The prevalence of sleep-disordered breathing in children with asthma and its behavioral effects

Nira A Goldstein1,2, Charlotte Aronin1,2, Beth Kantrowitz1,2

  • 1Division of Pediatric Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, New York.

Pediatric Pulmonology
|December 3, 2014
PubMed

Insights

Children with asthma have a higher prevalence of sleep-disordered breathing (SDB), which worsens with asthma severity. SDB, not asthma, independently predicts behavioral problems in children.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Child Psychology

Background:

  • Asthma is a common chronic respiratory condition in children.
  • Sleep-disordered breathing (SDB) is increasingly recognized as a comorbidity in pediatric populations.
  • The relationship between asthma, SDB, and behavioral issues in children requires further investigation.

Purpose of the Study:

  • To compare the prevalence of SDB in children with and without asthma.
  • To assess the association between asthma severity and SDB.
  • To determine if SDB or asthma independently predicts behavioral problems.

Main Methods:

  • Cross-sectional study design.
  • Involved 263 children with asthma and 266 controls (ages 2-15).
  • Utilized the Pediatric Sleep Questionnaire (PSQ) and Child Behavior Checklist; asthma severity classified by NIH guidelines.

Main Results:

  • Asthmatic children showed significantly higher prevalence of snoring (35.5% vs. 15.7%) and positive PSQ (25.9% vs. 10.6%).
  • SDB prevalence increased with asthma severity.
  • SDB, socioeconomic status, and age were independent predictors of behavioral problems, while asthma was not.

Conclusions:

  • Asthma is associated with a higher prevalence of SDB in children.
  • SDB, independent of asthma, is a significant predictor of behavioral problems.
  • Findings highlight the importance of screening for SDB in children with asthma.
Abstract

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