Journal article
Associations between sleep, obesity, and asthma in urban minority children
Journal of clinical sleep medicine, v 18(10), pp 2377-2385
01 Oct 2022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
STUDY OBJECTIVESAlthough obesity, asthma, and sleep-disordered breathing are interrelated, there is limited understanding of the independent contributions of body-mass index and pulmonary function on polysomnography in children with asthma. METHODSWe conducted a retrospective chart review on 448 7- to 18-year-old children with asthma who had undergone polysomnography testing between 1/2007-12/2011 to elucidate the association between spirometry variables, body-mass index, and polysomnography parameters, adjusting for asthma and antiallergic medications. RESULTSObese children had poorer sleep architecture and more severe gas exchange abnormalities compared to healthy weight children. Multivariate analysis revealed an independent association of body-mass index with sleep efficiency, with more light and less deep sleep in both obese and healthy-weight children, and with baseline oxygen saturation and oxygen nadir in obese children. In obese children, forced vital capacity was independently associated with less deep sleep (time in N3 sleep) as well as with oxygen nadir, while among healthy-weight children, forced expiratory volume directly correlated but forced vital capacity inversely correlated with deep sleep. In obese children, inhaled corticosteroid was associated with baseline oxygen saturation, and montelukast was associated with lower end-tidal carbon dioxide. In healthy-weight children, inhaled corticosteroid was associated with arousal awakening index, and montelukast was associated with light sleep. Antiallergic medications were not independently associated with polysomnography parameters. CONCLUSIONSPulmonary function, body-mass index, and asthma medications have independent and differing influences on sleep architecture and gas exchange polysomnography parameters in obese and healthy-weight children with asthma. Asthma medications are associated with improved gas exchange in obese children and improved sleep architecture in healthy-weight children with asthma. CITATIONConrad LA, Nandalike K, Rani S, Rastogi D. Associations between sleep, obesity, and asthma in urban minority children. J Clin Sleep Med. 2022;18(10):2377-2385.
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Details
- Title
- Associations between sleep, obesity, and asthma in urban minority children
- Creators
- Laura A Conrad - Albert Einstein College of MedicineKiran Nandalike - University of California Davis Medical CenterSeema Rani - St. Christopher's Hospital for ChildrenDeepa Rastogi - Children’s National Health System
- Publication Details
- Journal of clinical sleep medicine, v 18(10), pp 2377-2385
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000923165700006
- Scopus ID
- 2-s2.0-85139375483
- Other Identifier
- 991019173567504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology