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Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A

Yun Guo1, Xiuqing Zhang2,3, Feng Liu2

  • 1Department of Respiratory Medicine, The Affiliated Wuxi Children's Hospital of Nanjing Medical University, Wuxi, China.

Canadian Respiratory Journal
|February 12, 2021
PubMed

Insights

Poorly controlled asthma and allergic rhinitis (AR) significantly increase the risk of sleep-related breathing disorders (SRBD) in children. Monitoring asthma control and managing AR are crucial for preventing SRBD.

Area of Science:

  • Pediatric Respiratory Medicine
  • Sleep Medicine
  • Allergy and Immunology

Background:

  • Asthma and sleep-related breathing disorders (SRBD) are prevalent chronic respiratory conditions in children.
  • The interplay between asthma and SRBD is bidirectional, yet the impact of asthma control on SRBD risk requires further investigation.
  • Existing research has limited analysis on the specific relationship between asthma control status and the incidence of SRBD.

Purpose of the Study:

  • To investigate the association between asthma control status and the risk of developing SRBD in pediatric patients.
  • To evaluate the influence of asthma therapy, atopy, and lung function on the prevalence of SRBD in children with asthma.

Main Methods:

  • A cohort of 209 children aged 3-16 years was studied.
  • The Pediatric Sleep Questionnaire (PSQ) was utilized to identify children at high risk for SRBD.
  • Data collected included asthma control levels, treatment details, allergy status, lung function parameters, and exhaled nitric oxide measurements.

Main Results:

  • Children with poorly controlled asthma exhibited a significantly higher risk of SRBD (34.25%) compared to those with well-controlled asthma (13.97%).
  • Allergic rhinitis (AR) was also associated with an increased risk of SRBD (34.29% vs. 13.92%).
  • Poorly controlled asthma (OR, 2.746) and AR (OR, 3.284) were identified as independent risk factors for SRBD in children.

Conclusions:

  • Suboptimal asthma control and untreated allergic rhinitis are significant risk factors for sleep-related breathing disorders in children.
  • Regular assessment of asthma control and effective management of allergic rhinitis are essential for mitigating the risk of SRBD.
  • These findings underscore the importance of a comprehensive approach to managing pediatric respiratory conditions.
Abstract

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