Morning levels of C-reactive protein in children with obstructive sleep-disordered breathing

Am J Respir Crit Care Med. 2005 Feb 1;171(3):282-6. doi: 10.1164/rccm.200407-928OC. Epub 2004 Nov 19.

Abstract

Obstructive sleep-disordered breathing is associated with cardiovascular disease in adults, and elevated C-reactive protein (CRP) has been proposed as a link between the two disorders. We hypothesized that children with sleep-disordered breathing have higher CRP values than do control subjects. CRP was measured in 39 children (mean age +/- SD: 6.9 +/- 3.2 years) without snoring (controls) and in 102 children (6.2 +/- 2.2 years) with habitual snoring who underwent polysomnography. No significant differences were found in mean CRP values between control subjects (0.12 +/- 0.16 mg/dl; n = 39) and snorers with an apnea-hypopnea index of less than 1 episode/hour (0.15 +/- 0.26; n = 18), snorers with an index of 1 or more and less than 5 (0.15 +/- 0.26; n = 54), and snorers with an index of 5 or more (0.22 +/- 0.43; n = 30; p > 0.05). There was no correlation between CRP or log-transformed CRP values and apnea-hypopnea index, respiratory movement/arousal index, Sa(O(2)) nadir, oxygen desaturation (>/= 4%) of hemoglobin index, or percentage of sleep time with saturation less than 95% (p > 0.05). Thus, findings of higher CRP values in adults with sleep-disordered breathing and correlations of these values with polysomnography indices were not confirmed in children.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Arousal / physiology
  • C-Reactive Protein / analysis*
  • Child
  • Child, Preschool
  • Circadian Rhythm
  • Hemoglobins / analysis
  • Humans
  • Oxygen / blood
  • Polysomnography
  • Respiration
  • Sleep Apnea, Obstructive / blood*
  • Snoring / blood

Substances

  • Hemoglobins
  • C-Reactive Protein
  • Oxygen