Cardiovascular changes in children with obstructive sleep apnea and obesity after treatment with noninvasive

Valerie G Kirk1, Heather Edgell2, Hitesh Joshi2

  • 1Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada.

Insights

Noninvasive ventilation (NIV) for children with obesity and obstructive sleep apnea (OSA) slightly lowered heart rate and improved arousal-related heart rate variability, suggesting potential cardiovascular benefits.

Area of Science:

  • Pediatric Cardiology
  • Sleep Medicine
  • Cardiovascular Risk Assessment

Background:

  • Obesity and obstructive sleep apnea (OSA) in children increase cardiometabolic disease risk.
  • Noninvasive ventilation (NIV) is a common treatment for OSA in children with obesity.

Purpose of the Study:

  • To investigate the impact of NIV on heart rate variability (HRV) in children with obesity and newly diagnosed OSA.
  • HRV serves as a marker for cardiovascular risk.

Main Methods:

  • Prospective multicenter cohort study of children with obesity and moderate-severe OSA treated with NIV.
  • HRV measured via polysomnography at baseline and 12 months.
  • Analysis included sleep stages and events (arousal, desaturation).

Main Results:

  • Twelve children completed the study.
  • NIV treatment led to a 4.5 beats/min decrease in heart rate.
  • No overall change in HRV parameters, but increased arousal-related sympathetic-parasympathetic balance observed.

Conclusions:

  • NIV treatment in children with obesity and OSA shows small, potentially positive effects on cardiovascular risk.
  • Observed changes include reduced heart rate and altered arousal-related autonomic balance.
Abstract

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