Table 2.
Classification of office BP values in combination with ABPM results and frequency of sleep disturbances in children with ADHD
Classification based on a single office BP and ABPM results* | N=55 (100%) |
---|---|
Normal BP (Office BP 90th percentile, ABPM average <95th percentile, Load <25%) | 39 (70.9%) |
White Coat HTN (Office BP ≥95th percentile, ABPM average <95th percentile, Load <25%) | 3 (5.45%) |
Pre-HTN Office (Office BP ≥90th percentile, ABPM average <95th percentile, Load ≥25%) | 0 |
Masked HTN (Office BP <95th percentile, ABPM average >95th percentile, Load ≥25%) | 2 (3.64%) |
Ambulatory HTN (Office BP >95th percentile, ABPM average >95th percentile, Load 25–50%) | 0 |
Unclassified 1 (Office BP ≤90th percentile, ABPM average <95th percentile, Load ≥25%) | 6 (10.9%) |
Unclassified 2 (Office BP ≥90th<95th percentile, ABPM average <95th percentile, Load <25%) | 5 (9.1%) |
Non-dipping (Mean sleep/(Mean wake – 0.1*Mean wake) > 1.0) | 28 (50.91%) |
Sleep disturbance based on a score > 39 on the SDSC questionnaire | 43 (78.2%) |
*Based on Flynn et al. (22).
ABPM Ambulatory blood pressure monitoring; ADHD Attention deficit/hyperactivity disorder; BP Blood pressure; HTN Hypertension; SDSC Sleep disturbance scale for children