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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.
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.
Aim:
The aim of our study is to assess the quality of sleep in children with asthma and/or allergic rhinitis, as well as the impact of the control of allergic respiratory diseases on sleep disturbances.
Materials And Methods:
It is an observational cross-sectional study on children attending pediatric allergy appointments at a portuguese tertiary hospital (G1), and compared to a control population (G2). The asthma and rhinitis control was determined using the Control of Allergic Rhinitis and Asthma Test (CARAT/CARATKids) questionnaires. Sleep was evaluated using the Pediatric Sleep Questionnaire (PSQ). G1 included 61 patients and G2 included 100 children.
Results:
About a third of the children in the study group had sleep-related breathing disorders (SDB), compared to 9 % on the control group (p-value <0.05). There was a significant positive correlation between uncontrolled asthma and allergic rhinitis, and SDB (p-value <0.05).
Conclusion:
SDB is more prevalent among children with asthma and/or allergic rhinitis. The absence of control of the allergic respiratory diseases has a negative impact on sleep. We recommend large cross-sectional studies to better comprehend the exact relationship between the two conditions, as well as the use of objective diagnostic tools. We believe it is essential to implement early screening for sleep disorders in children with allergic respiratory diseases, through validated questionnaires.
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