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Daytime Sleepiness in Children With Asthma: Examining Respiratory and Non-respiratory Factors

Abigail R Strang1, Lauren Covington2, Seema Rani1

  • 1Pediatric Pulmonology, Nemours Children's Health System, Wilmington, USA.

Cureus
|July 17, 2023
PubMed

Insights

Daytime sleepiness in youth with asthma is linked to poor quality of life and increased cellphone use. Addressing these factors alongside asthma control can improve sleepiness in this population.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Behavioral Health

Background:

  • Daytime sleepiness is a prevalent issue among youth with asthma (YWA).
  • Understanding the contributing factors is crucial for developing effective interventions.
  • Both respiratory and non-respiratory elements may influence sleepiness in YWA.

Purpose of the Study:

  • To investigate the respiratory and non-respiratory factors associated with daytime sleepiness in YWA.
  • To identify key variables contributing to excessive daytime sleepiness in this demographic.

Main Methods:

  • A cross-sectional study included 100 YWA aged 8-17 years.
  • Data collected via self-report (sleepiness, quality of life, anxiety, cellphone use, respiratory symptoms) and electronic medical records (asthma severity, lung function, medications).
  • Multivariable regression models were used to analyze associations with daytime sleepiness.

Main Results:

  • Decreased quality of life and increased bedtime cellphone use were significantly associated with greater daytime sleepiness.
  • Anxiety, prescribed asthma medications, and poorer lung function showed marginal associations with daytime sleepiness.

Conclusions:

  • Optimizing asthma control is important, but strategies should also address quality of life, anxiety, and nocturnal cellphone use.
  • These non-respiratory factors play a significant role in mitigating daytime sleepiness in YWA.
  • Comprehensive management approaches are needed for YWA experiencing daytime sleepiness.

Keywords:
daytime functiondaytime sleepinesspediatric asthmaquality of lifesleep health

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