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Sleep in children with asthma: results of the PIAMA study

Annette van Maanen1, Alet H Wijga, Ulrike Gehring

  • 1Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.

The European Respiratory Journal
|August 21, 2012
PubMed

Insights

Children with asthma frequently experience daytime sleepiness and tiredness. This study found no links between asthma and sleep quality or timing, only increased daytime fatigue in symptomatic children.

Area of Science:

  • Pediatric Allergy and Immunology
  • Sleep Medicine
  • Epidemiology

Background:

  • Asthma is common in children and may affect sleep.
  • Previous research suggests impaired sleep in asthmatic children.
  • Specific sleep disturbances linked to childhood asthma require further investigation.

Purpose of the Study:

  • To identify specific sleep aspects associated with asthma in children.
  • To determine if asthma correlates with sleep quality, quantity, or daytime sleepiness.

Main Methods:

  • Utilized data from 2529 children (age 11) in the Prevention and Incidence of Asthma and Mite Allergy (PIAMA) birth cohort study.
  • Parental reports on asthma symptoms and child reports on sleep patterns (bedtime, rise time, sleep quality, daytime sleepiness/tiredness).
  • Logistic regression analysis to assess associations, controlling for confounders.

Main Results:

  • Children with frequent asthma symptoms were significantly more likely to report daytime sleepiness/tiredness (34.4%) compared to those with infrequent (21.9%) or no symptoms (22.2%).
  • No significant associations were found between asthma and bedtime, time spent in bed, or subjective sleep quality.
  • The association between frequent asthma symptoms and daytime sleepiness was not confounded by sex, age, parental education, or indoor smoking.

Conclusions:

  • Frequent asthma symptoms in children are strongly associated with increased daytime sleepiness/tiredness.
  • Childhood asthma does not appear to be significantly linked to sleep timing or overall sleep quality.
  • Targeting daytime sleepiness may be important for managing children with frequent asthma symptoms.

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