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The relationships between asthma control, daytime sleepiness, and quality of life among children with asthma: a path

Zheng Li1, I-Chan Huang, Lindsay Thompson

  • 1Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, FL 32610, USA.

Sleep Medicine
|May 21, 2013
PubMed

Insights

Poor asthma control in children leads to daytime sleepiness and reduced quality of life. Addressing sleep issues in pediatric asthma management is crucial for improving health-related quality of life.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Quality of Life Research

Background:

  • Asthma control significantly impacts children's daily lives.
  • Daytime sleepiness is a common but often overlooked symptom in pediatric asthma.
  • Health-related quality of life (HRQOL) is a critical outcome measure in chronic childhood conditions.

Purpose of the Study:

  • To investigate the interplay between asthma control, daytime sleepiness, and asthma-specific HRQOL in children.
  • To determine if daytime sleepiness mediates the relationship between asthma control and HRQOL.
  • To provide evidence for integrated care approaches in pediatric asthma management.

Main Methods:

  • 160 parent-child dyads with asthma participated.
  • Asthma control was assessed using the Asthma Control and Communication Instrument (ACCI).
  • Daytime sleepiness was measured using the Cleveland Adolescent Sleepiness Questionnaire (CASQ), and HRQOL using the PROMIS Asthma Impact Scale.

Main Results:

  • Poorly controlled asthma correlated with increased daytime sleepiness and lower asthma-specific HRQOL.
  • Direct association found between asthma control status and asthma-specific HRQOL (P<.05).
  • Sleep in school and sleep in evening dimensions of daytime sleepiness significantly mediated the negative impact of poor asthma control on HRQOL (P<.01).

Conclusions:

  • Daytime sleepiness acts as a significant mediator linking poor asthma control to reduced pediatric asthma-specific HRQOL.
  • Healthcare providers should prioritize assessing and managing sleep disturbances in children with poorly controlled asthma.
  • Interventions targeting sleep in pediatric asthma patients may improve overall HRQOL.
Abstract

Keywords:
Asthma controlChildrenHealth-related quality of lifePatient-reported outcomesSleepinessStructural equation modeling

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