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Published on: December 6, 2016
Serum nitrite and nitrate levels in children with obstructive sleep-disordered breathing
Athanasios Kaditis1, Emmanouel Alexopoulos, Georgia Ntamagka
1Sleep Disorders Laboratory, University of Thessaly School of Medicine, Larissa, Greece. KADITIA@hotmail.com
Children with moderate-to-severe obstructive sleep apnea (OSA) and hypoxemia show lower nitric oxide (NO) levels. These reduced NO metabolites in children with OSA do not appear to impact blood pressure.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Cardiovascular Health
Background:
- Obstructive sleep apnea (OSA) is linked to reduced nitric oxide (NO) in adults.
- Data on NO levels in children with obstructive sleep-disordered breathing (SDB) is lacking.
Purpose of the Study:
- To measure serum NO metabolites in children with SDB.
- To investigate the relationship between NO metabolites, SDB, and blood pressure in children.
Main Methods:
- Assessed morning nitrite and nitrate (NOx) levels.
- Measured average evening and morning blood pressure.
- Compared children with SDB (moderate-to-severe and mild hypoxemia) against controls.
Main Results:
- Children with moderate-to-severe hypoxemia due to SDB had significantly lower NO metabolites compared to mild hypoxemia and control groups.
- No significant association was found between NO metabolites, SDB, or their interaction on blood pressure.
Conclusions:
- Moderate-to-severe hypoxemia in pediatric SDB is associated with decreased serum NO metabolites.
- Nitric oxide levels do not appear to influence blood pressure in children with SDB.
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