Poor sleep quality has an adverse effect on childhood asthma control and lung function measures
Background It is unclear as to whether sleep respiratory breathing disorder (SRBD) is a risk factor for uncontrolled asthma in children. The aim of this study was therefore to investigate whether SRBD may have an adverse effect on childhood asthma control and lung function measures. Methods This was...
Gespeichert in:
| Veröffentlicht in: | Pediatrics international 2017-08, Vol.59 (8), p.917-922 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 922 |
|---|---|
| container_issue | 8 |
| container_start_page | 917 |
| container_title | Pediatrics international |
| container_volume | 59 |
| creator | Sheen, Youn Ho Choi, Sun Hee Jang, Sun Jung Baek, Ji Hyeon Jee, Hye Mi Kim, Mi Ae Chae, Kyu Young Han, Man Yong |
| description | Background
It is unclear as to whether sleep respiratory breathing disorder (SRBD) is a risk factor for uncontrolled asthma in children. The aim of this study was therefore to investigate whether SRBD may have an adverse effect on childhood asthma control and lung function measures.
Methods
This was a cross‐sectional study of 220 children with well‐controlled (n = 108), partly controlled (n = 92), and uncontrolled asthma (n = 20) according to the Global Initiative for Asthma guideline. SRBD was assessed using the Pediatric Sleep Questionnaire (PSQ). The association of SRBD with partly controlled/uncontrolled asthma was investigated on multivariate logistic regression analysis.
Results
Of 220 children with asthma, 43 (19.6%) had SRBD: well‐controlled, 16.7% (18/108); partly controlled, 21.7% (20/92); and uncontrolled, 25.0% (5/20; P = 0.54). There was a significant difference in forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC; P = 0.007) and childhood asthma control test (C‐ACT) score (P < 0.001) according to asthma control status, but not in PSQ score (P = 0.18). Children with obstructive sleep apnea (PSQ >0.33) had a lower C‐ACT score compared with controls (PSQ ≤0.33; 19.6 ± 5.1 vs 22.0 ± 4.2, P = 0.002). PSQ score was negatively correlated with FEV1/FVC (r = −0.16, P = 0.02). On multivariate logistic regression analysis, high PSQ score increased the odds of having partly controlled/uncontrolled asthma by 9.12 (95% CI: 1.04–79.72, P = 0.046) after adjusting for confounding factors.
Conclusion
SRBD is an independent risk factor for partly controlled/uncontrolled asthma and has an adverse effect on lung function measures in children. Further research is warranted to determine whether the improvement of sleep quality may also enhance level of asthma control and lung function in children. |
| doi_str_mv | 10.1111/ped.13312 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1893554060</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1928229377</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3772-22281b26ca325c874421c496eafcbeeee11f6bde7662f4773deef4cc1254cdc03</originalsourceid><addsrcrecordid>eNp10E9LwzAYBvAgipvTg19AAl70MJekaZseZc4_MHAHBW8hS9-4jrTZklbZtzdz20XwvSSEHw9vHoQuKbmjcUYrKO9oklB2hPqUczZkhHwcx3vCxFCQLO-hsxCWhBCRC36KekzwlJGi6CM5c87jYAFWeN0pW7UbvFABqwar8gt8AAzGgG6xa7BeVLZcOFdiFdpFrbB2TeudjbrEtms-seka3VaR1qBC5yGcoxOjbICL_TlA74-Tt_HzcPr69DK-nw51kudxYcYEnbNMq4SlWuTxE1TzIgNl9BziUGqyeQl5ljHD8zwpAQzXmrKU61KTZIBudrkr79YdhFbWVdBgrWrAdUFSUSRpykm2pdd_6NJ1vonbSVowwVgRV4rqdqe0dyF4MHLlq1r5jaREbluXsXX523q0V_vEbl7H14M81BzBaAe-Kwub_5PkbPKwi_wB0TmL9g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1928229377</pqid></control><display><type>article</type><title>Poor sleep quality has an adverse effect on childhood asthma control and lung function measures</title><source>Access via Wiley Online Library</source><source>MEDLINE</source><creator>Sheen, Youn Ho ; Choi, Sun Hee ; Jang, Sun Jung ; Baek, Ji Hyeon ; Jee, Hye Mi ; Kim, Mi Ae ; Chae, Kyu Young ; Han, Man Yong</creator><creatorcontrib>Sheen, Youn Ho ; Choi, Sun Hee ; Jang, Sun Jung ; Baek, Ji Hyeon ; Jee, Hye Mi ; Kim, Mi Ae ; Chae, Kyu Young ; Han, Man Yong</creatorcontrib><description>Background
It is unclear as to whether sleep respiratory breathing disorder (SRBD) is a risk factor for uncontrolled asthma in children. The aim of this study was therefore to investigate whether SRBD may have an adverse effect on childhood asthma control and lung function measures.
