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Study of the clinical and functional characteristics of asthmatic children with obstructive sleep apnea

Yen Nguyen-Hoang1, Thuy Nguyen-Thi-Dieu2, Sy Duong-Quy3,4,5

  • 1Department of Pediatrics, Phu Tho General Hospital, Phu Tho Province.

Journal of Asthma and Allergy
|October 26, 2017
PubMed

Insights

Asthmatic children have a high risk of obstructive sleep apnea (OSA). Symptoms like snoring indicate a need for OSA screening in children with asthma.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Disorders

Background:

  • Obstructive sleep apnea (OSA) is a prevalent respiratory condition in children.
  • Asthma is a common chronic condition in childhood.
  • The co-occurrence and characteristics of OSA in asthmatic children require further investigation.

Purpose of the Study:

  • To characterize obstructive sleep apnea (OSA) in pediatric asthma patients.
  • To identify symptoms indicative of a high risk for OSA in asthmatic children.

Main Methods:

  • Prospective and descriptive study design.
  • Inclusion of asthmatic children aged preschool and school years.
  • Data collection via medical history, clinical examination, spirometry, exhaled nitric oxide (NO), and respiratory polygraphy.

Main Results:

  • A high prevalence of OSA (65.9%) was observed in the studied asthmatic children.
  • Severe OSA was more common in children with moderate asthma compared to mild or intermittent asthma.
  • Snoring, sleep disturbance, and nocturnal sweats were significantly more frequent in asthmatic children with OSA. Allergic rhinitis and snoring were significant predictors of OSA.

Conclusions:

  • Children with asthma are at an increased risk for obstructive sleep apnea (OSA).
  • Asthmatic children presenting with symptoms such as snoring or nocturnal awakenings warrant screening for OSA.
  • Early identification and management of OSA in asthmatic children can improve respiratory health outcomes.
Abstract

Keywords:
OSAallergic rhinitisasthmasnoring

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