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Sleep disorders in children with asthma
Joel Reiter1, Maya Ramagopal2, Alex Gileles-Hillel1
1Pediatric Pulmonary and Sleep Unit, Department of Pediatrics, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Insights
Childhood asthma and sleep disorders frequently coexist, with each condition impacting the other. Effective asthma management requires addressing sleep issues, and vice versa.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Childhood Health
Background:
- Asthma and sleep disorders are prevalent in children, often occurring together.
- These conditions can influence each other, impacting overall health.
- Sleep disorders encompass insomnia, hypersomnia, parasomnia, movement disorders, circadian disorders, and sleep-related breathing disorders.
Purpose of the Study:
- To review the associations between various sleep disorders and childhood asthma.
- To explore common pathophysiological pathways linking asthma and sleep disturbances.
- To emphasize the importance of integrating sleep assessment into asthma care.
Main Methods:
- Literature review examining the relationship between asthma and different sleep disorder categories.
- Analysis of existing studies on sleep complaints in children with asthma.
- Discussion of bidirectional interactions between asthma and sleep-related breathing disorders.
Main Results:
- Children with asthma commonly experience insomnia, poor sleep quality, and daytime sleepiness.
- Increased prevalence of parasomnias like night terrors and nocturnal enuresis is noted in asthmatic children.
- A complex, bidirectional relationship exists between asthma control and sleep quality, particularly concerning sleep-related breathing disorders.
Conclusions:
- Sleep disturbances are common in children with asthma and are linked to asthma control.
- Management of childhood asthma should incorporate evaluation of sleep patterns.
- Addressing sleep disorders is crucial for comprehensive asthma care in children.
Abstract:
Asthma and sleep disorders are both common in childhood, and often co-exist in the same child. Moreover, studies have shown that in many children the rate of one is influenced by the other. Sleep disorders can be classified into six different groups-insomnia, hypersomnia, parasomnia, movement disorders, circadian disorders, and sleep-related breathing disorders. Children with asthma often present with complaints of insomnia with poor sleep quality, difficulty falling asleep and sleep disruptions. These complains are often associated with asthma control. They may also complain of daytime sleepiness and have higher rates of parasomnias, such as night terrors and nocturnal enuresis when compared with their healthy peers. Whether movement and circadian disorders are also more prevalent in children with asthma is less clear. Finally, there is a complex bidirectional interaction between sleep-related breathing disorders and asthma: poor sleep and sleep disorders may worsen asthma, and asthma, particularly when it is poorly controlled, may impair sleep. In the current review we examine the association of each of the sleep disorders with asthma and review the common pathophysiological pathways. We hope to convince the reader that appropriate management of asthma must include inquiries into the patient's sleep, and vice versa.
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