C-reactive protein and obstructive sleep apnea syndrome in children
David Gozal1, Leila Kheirandish-Gozal, Rakesh Bhattacharjee
1Department of Pediatrics, Comer Children's Hospital, Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA. dgozal@uchicago.edu
Insights
Childhood obesity and obstructive sleep apnea syndrome (OSAS) are linked to inflammation. C-reactive protein (CRP) levels may indicate this increased cardiovascular risk in children.
Area of Science:
- Pediatric Health
- Cardiovascular Disease
- Inflammation Biology
Background:
- Childhood obesity is a growing epidemic associated with increased cardiovascular and metabolic risks.
- Obstructive sleep apnea syndrome (OSAS) is common in obese children and shares inflammatory pathways with obesity.
- Systemic inflammation, marked by C-reactive protein (CRP), is implicated in cardiovascular morbidity and atherogenesis.
Purpose of the Study:
- To review evidence linking OSAS to systemic inflammation in children.
- To examine the role of CRP as a biomarker for inflammation in pediatric OSAS and obesity.
Main Methods:
- Literature review of studies investigating OSAS, obesity, and inflammation in children.
- Focus on studies utilizing CRP as a marker of systemic inflammation.
Main Results:
- Obesity prevalence is rising in children, increasing risks for cardiovascular and metabolic diseases.
- OSAS prevalence is higher in obese children, activating similar inflammatory mechanisms.
- CRP is a key inflammatory marker associated with cardiovascular risk and may promote atherogenesis.
Conclusions:
- OSAS and obesity may exacerbate each other's adverse effects through shared inflammatory pathways.
- CRP is a significant biomarker for systemic inflammation in children with OSAS and obesity.
- Further research is needed to understand the interplay between OSAS, obesity, and inflammation in pediatric cardiovascular health.
Abstract:
Obesity has emerged as one of the most important epidemics in the western hemisphere, and as its prevalence continues to increase in children, the associated risk for cardiovascular and metabolic complications follows parallel increases in prevalence, and reflects activation of underlying inflammatory pathways. The obstructive sleep apnea syndrome (OSAS) is a frequent condition in children associated with intermittent upper airway obstruction during sleep, its prevalence is markedly increased in the presence of obesity, and is associated with activation of similar inflammatory mechanisms as those activated by obesity, suggesting that the 2 disorders may reciprocally contribute to their adverse consequences. C-reactive protein (CRP) is a prototypic marker of inflammation that has repeatedly shown promise as a potentially reliable biomarker of cardiovascular morbidity. In addition, under certain circumstances CRP may enhance inflammation, oxidative stress, and pro-coagulant activity and thus promote atherogenesis. In this paper, we will critically review the available evidence linking OSAS to systemic inflammation in children using CRP levels as the reporter biomarker.
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