Methods
This was a cross‐sectional study of 220 children with well‐controlled (n = 108), partly controlled (n = 92), and uncontrolled asthma (n = 20) according to the Global Initiative for Asthma guideline. SRBD was assessed using the Pediatric Sleep Questionnaire (PSQ). The association of SRBD with partly controlled/uncontrolled asthma was investigated on multivariate logistic regression analysis.
Results
Of 220 children with asthma, 43 (19.6%) had SRBD: well‐controlled, 16.7% (18/108); partly controlled, 21.7% (20/92); and uncontrolled, 25.0% (5/20; P = 0.54). There was a significant difference in forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC; P = 0.007) and childhood asthma control test (C‐ACT) score (P < 0.001) according to asthma control status, but not in PSQ score (P = 0.18). Children with obstructive sleep apnea (PSQ >0.33) had a lower C‐ACT score compared with controls (PSQ ≤0.33; 19.6 ± 5.1 vs 22.0 ± 4.2, P = 0.002). PSQ score was negatively correlated with FEV1/FVC (r = −0.16, P = 0.02). On multivariate logistic regression analysis, high PSQ score increased the odds of having partly controlled/uncontrolled asthma by 9.12 (95% CI: 1.04–79.72, P = 0.046) after adjusting for confounding factors.
Conclusion
SRBD is an independent risk factor for partly controlled/uncontrolled asthma and has an adverse effect on lung function measures in children. Further research is warranted to determine whether the improvement of sleep quality may also enhance level of asthma control and lung function in children.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.13312</identifier><identifier>PMID: 28452099</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Apnea ; Asthma ; Asthma - diagnosis ; Asthma - etiology ; Asthma - physiopathology ; Breathing ; Case-Control Studies ; Child ; Child, Preschool ; Children ; Cross-Sectional Studies ; Female ; Forced Expiratory Volume ; Humans ; Logistic Models ; lung function test ; Lungs ; Male ; Measurement methods ; Pediatrics ; Regression analysis ; Respiratory function ; Risk Factors ; Sleep ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea Syndromes - physiopathology ; sleep breathing disorder ; Sleep disorders ; Studies ; Vital Capacity</subject><ispartof>Pediatrics international, 2017-08, Vol.59 (8), p.917-922</ispartof><rights>2017 Japan Pediatric Society</rights><rights>2017 Japan Pediatric Society.</rights><rights>Copyright © 2017 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3772-22281b26ca325c874421c496eafcbeeee11f6bde7662f4773deef4cc1254cdc03</citedby><cites>FETCH-LOGICAL-c3772-22281b26ca325c874421c496eafcbeeee11f6bde7662f4773deef4cc1254cdc03</cites><orcidid>0000-0002-9077-5779</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fped.13312$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.13312$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27926,27927,45576,45577</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28452099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sheen, Youn Ho</creatorcontrib><creatorcontrib>Choi, Sun Hee</creatorcontrib><creatorcontrib>Jang, Sun Jung</creatorcontrib><creatorcontrib>Baek, Ji Hyeon</creatorcontrib><creatorcontrib>Jee, Hye Mi</creatorcontrib><creatorcontrib>Kim, Mi Ae</creatorcontrib><creatorcontrib>Chae, Kyu Young</creatorcontrib><creatorcontrib>Han, Man Yong</creatorcontrib><title>Poor sleep quality has an adverse effect on childhood asthma control and lung function measures</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background
It is unclear as to whether sleep respiratory breathing disorder (SRBD) is a risk factor for uncontrolled asthma in children. The aim of this study was therefore to investigate whether SRBD may have an adverse effect on childhood asthma control and lung function measures.
