Impact of asthma and allergic rhinitis control on sleep disordered breathing in pediatrics

Catarina Isabel Medalhas Rebelo da Silva1, Rosa Martins2, Rosário Ferreira1,3

  • 1Faculdade de Medicina da Universidade de Lisboa, 1649-028, Lisbon, Portugal.

Sleep Medicine: X
|February 20, 2025
PubMed

Insights

Children with asthma and/or allergic rhinitis experience more sleep-related breathing disorders (SDB). Poor control of these respiratory conditions negatively impacts sleep quality, highlighting the need for early screening.

Area of Science:

  • Pediatric Allergy
  • Sleep Medicine
  • Respiratory Health

Background:

  • Asthma and allergic rhinitis are common in children.
  • Sleep disturbances can affect a child's health and development.
  • The link between allergic respiratory diseases and sleep quality needs further investigation.

Purpose of the Study:

  • To assess sleep quality in children with asthma and/or allergic rhinitis.
  • To determine the impact of allergic respiratory disease control on sleep disturbances.
  • To compare sleep issues in children with allergic respiratory diseases to a control group.

Main Methods:

  • Observational cross-sectional study involving 61 children with allergic respiratory diseases (G1) and 100 controls (G2).
  • Asthma and rhinitis control assessed using the Control of Allergic Rhinitis and Asthma Test (CARAT/CARATKids).
  • Sleep evaluated via the Pediatric Sleep Questionnaire (PSQ).

Main Results:

  • Sleep-related breathing disorders (SDB) were significantly more prevalent in the study group (approx. 33%) compared to controls (9%).
  • A significant positive correlation was found between uncontrolled asthma/allergic rhinitis and SDB.
  • Uncontrolled allergic respiratory diseases negatively impact sleep quality.

Conclusions:

  • SDB is more common in children with asthma and/or allergic rhinitis.
  • Effective control of allergic respiratory diseases is crucial for improving sleep.
  • Recommends further studies and early screening for sleep disorders in this pediatric population.
Abstract

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