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The relationship between sleep quality and the control and severity of bronchial asthma

Caroline Becker, Carlos Martinez Rivera, Jorge Abad Capa, Maria Luisa Martinez, Laura Rodriguez Pons, Nuria Bruguera Ávila, Zoran Stojanovic, Juan Ruiz Manzano
European Respiratory Journal 2013 42: P3998; DOI:
Caroline Becker
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Carlos Martinez Rivera
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Jorge Abad Capa
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Maria Luisa Martinez
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Laura Rodriguez Pons
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Nuria Bruguera Ávila
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Zoran Stojanovic
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Juan Ruiz Manzano
1Pneumology, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona, Spain
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Abstract

Introduction

Few studies have comprehensively assessed the quality of sleep in patients with bronchial asthma by full polysomnographic parameters and validated questionnaires.

Material and methods

We performed full polysomnography in 26 selected patients with asthma.We gathered data on their sleep quality through the Pittsburgh sleep quality index (PSQI), the Epworth test, and the Insomnia Severity Index (ISI), and we collected data on asthma control using ACT, health resource utilization in the previous year, pulmonary function, and previous treatment. The Hospital Anxiety and Depression (HAD) test, the Nijmegen questionnaire, and the Sidney Asthma Quality of Life Questionnaire (AQLQ Sidney) were handed out. We divided patients into partially or poorly controlled if the ACT score was <20, and into well controlled if the ACT ≥20. Patients with ≥15 were classified as clinical insomnia, and if they had a PSQI score ≥ 5, as poor sleep quality.

Results

The ACT medium was 18.5 and FEV1 74%. In patients with ACT <20 sleep latency was higher with no significant difference (33 vs.20, p = 0.28), they had the worse PSQI (12 vs.3, p = 0.03) and the worse score in ISI (13.67 vs 2.26, p = 0.020). Patients with clinical insomnia had worse ACT score (19.4 vs. 13.8, p=0.08), hyperventilation (Nijmegen 29 vs 8.7, p = 0.057), worse AQLQ (5.9 vs. 1.7, p = 0.005), anxiety (HDA 16 vs. 5, p = 0.001), depression (HDA 12 vs. 2.6, p = 0.004), and more exacerbations (2.2 vs. 0.7, p=0.07).

Conclusions

There is probably a bidirectional relation between asthma control and poor quality of sleep. We found poor correlation between polysomnographic parameters, sleep quality questionnaires and characteristics of asthma.

  • Asthma - diagnosis
  • Sleep disorders
  • © 2013 ERS
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The relationship between sleep quality and the control and severity of bronchial asthma
Caroline Becker, Carlos Martinez Rivera, Jorge Abad Capa, Maria Luisa Martinez, Laura Rodriguez Pons, Nuria Bruguera Ávila, Zoran Stojanovic, Juan Ruiz Manzano
European Respiratory Journal Sep 2013, 42 (Suppl 57) P3998;

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The relationship between sleep quality and the control and severity of bronchial asthma
Caroline Becker, Carlos Martinez Rivera, Jorge Abad Capa, Maria Luisa Martinez, Laura Rodriguez Pons, Nuria Bruguera Ávila, Zoran Stojanovic, Juan Ruiz Manzano
European Respiratory Journal Sep 2013, 42 (Suppl 57) P3998;
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