Methods
This was a cross‐sectional study of 220 children with well‐controlled (n = 108), partly controlled (n = 92), and uncontrolled asthma (n = 20) according to the Global Initiative for Asthma guideline. SRBD was assessed using the Pediatric Sleep Questionnaire (PSQ). The association of SRBD with partly controlled/uncontrolled asthma was investigated on multivariate logistic regression analysis.
Results
Of 220 children with asthma, 43 (19.6%) had SRBD: well‐controlled, 16.7% (18/108); partly controlled, 21.7% (20/92); and uncontrolled, 25.0% (5/20; P = 0.54). There was a significant difference in forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC; P = 0.007) and childhood asthma control test (C‐ACT) score (P < 0.001) according to asthma control status, but not in PSQ score (P = 0.18). Children with obstructive sleep apnea (PSQ >0.33) had a lower C‐ACT score compared with controls (PSQ ≤0.33; 19.6 ± 5.1 vs 22.0 ± 4.2, P = 0.002). PSQ score was negatively correlated with FEV1/FVC (r = −0.16, P = 0.02). On multivariate logistic regression analysis, high PSQ score increased the odds of having partly controlled/uncontrolled asthma by 9.12 (95% CI: 1.04–79.72, P = 0.046) after adjusting for confounding factors.
Conclusion
SRBD is an independent risk factor for partly controlled/uncontrolled asthma and has an adverse effect on lung function measures in children. Further research is warranted to determine whether the improvement of sleep quality may also enhance level of asthma control and lung function in children.</description><subject>Apnea</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - etiology</subject><subject>Asthma - physiopathology</subject><subject>Breathing</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>lung function test</subject><subject>Lungs</subject><subject>Male</subject><subject>Measurement methods</subject><subject>Pediatrics</subject><subject>Regression analysis</subject><subject>Respiratory function</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Sleep Apnea Syndromes - diagnosis</subject><subject>Sleep Apnea Syndromes - physiopathology</subject><subject>sleep breathing disorder</subject><subject>Sleep disorders</subject><subject>Studies</subject><subject>Vital Capacity</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E9LwzAYBvAgipvTg19AAl70MJekaZseZc4_MHAHBW8hS9-4jrTZklbZtzdz20XwvSSEHw9vHoQuKbmjcUYrKO9oklB2hPqUczZkhHwcx3vCxFCQLO-hsxCWhBCRC36KekzwlJGi6CM5c87jYAFWeN0pW7UbvFABqwar8gt8AAzGgG6xa7BeVLZcOFdiFdpFrbB2TeudjbrEtms-seka3VaR1qBC5yGcoxOjbICL_TlA74-Tt_HzcPr69DK-nw51kudxYcYEnbNMq4SlWuTxE1TzIgNl9BziUGqyeQl5ljHD8zwpAQzXmrKU61KTZIBudrkr79YdhFbWVdBgrWrAdUFSUSRpykm2pdd_6NJ1vonbSVowwVgRV4rqdqe0dyF4MHLlq1r5jaREbluXsXX523q0V_vEbl7H14M81BzBaAe-Kwub_5PkbPKwi_wB0TmL9g</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Sheen, Youn Ho</creator><creator>Choi, Sun Hee</creator><creator>Jang, Sun Jung</creator><creator>Baek, Ji Hyeon</creator><creator>Jee, Hye Mi</creator><creator>Kim, Mi Ae</creator><creator>Chae, Kyu Young</creator><creator>Han, Man Yong</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9077-5779</orcidid></search><sort><creationdate>201708</creationdate><title>Poor sleep quality has an adverse effect on childhood asthma control and lung function measures</title><author>Sheen, Youn Ho ; Choi, Sun Hee ; Jang, Sun Jung ; Baek, Ji Hyeon ; Jee, Hye Mi ; Kim, Mi Ae ; Chae, Kyu Young ; Han, Man Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3772-22281b26ca325c874421c496eafcbeeee11f6bde7662f4773deef4cc1254cdc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Apnea</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - etiology</topic><topic>Asthma - physiopathology</topic><topic>Breathing</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>lung function test</topic><topic>Lungs</topic><topic>Male</topic><topic>Measurement methods</topic><topic>Pediatrics</topic><topic>Regression analysis</topic><topic>Respiratory function</topic><topic>Risk Factors</topic><topic>Sleep</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea Syndromes - physiopathology</topic><topic>sleep breathing disorder</topic><topic>Sleep disorders</topic><topic>Studies</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sheen, Youn Ho</creatorcontrib><creatorcontrib>Choi, Sun Hee</creatorcontrib><creatorcontrib>Jang, Sun Jung</creatorcontrib><creatorcontrib>Baek, Ji Hyeon</creatorcontrib><creatorcontrib>Jee, Hye Mi</creatorcontrib><creatorcontrib>Kim, Mi Ae</creatorcontrib><creatorcontrib>Chae, Kyu Young</creatorcontrib><creatorcontrib>Han, Man Yong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sheen, Youn Ho</au><au>Choi, Sun Hee</au><au>Jang, Sun Jung</au><au>Baek, Ji Hyeon</au><au>Jee, Hye Mi</au><au>Kim, Mi Ae</au><au>Chae, Kyu Young</au><au>Han, Man Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Poor sleep quality has an adverse effect on childhood asthma control and lung function measures</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2017-08</date><risdate>2017</risdate><volume>59</volume><issue>8</issue><spage>917</spage><epage>922</epage><pages>917-922</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background
It is unclear as to whether sleep respiratory breathing disorder (SRBD) is a risk factor for uncontrolled asthma in children. The aim of this study was therefore to investigate whether SRBD may have an adverse effect on childhood asthma control and lung function measures.
