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Sleep disorders in Latin-American children with asthma and/or allergic rhinitis and normal controls
M Urrutia-Pereira1, D Solé2, H J Chong Neto3
1Unipampa Federal University, Uruguaiana, Rio Grande do Sul, Brazil.
Insights
Children with asthma and/or allergic rhinitis experience significant sleep disorders. Uncontrolled asthma particularly worsens sleep quality in Latin American children, highlighting the need for better management.
Area of Science:
- Pediatric Allergy and Immunology
- Sleep Medicine
- Public Health
Background:
- Asthma and allergic rhinitis are common childhood conditions.
- These conditions have been linked to sleep disturbances.
- The prevalence and impact of these sleep issues in Latin America were previously understudied.
Purpose of the Study:
- To investigate the prevalence and characteristics of sleep disorders in Latin American children aged 4-10.
- To compare sleep patterns between children with persistent asthma (A) and/or allergic rhinitis (AR) and healthy controls (C).
- To assess the impact of asthma control on sleep quality.
Main Methods:
- A cross-sectional study involving 454 controls and 700 children with A and/or AR from nine Latin American countries.
- The Children's Sleep Habits Questionnaire (CSHQ), a 33-item validated tool, was administered to parents.
- Data were analyzed comparing CSHQ scores between control and patient groups, and between different asthma control levels.
Main Results:
- Children with A and/or AR reported significantly higher CSHQ scores (indicating more sleep problems) than controls.
- Asthma patients showed worse sleep quality compared to allergic rhinitis patients, except for sleep anxiety.
- Uncontrolled asthma was associated with significantly poorer sleep outcomes compared to controlled asthma.
Conclusions:
- Asthma and allergic rhinitis are associated with significant sleep disorders in Latin American children.
- Even treated asthma can impair sleep, with uncontrolled cases showing the most severe sleep disturbances.
- These findings underscore the importance of addressing sleep issues in pediatric respiratory conditions.
Background:
Asthma and/or allergic rhinitis have been associated with sleep disorders. The aim of this study was to evaluate sleep disorders in Latin-American children (4-10 years) from nine countries, with persistent asthma (A) and/or allergic rhinitis (AR) and in normal controls (C).
Methods:
Parents from 454 C children and 700 A and/or AR children followed up in allergy reference clinics completed the Children's Sleep Habits Questionnaire (CSHQ) which is a retrospective one-week questionnaire composed of 33 questions composed of seven subscales (bedtime resistance, sleep duration, sleep anxiety, night wakings, parasomnias, sleep-disordered breathing and daytime sleepiness). The total scale of CSHQ and the subscales were compared between groups C and A+AR, A (n=285) vs. AR (n=390), and between controlled A (CA, n=103) vs. partially controlled/uncontrolled A (UA, n=182).
Results:
The comparison between C and A+AR showed no significant differences in age (6.7 years vs. 7.0 years, respectively), mean Body Mass Index and total scale of CSHQ (53.3 vs. 63.2, respectively) and the subscales were significantly higher in the A+AR group. Comparison between groups A and AR, except for sleep anxiety, showed significantly higher values for CSHQ total scale (66.9 vs. 61.0, respectively) and subscales for group A. The UA group showed significantly higher values for total CSHQ scale and subscales in comparison to CA (71.1 vs. 59.4, respectively).
Conclusions:
Latin-American children with asthma and/or allergic rhinitis showed sleep disorders identified by the CSHQ when compared to normal controls. Despite being treated, asthma causes sleep impairment, especially when uncontrolled.
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