The establishment of quantum communication links over a global scale is enabled by satellite nodes. We examine the influence of Earth's atmosphere on the performance of quantum optical communication channels with emphasis on the downlink scenario. We derive the geometrical path length between a moving low Earth orbit satellite and an optical ground station as a function of the ground observer's zenith angle, his geographical latitude, and the meridian inclination angle of the satellite. We show that the signal distortions due to regular atmospheric refraction, atmospheric absorption, and turbulence have a strong dependence on the zenith angle. The observed saturation of transmittance fluctuations for large zenith angles is explained. The probability distribution of the transmittance for slant propagation paths is derived, which enables us to perform the security analysis of decoy state protocols implemented via satellite-mediated links.