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Sleep disturbances in patients with asthma
C Janson1, T Gislason, G Boman
1Department of Lung Medicine, Uppsala University, Akademiska sjukhuset, Sweden.
Respiratory Medicine
|January 1, 1990
Summary
Sleep disturbances, including early morning awakening and difficulty maintaining sleep, are common in asthma patients. Poor asthma control significantly worsens sleep quality and daytime function.
Area of Science:
- Pulmonary Medicine
- Sleep Medicine
Background:
- Sleep complaints and disturbances are frequently reported in adult patients with bronchial asthma.
- Asthma management and its impact on sleep quality require further investigation.
Purpose of the Study:
- To prospectively investigate the prevalence of sleep complaints and disturbances in adult asthmatic patients.
- To compare sleep quality in asthmatic patients with a healthy, age- and sex-matched population.
Main Methods:
- Prospective study involving 98 adult asthmatic patients and 226 healthy controls.
- Utilized questionnaires and sleep diaries to assess sleep patterns and disturbances.
- Correlated sleep parameters with asthma control, including acute attacks and FEV1 measurements.
Main Results:
- Asthmatic patients experienced significantly higher rates of early morning awakening (51%), difficulty maintaining sleep (44%), and daytime sleepiness (44%) compared to healthy individuals.
- Decreased asthma control correlated with increased difficulty maintaining sleep, nocturnal wakefulness, nocturnal breathing problems, and nighttime bronchodilator use.
- Reduced daytime FEV1 (% predicted) was associated with decreased estimated sleep time and increased nocturnal wakefulness.
Conclusions:
- Impaired sleep quality, characterized by nocturnal disturbances, early morning awakenings, and daytime sleepiness, is prevalent in bronchial asthma.
- Sleep disturbances in asthma are linked to disease control and physiological measures like FEV1.
- These findings highlight the importance of addressing sleep issues in asthma management.