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Clinical-functional characteristics of children with asthma and obstructive sleep apnea overlap associated with

Le Nguyen-Ngoc-Quynh1,2, Mai Nguyen-Thi-Thanh2, Mai Nguyen-Thi-Phuong2

  • 1Department of Allergy, Immunology, and Rheumatology, National Children's Hospital, Hanoi, Vietnam.

Frontiers in Neurology
|January 26, 2023
PubMed

Insights

Obstructive sleep apnea (OSA) is common in children with poorly controlled asthma, increasing the risk of attention deficit hyperactivity disorder (ADHD). Prompt OSA diagnosis is crucial for effective asthma management in children.

Area of Science:

  • Pediatric Respiratory Medicine
  • Sleep Medicine
  • Child Psychology

Background:

  • Asthma and obstructive sleep apnea (OSA) are prevalent chronic respiratory conditions in children.
  • These conditions share risk factors and have a bidirectional relationship.
  • Untreated OSA can manifest as attention deficit hyperactivity disorder (ADHD) symptoms.

Purpose of the Study:

  • To determine the prevalence of ADHD in asthmatic children with OSA.
  • To investigate the association between asthma control and lung function in children with both asthma and OSA.

Main Methods:

  • 96 children aged 6-15 years with asthma were enrolled.
  • Demographic data, asthma control, lung function, and ADHD symptoms (Vanderbilt ADHD Diagnostic Parent Rating Scale) were collected.
  • Home respiratory polygraphy was used to diagnose OSA.

Main Results:

  • OSA was present in 60.4% of asthmatic children.
  • ADHD prevalence was significantly higher in children with OSA compared to those without (34.5% vs. 7.9%).
  • Poorly controlled asthma was associated with a higher risk of OSA (83.0% vs. 17.0%), and allergic rhinitis increased OSA odds.

Conclusions:

  • Poorly controlled asthma is linked to increased OSA prevalence in children.
  • Children with OSA may have a higher prevalence of ADHD.
  • Early OSA diagnosis is essential for optimizing asthma control strategies.
Abstract

Keywords:
ADHDAHIOSAasthma controlasthmatic childrenrespiratory polygraphy

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