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Sleep-disordered breathing and childhood asthma: clinical implications
1Pediatric Pulmonology, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA. Kristie.ross@uhhospitals.org
Current Opinion in Pulmonary Medicine
|November 2, 2012
Summary
Pediatric asthma patients often have obstructive sleep-disordered breathing, which can worsen asthma severity. Treating sleep apnea may improve asthma control in children.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Allergy and Immunology
Background:
- Asthma morbidity in children remains a significant public health concern.
- Current guidelines address asthma management, but co-existing conditions require further investigation.
Purpose of the Study:
- To review the evidence linking obstructive sleep-disordered breathing (OSDB) with asthma in children.
- To examine the association between OSDB and asthma severity.
- To discuss clinical implications, focusing on recent research.
Main Methods:
- Systematic review of studies published within the past year.
- Analysis of observational data and clinical trial findings.
- Synthesis of evidence on the prevalence and impact of OSDB in pediatric asthma.
Main Results:
- Obstructive sleep-disordered breathing is highly prevalent in children with severe or poorly controlled asthma.
- An observational study indicated that adenotonsillectomy significantly improved asthma outcomes in children with poorly controlled asthma and obstructive sleep apnea.
- This suggests a strong link between sleep-disordered breathing and asthma exacerbation.
Conclusions:
- Clinicians should consider evaluating for and treating OSDB in children with difficult-to-control asthma.
- Further controlled studies are necessary to confirm the benefits of treating obstructive sleep apnea on pediatric asthma outcomes.
- Understanding the interplay between asthma and sleep-disordered breathing is crucial for comprehensive patient care.
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