OBJECTIVES: In this study, we examine the association of asthma (asthma symptoms, asthma control, lung function) and sleep problems in a group of urban children. The role of allergic rhinitis (AR), a comorbid condition of asthma, on children's sleep problems is also examined. Finally, we investigate whether sleep hygiene moderates the association between asthma and sleep problems, and whether there are differences in these associations based on ethnic background. METHODS: Non-Latino White, Latino, and African American urban children with asthma (n = 195) ages 7-9 (47% female) and their primary caregivers participated in a baseline visit involving interview-based questionnaires on demographics, asthma and rhinitis control, and caregiver report of children's sleep problems and sleep hygiene. Children and their caregivers participated in a clinical evaluation of asthma and AR, followed by a month monitoring period of children's asthma using objective and subjective methods. RESULTS: Total sleep problem scores were higher in children of the sample who were from African American and Latino backgrounds, compared to non-Latino white children. Poor asthma control was predictive of higher levels of sleep problems in the entire sample. Poorer AR control also was related to more sleep problems, over and above children's asthma in the sample. This association was more robust in non-Latino white children. Poor sleep hygiene heightened the association between poor asthma control and sleep problems in the entire sample and in African American children. CONCLUSIONS: Multidisciplinary interventions integrating the co-management of asthma, AR, and the effects of both illnesses on children's sleep, need to be developed and tailored to children and their families' ethnic background.
OBJECTIVES: In this study, we examine the association of asthma (asthma symptoms, asthma control, lung function) and sleep problems in a group of urban children. The role of allergic rhinitis (AR), a comorbid condition of asthma, on children's sleep problems is also examined. Finally, we investigate whether sleep hygiene moderates the association between asthma and sleep problems, and whether there are differences in these associations based on ethnic background. METHODS: Non-Latino White, Latino, and African American urban children with asthma (n = 195) ages 7-9 (47% female) and their primary caregivers participated in a baseline visit involving interview-based questionnaires on demographics, asthma and rhinitis control, and caregiver report of children's sleep problems and sleep hygiene. Children and their caregivers participated in a clinical evaluation of asthma and AR, followed by a month monitoring period of children's asthma using objective and subjective methods. RESULTS: Total sleep problem scores were higher in children of the sample who were from African American and Latino backgrounds, compared to non-Latino white children. Poor asthma control was predictive of higher levels of sleep problems in the entire sample. Poorer AR control also was related to more sleep problems, over and above children's asthma in the sample. This association was more robust in non-Latino white children. Poor sleep hygiene heightened the association between poor asthma control and sleep problems in the entire sample and in African American children. CONCLUSIONS: Multidisciplinary interventions integrating the co-management of asthma, AR, and the effects of both illnesses on children's sleep, need to be developed and tailored to children and their families' ethnic background.
Authors: Kristie R Ross; Amy Storfer-Isser; Meeghan A Hart; Anna Marie V Kibler; Michael Rueschman; Carol L Rosen; Carolyn M Kercsmar; Susan Redline Journal: J Pediatr Date: 2011-12-01 Impact factor: 4.406
Authors: Susan L Calhoun; Alexandros N Vgontzas; Julio Fernandez-Mendoza; Susan D Mayes; Marina Tsaoussoglou; Maria Basta; Edward O Bixler Journal: Sleep Date: 2011-04-01 Impact factor: 5.849
Authors: Daphne Koinis-Mitchell; Sheryl J Kopel; Julie Boergers; Elizabeth L McQuaid; Cynthia A Esteban; Ronald Seifer; Gregory K Fritz; Alvaro J Beltran; Robert B Klein; Monique LeBourgeois Journal: J Pediatr Psychol Date: 2015-05-18
Authors: Sarah K Wise; Sandra Y Lin; Elina Toskala; Richard R Orlandi; Cezmi A Akdis; Jeremiah A Alt; Antoine Azar; Fuad M Baroody; Claus Bachert; G Walter Canonica; Thomas Chacko; Cemal Cingi; Giorgio Ciprandi; Jacquelynne Corey; Linda S Cox; Peter Socrates Creticos; Adnan Custovic; Cecelia Damask; Adam DeConde; John M DelGaudio; Charles S Ebert; Jean Anderson Eloy; Carrie E Flanagan; Wytske J Fokkens; Christine Franzese; Jan Gosepath; Ashleigh Halderman; Robert G Hamilton; Hans Jürgen Hoffman; Jens M Hohlfeld; Steven M Houser; Peter H Hwang; Cristoforo Incorvaia; Deborah Jarvis; Ayesha N Khalid; Maritta Kilpeläinen; Todd T Kingdom; Helene Krouse; Desiree Larenas-Linnemann; Adrienne M Laury; Stella E Lee; Joshua M Levy; Amber U Luong; Bradley F Marple; Edward D McCoul; K Christopher McMains; Erik Melén; James W Mims; Gianna Moscato; Joaquim Mullol; Harold S Nelson; Monica Patadia; Ruby Pawankar; Oliver Pfaar; Michael P Platt; William Reisacher; Carmen Rondón; Luke Rudmik; Matthew Ryan; Joaquin Sastre; Rodney J Schlosser; Russell A Settipane; Hemant P Sharma; Aziz Sheikh; Timothy L Smith; Pongsakorn Tantilipikorn; Jody R Tversky; Maria C Veling; De Yun Wang; Marit Westman; Magnus Wickman; Mark Zacharek Journal: Int Forum Allergy Rhinol Date: 2018-02 Impact factor: 3.858
Authors: Sarah R Martin; Julie Boergers; Sheryl J Kopel; Elizabeth L McQuaid; Ronald Seifer; Monique LeBourgeois; Robert B Klein; Cynthia A Esteban; Gregory K Fritz; Daphne Koinis-Mitchell Journal: J Pediatr Psychol Date: 2017-09-01
Authors: Daphne Koinis-Mitchell; Sheryl J Kopel; Ronald Seifer; Monique LeBourgeois; Elizabeth L McQuaid; Cynthia A Esteban; Julie Boergers; Jack Nassau; Michael Farrow; Gregory K Fritz; Robert B Klein Journal: Sleep Health Date: 2017-04-11
Authors: Daphne Koinis-Mitchell; Sheryl J Kopel; Michael L Farrow; Elizabeth L McQuaid; Jack H Nassau Journal: Ann Allergy Asthma Immunol Date: 2019-03-11 Impact factor: 6.347
Authors: Carrie R Howell; Lindsay A Thompson; Heather E Gross; Bryce B Reeve; Darren A DeWalt; I-Chan Huang Journal: Value Health Date: 2016-02-16 Impact factor: 5.725
Authors: Cynthia A Esteban; Robin S Everhart; Sheryl J Kopel; Robert B Klein; Daphne Koinis-Mitchell Journal: Ann Allergy Asthma Immunol Date: 2017-09 Impact factor: 6.347
Authors: Jacqueline R Jezioro; Sharon A Gutman; Stephanie Lovinsky-Desir; Virginia Rauh; Frederica P Perera; Rachel L Miller Journal: Open J Occup Ther Date: 2021