Obstructive sleep apnea and asthma

Megat Razeem Abdul Razak1, Naricha Chirakalwasan1

  • 1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Insights

Treating obstructive sleep apnea (OSA) may improve asthma control in patients with both conditions. First-line OSA therapies like CPAP in adults and adenotonsillectomy in children show promise for alleviating asthma symptoms, warranting further research.

Area of Science:

  • Respiratory Medicine
  • Sleep Medicine

Background:

  • Asthma and obstructive sleep apnea (OSA) are prevalent conditions affecting both pediatric and adult populations.
  • A significant bidirectional relationship exists between asthma and OSA, with prevalence rates ranging from 38% to 70%.

Purpose of the Study:

  • To review the pathogenesis of concomitant asthma and OSA.
  • To evaluate if first-line OSA treatment improves asthma control in patients with both conditions.

Main Methods:

  • Literature review examining the interplay between asthma and OSA.
  • Analysis of existing evidence on the impact of OSA treatments on asthma symptoms.

Main Results:

  • Growing evidence suggests that first-line OSA treatments can improve asthma symptoms.
  • Continuous positive airway pressure (CPAP) in adults and adenotonsillectomy in children are identified as potentially beneficial.

Conclusions:

  • Treating OSA may lead to better asthma control in patients with comorbid OSA and asthma.
  • Larger randomized controlled trials are needed to confirm these findings and further evaluate treatment effects.

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