Asthma control, social jetlag, and sleep impairment in high school adolescents
Social jetlag is associated with several negative health outcomes, but its impact on asthma control has not been previously investigated. Although impaired sleep is common in asthma, studies on the relationship between sleep quality, social jetlag and asthma control in adolescents are scarce. To inv...
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Veröffentlicht in: | Sleep medicine 2022-11, Vol.99, p.34-40 |
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description | Social jetlag is associated with several negative health outcomes, but its impact on asthma control has not been previously investigated. Although impaired sleep is common in asthma, studies on the relationship between sleep quality, social jetlag and asthma control in adolescents are scarce.
To investigate the relationship between asthma control and sleep quality, sleep-wake pattern and excessive daytime sleepiness in adolescents.
This was a cross-sectional study of 1457 Brazilian high-school adolescents. Asthma was identified using the International Study of Asthma and Allergies in Childhood questionnaire, and disease control was measured by the Asthma Control Test. Sleep-wake pattern and social jetlag were assessed by the Munich Chrono-Type Questionnaire; sleep quality, by the Pittsburgh Sleep Quality Index; and daytime sleepiness, by the Epworth Sleepiness Scale.
Asthma was present in 250 (17.2%) participants and was classified as uncontrolled in 120 (47.9%). Both uncontrolled and controlled asthma groups, compared with non-asthmatics, had worse sleep quality (81.7% vs 77.4% vs 56.5%; p |
doi_str_mv | 10.1016/j.sleep.2022.07.007 |
format | Article |
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To investigate the relationship between asthma control and sleep quality, sleep-wake pattern and excessive daytime sleepiness in adolescents.
This was a cross-sectional study of 1457 Brazilian high-school adolescents. Asthma was identified using the International Study of Asthma and Allergies in Childhood questionnaire, and disease control was measured by the Asthma Control Test. Sleep-wake pattern and social jetlag were assessed by the Munich Chrono-Type Questionnaire; sleep quality, by the Pittsburgh Sleep Quality Index; and daytime sleepiness, by the Epworth Sleepiness Scale.
Asthma was present in 250 (17.2%) participants and was classified as uncontrolled in 120 (47.9%). Both uncontrolled and controlled asthma groups, compared with non-asthmatics, had worse sleep quality (81.7% vs 77.4% vs 56.5%; p < 0.001) and excessive daytime sleepiness (EDS: 56.2% vs 56.5% vs 39.2%; p < 0.001). On average, adolescents with uncontrolled asthma, compared to non-asthmatics, showed later sleep onset (mean ± SD: 23:54pm ± 1 h:45min vs 23:20pm ± 1 h:27min; p = 0.002) and shorter sleep duration (5.7 h ± 1.8 h vs 6.3 h ± 1.4 h; p = 0.002) on school days. No significant difference in social jetlag was found among the three groups.
Asthma is associated with EDS and poor-quality sleep in adolescents. Social jetlag is common in these subjects and is not related to the presence and control of asthma.
•Both controlled and uncontrolled asthma are associated with poor sleep and EDS in urban high school adolescents.•The present results provide no evidence of an association between social jetlag and asthma control.•It is important to take into account to relationship between sleep and asthma when caring for adolescents with this disease.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2022.07.007</identifier><identifier>PMID: 35932593</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Adolescents ; Asthma ; Cross-Sectional Studies ; Disorders of Excessive Somnolence ; Humans ; Jet Lag Syndrome ; School health ; Sleep ; Sleep Initiation and Maintenance Disorders ; Sleep quality ; Sleepiness ; Social Control, Formal ; Social jetlag ; Surveys and Questionnaires</subject><ispartof>Sleep medicine, 2022-11, Vol.99, p.34-40</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c289t-6c7c9c187e1265eff3a4540853d7ac3d2683d3aecf60ad0452e73c47cc9ccab93</citedby><cites>FETCH-LOGICAL-c289t-6c7c9c187e1265eff3a4540853d7ac3d2683d3aecf60ad0452e73c47cc9ccab93</cites><orcidid>0000-0001-9694-1523</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1389945722010760$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35932593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferreira, Luana Gabrielle de França</creatorcontrib><creatorcontrib>Carvalho, Diogo Augusto Frota de</creatorcontrib><creatorcontrib>Alves, Felipe Rocha</creatorcontrib><creatorcontrib>Bruin, Veralice Meireles Sales de</creatorcontrib><creatorcontrib>Bruin, Pedro Felipe Carvalhedo de</creatorcontrib><title>Asthma control, social jetlag, and sleep impairment in high school adolescents</title><title>Sleep medicine</title><addtitle>Sleep Med</addtitle><description>Social jetlag is associated with several negative health outcomes, but its impact on asthma control has not been previously investigated. Although impaired sleep is common in asthma, studies on the relationship between sleep quality, social jetlag and asthma control in adolescents are scarce.
