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

Q1 Medicine Sleep Medicine: X Pub Date : 2024-10-10 DOI:10.1016/j.sleepx.2024.100129

Catarina Isabel Medalhas Rebelo da Silva , Rosa Martins , Rosário Ferreira

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Abstract

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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控制哮喘和过敏性鼻炎对儿科睡眠呼吸紊乱的影响

我们的研究旨在评估哮喘和/或过敏性鼻炎患儿的睡眠质量，以及过敏性呼吸道疾病的控制对睡眠障碍的影响。材料和方法这是一项观察性横断面研究，研究对象是在葡萄牙一家三级医院就诊的儿科过敏患儿（G1），并与对照人群（G2）进行了比较。哮喘和鼻炎控制情况通过过敏性鼻炎和哮喘控制测试（CARAT/CARATKids）问卷进行测定。睡眠情况使用儿科睡眠问卷（PSQ）进行评估。研究组中约有三分之一的儿童患有与睡眠相关的呼吸紊乱（SDB），而对照组中仅有 9% 的儿童患有与睡眠相关的呼吸紊乱（P-值为 0.05）。不受控制的哮喘和过敏性鼻炎与 SDB 之间存在明显的正相关（p 值为 0.05）。过敏性呼吸道疾病得不到控制会对睡眠产生负面影响。我们建议开展大型横断面研究，以更好地了解这两种疾病之间的确切关系，并使用客观的诊断工具。我们认为，通过有效的调查问卷对患有过敏性呼吸道疾病的儿童进行早期睡眠障碍筛查至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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