Missed sleep and asthma morbidity in urban children
Missed sleep and asthma morbidity in urban children
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DOI：
10.1016/j.anai.2012.05.015
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发表时间：
2012-07-01
影响因子：
5.9
通讯作者：
Koinis-Mitchell, Daphne
中科院分区：
文献类型：
--
作者：
Daniel, Lauren C.;Boergers, Julie;Koinis-Mitchell, Daphne
背景资料：生活在城市环境中的儿童有许多睡眠中断的风险因素，包括环境干扰，与少数民族身份有关的压力源，以及更高的压力和焦虑率。哮喘可以进一步扰乱儿童的睡眠，但很少有研究探讨了错过睡眠对哮喘发病率的影响。目的：探讨错过睡眠，哮喘相关的生活质量（QoL），并在城市儿童哮喘发病率从拉丁美洲，非洲裔美国人，和非拉丁美洲白色背景的指标之间的关联。考虑到焦虑作为哮喘症状的触发因素的重要性以及焦虑和睡眠中断之间的联系，焦虑、哮喘发病率指标和睡眠缺失之间的关联也被tested.Methods：147名6至13岁儿童的父母完成了哮喘发病率和睡眠缺失、父母生活质量和儿童行为的测量。在整个样本中，更高的睡眠缺失报告与更频繁的缺课，更多的活动限制和更低的生活质量有关。与非拉丁裔白色和非洲裔美国儿童相比，拉丁裔儿童睡眠不足和哮喘发病率之间的关联更强。对于焦虑程度较高的儿童，错过睡眠和哮喘发病率之间的关联强于焦虑程度较低的儿童。结论：结果提供了初步支持错过睡眠作为一个贡献者，哮喘儿童在城市社区的日常运作。失眠可能与拉丁美洲家庭更相关。此外，焦虑可能是睡眠和哮喘发病率之间的联系，因为更高的焦虑可能会加剧睡眠中断对哮喘的影响。(C)2012年美国过敏，哮喘和免疫学学院。爱思唯尔公司出版All rights reserved.
Background: Children living in urban environments have many risk factors for disrupted sleep, including environmental disturbances, stressors related to ethnic minority status, and higher rates of stress and anxiety. Asthma can further disrupt sleep in children, but little research has examined the effects of missed sleep on asthma morbidity.Objective: To examine the associations among missed sleep, asthma-related quality of life (QoL), and indicators of asthma morbidity in urban children with asthma from Latino, African American, and non-Latino white backgrounds. Given the importance of anxiety as a trigger for asthma symptoms and the link between anxiety and disrupted sleep, the associations among anxiety, asthma morbidity indicators, and missed sleep were also tested.Methods: Parents of 147 children ages 6 to 13 years completed measures of asthma morbidity and missed sleep, parental QoL, and child behavior.Results: Higher reports of missed sleep were related to more frequent school absences, more activity limitations, and lower QoL across the sample. The associations between missed sleep and asthma morbidity were stronger for Latino children compared with non-Latino white and African American children. For children with higher anxiety, the associations between missed sleep and asthma morbidity were stronger than for children with lower anxiety.Conclusion: Results offer preliminary support for missed sleep as a contributor to daily functioning of children with asthma in urban neighborhoods. Missed sleep may be more relevant to Latino families. Furthermore, anxiety may serve as a link between sleep and asthma morbidity because higher anxiety may exacerbate the effects of disrupted sleep on asthma. (C) 2012 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.