Sleep disorders in Latin-American children with asthma and/or allergic rhinitis and normal controls

• M. Urrutia-Pereira ^[4] ; D. Solé ^[1] ; H.J. Chong Neto ^[2] ; V. Acosta ^[5] ; A.M. Cepeda ^[6] ; M. Álvarez-Castelló ^[7] ; C.F. Almendarez ^[8] ; J. Lozano-Saenz ^[9] ; J.C. Sisul-Alvariza ^[10] ; N.A. Rosario ^[2] ; A.J. Castillo ^[11] ; M. Valentin-Rostan ^[12] ; H. Badellino ^[13] ; R.L. Castro-Almarales ^[14] ; M. González-León ^[15] ; C. Sanchez-Silot ^[16] ; M.M. Avalos ^[17] ; C. Fernandez ^[3] ; F. Berroa ^[10] ; M.M. De la Cruz ^[10] ; R.O.S. Sarni ^[18]
  1. [1] Universidade Federal de São Paulo

     Universidade Federal de São Paulo

     Brasil

     
  2. [2] Universidade Federal do Paraná

     Universidade Federal do Paraná

     Brasil

     
  3. [3] Universidad Nacional del Este

     Universidad Nacional del Este

     Paraguay

     
  4. [4] Unipampa Federal University, Brasil
  5. [5] Dr Avelino L. Castelán Pediatric Hospital, Argentina
  6. [6] Hospital Universitario Metropolitano, Colombia
  7. [7] Hospital Universitario General Calixto García, Cuba
  8. [8] Centro de Asma y Alergia, Honduras
  9. [9] Centro Médico San Angel, México
  10. [10] Clínica de Alergia y Asma, Paraguay
  11. [11] Centro de Medicina Avanzada Dr. Abel González, República Dominicana
  12. [12] Hospital Pediatrico Pereira Rossell, Uruguay
  13. [13] Clínica Regional del Este, Argentina
  14. [14] Centro Nacional de Biopreparados, Cuba
  15. [15] Centro de Pesquisa: Consultorios del médico de familia, Cuba
  16. [16] Hospital Universitario Infantil Sur, Cuba
  17. [17] Hospital ISSSTE, México
  18. [18] ABC Foundation School of Medicine, Brasil

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• Localización: Allergologia et immunopathologia: International journal for clinical and investigate allergology and clinical immunology, ISSN-e 1578-1267, ISSN 0301-0546, Vol. 45, Nº. 2, 2017, págs. 145-151
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Background Asthma and/or allergic rhinitis have been associated with sleep disorders. The aim of this study was to evaluate sleep disorders in Latin-American children (4–10 years) from nine countries, with persistent asthma (A) and/or allergic rhinitis (AR) and in normal controls (C).

    Methods Parents from 454 C children and 700 A and/or AR children followed up in allergy reference clinics completed the Children's Sleep Habits Questionnaire (CSHQ) which is a retrospective one-week questionnaire composed of 33 questions composed of seven subscales (bedtime resistance, sleep duration, sleep anxiety, night wakings, parasomnias, sleep-disordered breathing and daytime sleepiness). The total scale of CSHQ and the subscales were compared between groups C and A+AR, A (n = 285) vs. AR (n = 390), and between controlled A (CA, n = 103) vs. partially controlled/uncontrolled A (UA, n = 182).

    Results The comparison between C and A+AR showed no significant differences in age (6.7 years vs. 7.0 years, respectively), mean Body Mass Index and total scale of CSHQ (53.3 vs. 63.2, respectively) and the subscales were significantly higher in the A+AR group. Comparison between groups A and AR, except for sleep anxiety, showed significantly higher values for CSHQ total scale (66.9 vs. 61.0, respectively) and subscales for group A. The UA group showed significantly higher values for total CSHQ scale and subscales in comparison to CA (71.1 vs. 59.4, respectively).

    Conclusions Latin-American children with asthma and/or allergic rhinitis showed sleep disorders identified by the CSHQ when compared to normal controls. Despite being treated, asthma causes sleep impairment, especially when uncontrolled.