To investigate the relationship between asthma control and sleep quality, sleep-wake pattern and excessive daytime sleepiness in adolescents.
This was a cross-sectional study of 1457 Brazilian high-school adolescents. Asthma was identified using the International Study of Asthma and Allergies in Childhood questionnaire, and disease control was measured by the Asthma Control Test. Sleep-wake pattern and social jetlag were assessed by the Munich Chrono-Type Questionnaire; sleep quality, by the Pittsburgh Sleep Quality Index; and daytime sleepiness, by the Epworth Sleepiness Scale.
Asthma was present in 250 (17.2%) participants and was classified as uncontrolled in 120 (47.9%). Both uncontrolled and controlled asthma groups, compared with non-asthmatics, had worse sleep quality (81.7% vs 77.4% vs 56.5%; p < 0.001) and excessive daytime sleepiness (EDS: 56.2% vs 56.5% vs 39.2%; p < 0.001). On average, adolescents with uncontrolled asthma, compared to non-asthmatics, showed later sleep onset (mean ± SD: 23:54pm ± 1 h:45min vs 23:20pm ± 1 h:27min; p = 0.002) and shorter sleep duration (5.7 h ± 1.8 h vs 6.3 h ± 1.4 h; p = 0.002) on school days. No significant difference in social jetlag was found among the three groups.
Asthma is associated with EDS and poor-quality sleep in adolescents. Social jetlag is common in these subjects and is not related to the presence and control of asthma.
•Both controlled and uncontrolled asthma are associated with poor sleep and EDS in urban high school adolescents.•The present results provide no evidence of an association between social jetlag and asthma control.•It is important to take into account to relationship between sleep and asthma when caring for adolescents with this disease.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Asthma</subject><subject>Cross-Sectional Studies</subject><subject>Disorders of Excessive Somnolence</subject><subject>Humans</subject><subject>Jet Lag Syndrome</subject><subject>School health</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders</subject><subject>Sleep quality</subject><subject>Sleepiness</subject><subject>Social Control, Formal</subject><subject>Social jetlag</subject><subject>Surveys and Questionnaires</subject><issn>1389-9457</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMtOwzAQtBCIlsIXICEfOZDg2EmcHDhUiJeE4AJny6w3rSsnLnaKxN9jWuDIYbUr7czO7BByWrC8YEV9ucqjQ1znnHGeM5kzJvfItGhkk1UVq_fTLJo2a8tKTshRjCvGClk05SGZiKoVPNWUPM3juOw1BT-MwbsLGj1Y7egKR6cXF1QPhm5lqO3X2oYeh5HagS7tYkkjLL13VBvvMELaxGNy0GkX8eSnz8jr7c3L9X32-Hz3cD1_zIA37ZjVIKGFZBULXlfYdUKXVcmaShipQRheN8IIjdDVTBtWVhylgFJCYoF-a8WMnO_uroN_32AcVW-TA-f0gH4TFa_bVjIpmjpBxQ4KwccYsFPrYHsdPlXB1HeQaqW2H6rvIBWTKgWZWGc_Apu3Hs0f5ze5BLjaATC9-WExqAgWB0BjA8KojLf_CnwBheGFzQ</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Ferreira, Luana Gabrielle de França</creator><creator>Carvalho, Diogo Augusto Frota de</creator><creator>Alves, Felipe Rocha</creator><creator>Bruin, Veralice Meireles Sales de</creator><creator>Bruin, Pedro Felipe Carvalhedo de</creator><general>Elsevier B.V</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>7X8</scope><orcidid>https://orcid.org/0000-0001-9694-1523</orcidid></search><sort><creationdate>202211</creationdate><title>Asthma control, social jetlag, and sleep impairment in high school adolescents</title><author>Ferreira, Luana Gabrielle de França ; Carvalho, Diogo Augusto Frota de ; Alves, Felipe Rocha ; Bruin, Veralice Meireles Sales de ; Bruin, Pedro Felipe Carvalhedo de</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-6c7c9c187e1265eff3a4540853d7ac3d2683d3aecf60ad0452e73c47cc9ccab93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Asthma</topic><topic>Cross-Sectional Studies</topic><topic>Disorders of Excessive Somnolence</topic><topic>Humans</topic><topic>Jet Lag Syndrome</topic><topic>School