» Articles » PMID: 22102290

Sleep Quality and Asthma Control and Quality of Life in Non-severe and Severe Asthma

Overview
Journal Sleep Breath
Publisher Springer
Date 2011 Nov 22
PMID 22102290
Citations 46
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: The effect of sleep quality on asthma control independent from common comorbidities like gastroesophageal reflux disease (GERD) and obstructive sleep apnea (OSA) is unknown. This study examined the association between sleep quality and asthma control and quality of life after accounting for OSA and GERD in non-severe (NSA) and severe (SA) asthma.

Methods: Cross-sectional data from 60 normal controls, 143 with NSA, and 79 with SA participating in the Severe Asthma Research Program was examined. Those who reported using positive airway pressure therapy or were at high risk for OSA were excluded.

Results: Both SA and NSA had poorer sleep quality than controls, with SA reporting the worst sleep quality. All asthmatics with GERD and 92% of those without GERD had poor sleep quality (p = 0.02). The majority (88-100%) of NSA and SA participants who did not report nighttime asthma disturbances still reported having poor sleep quality. In both NSA and SA, poor sleep quality was associated with worse asthma control and quality of life after controlling for GERD and other covariates.

Conclusions: These results suggest that poor sleep quality is associated with poor asthma control and quality of life among asthmatics and cannot be explained by comorbid GERD and nighttime asthma disturbances.

Citing Articles

Patient-centred outcomes in severe asthma: fatigue, sleep, physical activity and work.

Ten Have L, Meulmeester F, de Jong K, Ten Brinke A Eur Respir Rev. 2025; 34(175).

PMID: 40044187 PMC: 11880904. DOI: 10.1183/16000617.0122-2024.


The Joint Association of Sleep Quality and Outdoor Activity with Asthma and Allergic Rhinitis in Children: A Cross-Sectional Study in Shanghai.

Lu R, Zhang Y, Chen Y, Lyu J, Li R, Kang W J Asthma Allergy. 2025; 18:101-111.

PMID: 39931536 PMC: 11807787. DOI: 10.2147/JAA.S494662.


Impact of comorbidities on EQ-5D quality-of-life index in severe asthma.

Pfeffer P, Brown T, Chaudhuri R, Faruqi S, Gore R, Heaney L J Allergy Clin Immunol Glob. 2024; 3(3):100286.

PMID: 39071731 PMC: 11277382. DOI: 10.1016/j.jacig.2024.100286.


Risk factors of sleep-disordered breathing and poor asthma control in children with asthma.

Tao M, Zhang Y, Ding L, Peng D BMC Pediatr. 2024; 24(1):288.

PMID: 38689232 PMC: 11059673. DOI: 10.1186/s12887-024-04762-7.


Examining the Trajectory of Health-Related Quality of Life among Coronavirus Disease Patients.

Li J, Wisnivesky J, Lin J, Campbell K, Hu L, Kale M J Gen Intern Med. 2024; 39(10):1820-1827.

PMID: 38169022 PMC: 11282031. DOI: 10.1007/s11606-023-08575-9.


References
1.
Moore W, Bleecker E, Curran-Everett D, Erzurum S, Ameredes B, Bacharier L . Characterization of the severe asthma phenotype by the National Heart, Lung, and Blood Institute's Severe Asthma Research Program. J Allergy Clin Immunol. 2007; 119(2):405-13. PMC: 2837934. DOI: 10.1016/j.jaci.2006.11.639. View

2.
Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

3.
Sullivan S, Rasouliyan L, Russo P, Kamath T, Chipps B . Extent, patterns, and burden of uncontrolled disease in severe or difficult-to-treat asthma. Allergy. 2007; 62(2):126-33. DOI: 10.1111/j.1398-9995.2006.01254.x. View

4.
Johns M . Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep. 1992; 15(4):376-81. DOI: 10.1093/sleep/15.4.376. View

5.
Haughney J, Price D, Kaplan A, Chrystyn H, Horne R, May N . Achieving asthma control in practice: understanding the reasons for poor control. Respir Med. 2008; 102(12):1681-93. DOI: 10.1016/j.rmed.2008.08.003. View