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Asthma-related lung function, sleep quality, and sleep duration in urban children

Daphne Koinis-Mitchell1, Sheryl J Kopel1, Ronald Seifer1

  • 1Bradley/Hasbro Children's Research Center, Providence, RI; Alpert Medical School, Brown University, Providence, RI,; Hasbro Children's Hospital/Rhode Island Hospital, Providence, RI.

Sleep Health
|May 21, 2017
PubMed

Insights

Worsening asthma lung function is linked to poor sleep quality in children. Ethnic differences exist, with urban minority children potentially facing higher risks for sleep issues.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Environmental Health

Background:

  • Persistent asthma affects urban children, potentially impacting sleep quality.
  • Asthma management often focuses on daytime symptoms, with less attention to nocturnal lung function and sleep interactions.
  • Understanding the interplay between lung function and sleep is crucial for comprehensive asthma care in children.

Purpose of the Study:

  • To investigate the association between objectively measured asthma-related lung function changes during sleep and sleep quality/duration in urban children with persistent asthma.
  • To examine relationships between morning/evening lung function and adjacent night sleep quality/duration.
  • To determine if these associations differ across ethnic groups.

Main Methods:

  • A cross-sectional, multimethod study involving 216 urban children (ages 7-9) of diverse ethnic backgrounds.
  • Home-based objective measurements of lung function (spirometry) and sleep (actigraphy) over 4 weeks.
  • Clinic assessments and diary-based questionnaires for asthma symptoms and sleep patterns.

Main Results:

  • Worsening asthma-related lung function correlated with poorer sleep quality in the overall sample.
  • Better nighttime lung function was associated with more optimal sleep efficiency.
  • Significant ethnic group differences were observed in the associations between lung function and sleep quality.

Conclusions:

  • Urban minority children with asthma may experience a heightened risk of poorer sleep quality.
  • The timing of lung function decline is a critical factor in addressing both asthma outcomes and sleep quality.
  • Interventions should consider ethnic-specific approaches to improve sleep and asthma control in pediatric populations.
Abstract

Keywords:
AllergyAsthmaChildrenSleepUrban

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