Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban

Daniella Teape1,2, Joshua R Tanzer3, Sheryl J Kopel1,2,4

  • 1Department of Pediatrics, Hasbro Children's Hospital, Providence, Rhode Island, USA.

Pediatric Pulmonology
|January 27, 2025
PubMed

Insights

Asthma symptom concordance with lung function in children is linked to longer sleep duration. This relationship is influenced by the child's level of asthma control, suggesting tailored management strategies.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Asthma Research

Background:

  • Asthma symptom recognition is crucial for effective management.
  • Understanding the link between asthma symptoms and sleep quality in children is vital.

Purpose of the Study:

  • To assess the association between asthma symptom concordance (ASC) or discordance (ASD) and sleep outcomes in children with persistent asthma.
  • To determine if asthma control and severity influence the relationship between ASC and sleep outcomes.

Main Methods:

  • Retrospective analysis of the Project NAPS observational study.
  • Development of ASC and ASD measures from daily symptom reports and lung function over 4 weeks.
  • Evaluation of ASC/ASD association with sleep efficiency, duration, and awakenings, considering asthma control and severity.

Main Results:

  • Children with concordant asthma symptoms and lung function had longer sleep duration (15 min) and more nighttime awakenings.
  • Well-controlled asthma in children correlated with significantly longer sleep duration (18 min).

Conclusions:

  • Asthma symptom concordance with lung function is associated with improved sleep duration in children.
  • Asthma control moderates the impact of symptom concordance on sleep duration.
  • Optimizing asthma management to enhance symptom concordance may improve sleep duration.
Abstract

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