Methods
This was a cross‐sectional study of 220 children with well‐controlled (n = 108), partly controlled (n = 92), and uncontrolled asthma (n = 20) according to the Global Initiative for Asthma guideline. SRBD was assessed using the Pediatric Sleep Questionnaire (PSQ). The association of SRBD with partly controlled/uncontrolled asthma was investigated on multivariate logistic regression analysis.
Results
Of 220 children with asthma, 43 (19.6%) had SRBD: well‐controlled, 16.7% (18/108); partly controlled, 21.7% (20/92); and uncontrolled, 25.0% (5/20; P = 0.54). There was a significant difference in forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC; P = 0.007) and childhood asthma control test (C‐ACT) score (P < 0.001) according to asthma control status, but not in PSQ score (P = 0.18). Children with obstructive sleep apnea (PSQ >0.33) had a lower C‐ACT score compared with controls (PSQ ≤0.33; 19.6 ± 5.1 vs 22.0 ± 4.2, P = 0.002). PSQ score was negatively correlated with FEV1/FVC (r = −0.16, P = 0.02). On multivariate logistic regression analysis, high PSQ score increased the odds of having partly controlled/uncontrolled asthma by 9.12 (95% CI: 1.04–79.72, P = 0.046) after adjusting for confounding factors.
Conclusion
SRBD is an independent risk factor for partly controlled/uncontrolled asthma and has an adverse effect on lung function measures in children. Further research is warranted to determine whether the improvement of sleep quality may also enhance level of asthma control and lung function in children.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>28452099</pmid><doi>10.1111/ped.13312</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9077-5779</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1328-8067 |
| ispartof | Pediatrics international, 2017-08, Vol.59 (8), p.917-922 |
| issn | 1328-8067 1442-200X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1893554060 |
| source | Access via Wiley Online Library; MEDLINE |
| subjects | Apnea Asthma Asthma - diagnosis Asthma - etiology Asthma - physiopathology Breathing Case-Control Studies Child Child, Preschool Children Cross-Sectional Studies Female Forced Expiratory Volume Humans Logistic Models lung function test Lungs Male Measurement methods Pediatrics Regression analysis Respiratory function Risk Factors Sleep Sleep Apnea Syndromes - diagnosis Sleep Apnea Syndromes - physiopathology sleep breathing disorder Sleep disorders Studies Vital Capacity |
| title | Poor sleep quality has an adverse effect on childhood asthma control and lung function measures |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-17T16%3A10%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Poor%20sleep%20quality%20has%20an%20adverse%20effect%20on%20childhood%20asthma%20control%20and%20lung%20function%20measures&rft.jtitle=Pediatrics%20international&rft.au=Sheen,%20Youn%20Ho&rft.date=2017-08&rft.volume=59&rft.issue=8&rft.spage=917&rft.epage=922&rft.pages=917-922&rft.issn=1328-8067&rft.eissn=1442-200X&rft_id=info:doi/10.1111/ped.13312&rft_dat=%3Cproquest_cross%3E1928229377%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1928229377&rft_id=info:pmid/28452099&rfr_iscdi=true |