneas ≥ 20 s were present but uncommon. Oxygen desaturations or respiratory arousals following central apnea were rare. Heart rate showed an inverse correlation to age (p<0.001). Heart rate was lower in sleep, lowest in stage N. The mean heart rate of females was higher than males (p<0.05). Neither Tanner stage nor corresponding age (p<0.05) influenced: mean apnea duration, central apnea index ≥ 20 s, hypopnea index, index of periodic breathing, or oxygen saturation nadir. All other parameters except maximal apnea duration and central apnea index after movements with oxygen desaturation show dependency on both Tanner stage and corresponding age (p<0.05).RESULTSNormative values of cardiorespiratory parameters in pediatric sleep are presented. No obstructive and mixed apneas occurred. Hypopneas were seldom. Respiratory frequency and apnea-hypopnea-index decreased with age (p<0.001). In all groups central apneas ≥ 20 s were present but uncommon. Oxygen desaturations or respiratory arousals following central apnea were rare. Heart rate showed an inverse correlation to age (p<0.001). Heart rate was lower in sleep, lowest in stage N. The mean heart rate of females was higher than males (p<0.05). Neither Tanner stage nor corresponding age (p<0.05) influenced: mean apnea duration, central apnea index ≥ 20 s, hypopnea index, index of periodic breathing, or oxygen saturation nadir. All other parameters except maximal apnea duration and central apnea index after movements with oxygen desaturation show dependency on both Tanner stage and corresponding age (p<0.05).Using AASM rules, the development of cardiorespiratory parameters in healthy children, ages 1-18 is shown. Age-related norms may improve sleep pathology identification.CONCLUSIONSUsing AASM rules, the development of cardiorespiratory parameters in healthy children, ages 1-18 is shown. Age-related norms may improve sleep pathology identification. To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage. One-night polysomnograhy was performed at subjects’ habitual bedtimes in 16 laboratories on 209 healthy German children, 1–18 years old. Normative values of cardiorespiratory parameters in pediatric sleep are presented. No obstructive and mixed apneas occurred. Hypopneas were seldom. Respiratory frequency and apnea-hypopnea-index decreased with age ( p < 0.001). In all groups central apneas ⩾20 s were present but uncommon. Oxygen desaturations or respiratory arousals following central apnea were rare. Heart rate showed an inverse correlation to age ( p < 0.001). Heart rate was lower in sleep, lowest in stage N. The mean heart rate of females was higher than males ( p < 0.05). Neither Tanner stage nor corresponding age ( p < 0.05) influenced: mean apnea duration, central apnea index ⩾20 s, hypopnea index, index of periodic breathing, or oxygen saturation nadir. All other parameters except maximal apnea duration and central apnea index after movements with oxygen desaturation show dependency on both Tanner stage and corresponding age ( p < 0.05). Using AASM rules, the development of cardiorespiratory parameters in healthy children, ages 1–18 is shown. Age-related norms may improve sleep pathology identification. To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage. One-night polysomnograhy was performed at subjects' habitual bedtimes in 16 laboratories on 209 healthy German children, 1-18 years old. Normative values of cardiorespiratory parameters in pediatric sleep are presented. No obstructive and mixed apneas occurred. Hypopneas were seldom. Respiratory frequency and apnea-hypopnea-index decreased with age (p<0.001). In all groups central apneas ≥ 20 s were present but uncommon. Oxygen desaturations or respiratory arousals following central apnea were rare. Heart rate showed an inverse correlation to age (p<0.001). Heart rate was lower in sleep, lowest in stage N. The mean heart rate of females was higher than males (p<0.05). Neither Tanner stage nor corresponding age (p<0.05) influenced: mean apnea duration, central apnea index ≥ 20 s, hypopnea index, index of periodic breathing, or oxygen saturation nadir. All other parameters except maximal apnea duration and central apnea index after movements with oxygen desaturation show dependency on both Tanner stage and corresponding age (p<0.05). Using AASM rules, the development of cardiorespiratory parameters in healthy children, ages 1-18 is shown. Age-related norms may improve sleep pathology identification. Abstract Objective To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage. Methods One-night polysomnograhy was performed at subjects’ habitual bedtimes in 16 laboratories on 209 healthy German children, 1–18 years old. Results Normative values of cardiorespiratory parameters in pediatric sleep are presented. No obstructive and mixed apneas occurred. Hypopneas were seldom. Respiratory frequency and apnea-hypopnea-index decreased with age ( p < 0.001). In all groups central apneas ⩾20 s were present but uncommon. Oxygen desaturations or respiratory arousals following central apnea were rare. Heart rate showed an inverse correlation to age ( p < 0.001). Heart rate was lower in sleep, lowest in stage N. The mean heart rate of females was higher than males ( p < 0.05). Neither Tanner stage nor corresponding age ( p < 0.05) influenced: mean apnea duration, central apnea index ⩾20 s, hypopnea index, index of periodic breathing, or oxygen saturation nadir. All other parameters except maximal apnea duration and central apnea index after movements with oxygen desaturation show dependency on both Tanner stage and corresponding age ( p < 0.05). Conclusions Using AASM rules, the development of cardiorespiratory parameters in healthy children, ages 1–18 is shown. Age-related norms may improve sleep pathology identification. |
| Author | Wiater, Alfred Scholle, Hans Christoph Scholle, Sabine |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22036104$$D View this record in MEDLINE/PubMed |
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| References_xml | – reference: Scholle S, Wiater A, Scholle HC. Normative values of polysomnographic parameters in childhood. Arousals. in prep. – reference: Iber C, Ancoli-Israel S, Chesson A, Quan SF. 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| Snippet | To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner stage.... Abstract Objective To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and... To provide normative values for pediatric sleep cardiorespiratory parameters following AASM rules, assessing effects of gender, age, and Tanner... |
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| SubjectTerms | Adolescent Age Factors Checklist - standards Child Child, Preschool Development Female Heart rate Heart Rate - physiology Humans Infant Male Neurology Oximetry - standards Polysomnography Polysomnography - methods Polysomnography - standards Prospective Studies Reference Values Reproducibility of Results Respiration Respiratory Mechanics - physiology Sex Characteristics Sex Factors Sleep Sleep - physiology Sleep Apnea Syndromes - diagnosis Sleep Apnea, Central - diagnosis Sleep Medicine |
| Title | Normative values of polysomnographic parameters in childhood and adolescence: Cardiorespiratory parameters |
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