health</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders</topic><topic>Sleep quality</topic><topic>Sleepiness</topic><topic>Social Control, Formal</topic><topic>Social jetlag</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferreira, Luana Gabrielle de França</creatorcontrib><creatorcontrib>Carvalho, Diogo Augusto Frota de</creatorcontrib><creatorcontrib>Alves, Felipe Rocha</creatorcontrib><creatorcontrib>Bruin, Veralice Meireles Sales de</creatorcontrib><creatorcontrib>Bruin, Pedro Felipe Carvalhedo de</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferreira, Luana Gabrielle de França</au><au>Carvalho, Diogo Augusto Frota de</au><au>Alves, Felipe Rocha</au><au>Bruin, Veralice Meireles Sales de</au><au>Bruin, Pedro Felipe Carvalhedo de</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Asthma control, social jetlag, and sleep impairment in high school adolescents</atitle><jtitle>Sleep medicine</jtitle><addtitle>Sleep Med</addtitle><date>2022-11</date><risdate>2022</risdate><volume>99</volume><spage>34</spage><epage>40</epage><pages>34-40</pages><issn>1389-9457</issn><eissn>1878-5506</eissn><abstract>Social jetlag is associated with several negative health outcomes, but its impact on asthma control has not been previously investigated. Although impaired sleep is common in asthma, studies on the relationship between sleep quality, social jetlag and asthma control in adolescents are scarce.
To investigate the relationship between asthma control and sleep quality, sleep-wake pattern and excessive daytime sleepiness in adolescents.
This was a cross-sectional study of 1457 Brazilian high-school adolescents. Asthma was identified using the International Study of Asthma and Allergies in Childhood questionnaire, and disease control was measured by the Asthma Control Test. Sleep-wake pattern and social jetlag were assessed by the Munich Chrono-Type Questionnaire; sleep quality, by the Pittsburgh Sleep Quality Index; and daytime sleepiness, by the Epworth Sleepiness Scale.
Asthma was present in 250 (17.2%) participants and was classified as uncontrolled in 120 (47.9%). Both uncontrolled and controlled asthma groups, compared with non-asthmatics, had worse sleep quality (81.7% vs 77.4% vs 56.5%; p < 0.001) and excessive daytime sleepiness (EDS: 56.2% vs 56.5% vs 39.2%; p < 0.001). On average, adolescents with uncontrolled asthma, compared to non-asthmatics, showed later sleep onset (mean ± SD: 23:54pm ± 1 h:45min vs 23:20pm ± 1 h:27min; p = 0.002) and shorter sleep duration (5.7 h ± 1.8 h vs 6.3 h ± 1.4 h; p = 0.002) on school days. No significant difference in social jetlag was found among the three groups.
Asthma is associated with EDS and poor-quality sleep in adolescents. Social jetlag is common in these subjects and is not related to the presence and control of asthma.
•Both controlled and uncontrolled asthma are associated with poor sleep and EDS in urban high school adolescents.•The present results provide no evidence of an association between social jetlag and asthma control.•It is important to take into account to relationship between sleep and asthma when caring for adolescents with this disease.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>35932593</pmid><doi>10.1016/j.sleep.2022.07.007</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9694-1523</orcidid></addata></record> |
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subjects | Adolescent Adolescents Asthma Cross-Sectional Studies Disorders of Excessive Somnolence Humans Jet Lag Syndrome School health Sleep Sleep Initiation and Maintenance Disorders Sleep quality Sleepiness Social Control, Formal Social jetlag Surveys and Questionnaires |
title | Asthma control, social jetlag, and sleep impairment in high school adolescents |
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