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Towards improved asthma control in children by non-invasive home monitoring

Casper E W Gijsen1,2,3, Jan Lucas4, Jean W M Muris5,6

  • 1CAPHRI - Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands. casper.gijsen@maastrichtuniversity.nl.

Scientific Reports
|November 11, 2025
PubMed

Insights

Digital home monitoring using smartwatches can help detect early signs of worsening asthma control in children. Increased nocturnal heart rate is a key indicator of deteriorating childhood asthma, suggesting potential for improved management.

Area of Science:

  • Pediatric Pulmonology
  • Digital Health
  • Asthma Management

Background:

  • Uncontrolled childhood asthma significantly impacts quality of life.
  • Traditional follow-up visits may not capture all instances of poor asthma control.
  • Effective symptom monitoring is crucial for managing pediatric asthma.

Purpose of the Study:

  • To evaluate the effectiveness of digital home monitoring in detecting early signs of asthma deterioration in children.
  • To assess if non-invasive vital parameter measurements, medical feedback, and coaching improve asthma control.
  • To explore the relationship between digital monitoring data and asthma control metrics.

Main Methods:

  • A 12-week prospective single-arm study involving 40 children (ages 6-18) with asthma.
  • Home monitoring included an app, smartwatch for vital parameters, and spirometer for lung function.
  • Collected continuous vital signs, monthly (Childhood) Asthma Control Test ((C)-ACT) scores, and weekly lung function data.

Main Results:

  • Increased nocturnal heart rate was significantly associated with worsening (C)-ACT scores (OR: 2.11, p=0.032), independent of Salbutamol use.
  • (C)-ACT scores showed a trend towards improvement (22.5 to 24, p=0.063), but lung function did not significantly change.
  • Higher frequency of lung function testing correlated with worse (C)-ACT scores.

Conclusions:

  • Non-invasive digital home monitoring shows promise for managing pediatric asthma.
  • Nocturnal heart rate is a potential early indicator of asthma control deterioration in children.
  • Further research is warranted to optimize digital monitoring strategies for pediatric asthma.

Keywords:
Asthma controlDigital home monitoringEHealth-monitoringHome-spirometryNon-invasive home monitoringPaediatric asthma management

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