Correlates of daytime sleepiness in patients with asthma

Teodorescu, Mihaela; Consens, Flavia B.; Bria, William F.; Coffey, Michael; McMorris, Marc; Weatherwax, Kevin; Durance, Ann; Palmisano, John M.; Senger, Carolyn M.; Chervin, Ronald D.

doi:10.1016/j.sleep.2006.02.001

Cited by 68 publications

(63 citation statements)

References 41 publications

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“…Among the participants of the current study, adults with current asthma or previous asthma were more likely to sleep less than 7 hours every 24 hours at the time of survey compared to those without asthma (37%, 32% and 28%, respectively, p value of Pearson chi-square test < 0.001). Previous research has suggested that asthma patients are more likely to experience sleepiness during daytime hours [7,23,24] and that asthma condition and medications for asthma may impair sleep quality [8,25]. Moreover, there is substantial evidence suggesting that daytime sleepiness, inadequate sleep or poor sleep quality is an independent risk factor for injuries in both adults and children [11,12,[26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

“…In 2004, it was estimated that asthma affected 300 million people worldwide, [4] and it caused around 250,000 deaths in 2007 [5]. Clinical data suggest that asthma impairs sleep quality and further impairs cognitive performance during the daytime, especially among those with serious night-time symptoms [6][7][8][9][10]. There is a causal relationship between impaired sleep quality and injuries [11,12].…”

Section: Introductionmentioning

confidence: 99%

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Asthma and Injury Risk: A Large Scale Population-Based Study

Liang¹,

Chikritzhs²

2012

IJCM

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Purpose: Clinical data suggest that asthma impairs sleep quality and further impairs cognitive performance during the daytime, while there is a causal relationship between impaired sleep quality and injuries. Therefore asthma patients may have increased risk of injury, and this is supported by our recent population-based studies conducted in Australia. This study is to investigate the effect of asthma on the risk of injury at the population level using data from the US National Health Interview Survey collected in 2008, 2009, and 2010. Method: Data from the 2008, 2009 and 2010 National Health Interview Surveys were combined and analyzed together. Results: US adults with current or previous asthma had significantly greater risk of injury compared to those without asthma. The risk of injury was also significantly higher among children with current asthma. Conclusion: This population-based study provided further evidence on the positive association between asthma and risk of injury among both adults and children. The increased risk of injury among asthma patients is at least partly due to impaired sleep quality and quantity caused by asthma symptoms and asthma medications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Asthma and Injury Risk: A Large Scale Population-Based Study

Liang¹,

Chikritzhs²

2012

IJCM

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“…Several authors have reported a relationship between asthma and OSA [8][9][10][11][12][13][14]. The prevalence of OSA is higher among patients with adult asthma; OSA symptoms, which further deteriorate asthma symptoms, are commonly observed in the asthmatic population; thus, treating OSA can improve asthma symptoms [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of OSA is higher among patients with adult asthma; OSA symptoms, which further deteriorate asthma symptoms, are commonly observed in the asthmatic population; thus, treating OSA can improve asthma symptoms [9][10][11][12]. Recent studies have shown that adult patients with asthma have a significantly higher risk of OSA [14,15].…”

Section: Introductionmentioning

confidence: 99%

Association of Childhood Asthma and Pediatric Obstructive Sleep Apnea: A Retrospective Cohort Study from a Nationwide Population-based Database

Lin¹,

Lin²,

Lin³

et al. 2017

J Sleep Disord Ther

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“…8 It has been shown that patients with obstructive sleep apnea syndrome with concomitant AR have significantly higher fatigue, daytime sleepiness, and stress compared with patients with obstructive sleep apnea syndrome without AR. 9 Cross-sectional [10][11][12][13] and longitudinal 14 studies found that asthma is associated with both the clinical features of obstructive sleep apnea syndrome 11,12,14 and diagnosis of obstructive sleep apnea syndrome established by polysomnography. 10,13 Bidirectional influences probably exist between the 2 conditions, and obstructive sleep apnea appears to affect asthma control.…”

Section: Introductionmentioning

confidence: 99%

Sleep Apnea Risk in Subjects With Asthma With or Without Comorbid Rhinitis

et al. 2014

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BACKGROUND: As many as 80% of patients with asthma suffer from allergic rhinitis (AR), and rhinitis symptoms are associated with sleep complaints The aim of this cross-sectional study was to assess the prevalence of obstructive sleep apnea syndrome risk in patients with asthma and to explore the association between comorbid rhinitis and obstructive sleep apnea syndrome risk. METHODS: Subjects with asthma were recruited by general practitioners during a control visit. Physicians compiled a questionnaire that assessed the presence of AR according to ARIA (Allergic Rhinitis and Its Impact on Asthma) guidelines and factors influencing the risk of obstructive sleep apnea syndrome (gastroesophageal reflux disease, obesity, smoking). Subjects completed a questionnaire evaluating the presence and severity of AR and the STOP-BANG questionnaire (snoring, tiredness during daytime, observed apnea, high blood pressure, body mass index, age, neck circumference, gender), a validated screening method to identify obstructive sleep apnea syndrome risk. Physicians were blinded to the subjects' questionnaires, ensuring objectivity of the method. RESULTS: The analyses were conducted on 1,941 subjects (males 58%, mean age 48.2 ؎ 15.2 y): 740 with asthma alone and 1,201 with asthma and AR. STOP-BANG revealed that 52.6% of the subjects were at increased risk of obstructive sleep apnea syndrome: 47.3% of subjects with asthma alone and 55.9% of patients with asthma and AR. Rhinitis was associated with a 1.44 times higher odds ratio for having obstructive sleep apnea syndrome risk. Rhinitis duration and severity were associated with obstructive sleep apnea syndrome risk, although the latter deserved greater importance. The results showed that, once a correction for each of these factors was performed, subjects with AR with an odds ratio of 1.99 were reported to be at risk of obstructive sleep apnea syndrome. CONCLUSIONS: The probable increased risk of obstructive sleep apnea syndrome is associated with the concomitant presence of rhinitis, independent of obesity and other contributors to risk of obstructive sleep apnea syndrome.

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Correlates of daytime sleepiness in patients with asthma

Cited by 68 publications

References 41 publications

Asthma and Injury Risk: A Large Scale Population-Based Study

Asthma and Injury Risk: A Large Scale Population-Based Study

Association of Childhood Asthma and Pediatric Obstructive Sleep Apnea: A Retrospective Cohort Study from a Nationwide Population-based Database

Sleep Apnea Risk in Subjects With Asthma With or Without Comorbid Rhinitis

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