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Nocturnal Awakenings and Asthma Control in Urban School-Age Children

Mehtap Haktanir Abul1,2,3, Sheryl J Kopel2,4,5, Anna Cohenuram5

  • 1Divisions of Pulmonology and Allergy, Department of Pediatrics, Hasbro Children's Hospital/Rhode Island Hospital, Providence, RI, USA.

Clinical Pediatrics
|January 30, 2026
PubMed

Insights

Children with asthma experience more nighttime awakenings, particularly Latino children. Improving asthma control and sleep hygiene is crucial for urban children facing higher risks.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Environmental Health

Background:

  • Urban children face significant health disparities, including higher risks for asthma and sleep disturbances.
  • Nighttime awakenings are a common sleep disruption, impacting overall health and well-being.

Purpose of the Study:

  • To assess nighttime awakenings in urban children with and without asthma.
  • To investigate racial/ethnic disparities in sleep outcomes among these children.

Main Methods:

  • Actigraphy was used to objectively measure nighttime awakenings.
  • Asthma status was determined through clinical assessment and self-report.
  • Participants included 379 urban children aged 7-9 years (250 with asthma, 129 without).

Main Results:

  • Children with asthma exhibited significantly more nighttime awakenings than their non-asthma peers.
  • Latino children with asthma experienced more frequent and prolonged awakenings compared to Latino children without asthma.
  • No similar disparities in awakenings were observed between Black or Non-Latino White children with and without asthma.
  • Poor asthma control was directly correlated with an increased number of awakenings.

Conclusions:

  • Urban children, especially those with asthma, are at elevated risk for poor sleep quality.
  • Culturally sensitive interventions combining asthma management and sleep hygiene are essential for this vulnerable population.

Keywords:
asthmahealth disparitiesnocturnal asthmasleep awakeningsurban children

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