Normative heart rate parameters during sleep for children aged 6 to 11 years

Kristen Hedger Archbold1, Nathan L Johnson, James L Goodwin

  • 1Practice Division, University of Arizona College of Nursing, Tucson, AZ 85721-0203, USA. karchbold@nursing.arizona.edu

Insights

Pediatric sleeping heart rates decrease with age in children aged 6-11. Female sex, African American ethnicity, and obesity are linked to faster sleep heart rates in children.

Area of Science:

  • Pediatric Cardiology
  • Sleep Medicine
  • Biostatistics

Background:

  • Normative values for pediatric heart rates during sleep are not well-established.
  • Understanding these values is crucial for assessing cardiovascular health in children.

Purpose of the Study:

  • To establish normative sleeping heart rate values for children.
  • To investigate the influence of age, sex, body mass index (BMI), and ethnicity on pediatric sleeping heart rates.

Main Methods:

  • Electrocardiogram (ECG) data were collected from healthy children in two large sleep study cohorts (TuCASA and CCSHS).
  • Data were analyzed using analysis of variance models to compare sleeping heart rates, controlling for age, sex, ethnicity, and BMI.
  • Student t tests were employed for group comparisons within cohorts.

Main Results:

  • Younger children exhibited significantly faster sleeping heart rates than older children.
  • Girls had significantly faster sleeping heart rates compared to boys in both cohorts.
  • Obese children (BMI ≥ 95th percentile) demonstrated significantly faster sleeping heart rates than non-obese children.
  • African Americans showed faster sleeping heart rates than Caucasians in the CCSHS cohort, while no significant difference was observed between Hispanics and Caucasians in the TuCASA cohort.

Conclusions:

  • Sleeping heart rates in children aged 6 to 11 years significantly decrease with increasing age.
  • Factors associated with faster sleeping heart rates include African American ethnicity, female sex, and obesity.
Abstract

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