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Influence of asthma on sleep disordered breathing in children: a systematic review

Pablo E Brockmann1, Pablo Bertrand1, Jose A Castro-Rodriguez1

  • 1Department of Pediatrics, School of Medicine, Pontificia Universidad Catolica de Chile, Chile.

Sleep Medicine Reviews
|March 18, 2014
PubMed

Insights

Children with asthma have nearly double the risk of developing sleep disordered breathing (SDB). This systematic review highlights a significant association, emphasizing the need for further research into the connection between childhood asthma and SDB.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Epidemiology

Background:

  • Sleep disordered breathing (SDB) is a prevalent condition in children.
  • Asthma is a common chronic respiratory disease in childhood.
  • The relationship between asthma and SDB in pediatric populations requires further elucidation.

Purpose of the Study:

  • To conduct a systematic review on the association between asthma and sleep disordered breathing (SDB) in children.
  • To quantify the risk of SDB in children diagnosed with asthma.

Main Methods:

  • Systematic electronic search of Medline, Embase, CINAHL, LILACS, and Cochrane databases.
  • Inclusion criteria: children under 18 with asthma and SDB diagnoses.
  • Meta-analysis of 17 studies involving 45,155 children to calculate odds ratios (OR) and 95% confidence intervals (95%CI).

Main Results:

  • SDB was diagnosed in 23.9% of children with asthma versus 16.7% in non-asthmatic children (p < 0.0001).
  • Children with asthma had a significantly higher risk of SDB (OR 1.9 [1.7; 2.2]).
  • Most studies relied on questionnaires for diagnosis; only two used polysomnography.

Conclusions:

  • A significant association exists between asthma and SDB in children.
  • Childhood asthma is a notable risk factor for developing SDB.
  • Future cohort studies should investigate the physiological and temporal links between asthma and SDB, utilizing gold-standard diagnostic methods.
Abstract

Keywords:
ApneaChildrenSleepSnoringWheezing

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