RT Journal Article
SR Electronic
T1 The relationship between sleep quality and the control and severity of bronchial asthma
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P3998
VO 42
IS Suppl 57
A1 Caroline Becker
A1 Carlos Martinez Rivera
A1 Jorge Abad Capa
A1 Maria Luisa Martinez
A1 Laura Rodriguez Pons
A1 Nuria Bruguera Ávila
A1 Zoran Stojanovic
A1 Juan Ruiz Manzano
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P3998.abstract
AB IntroductionFew studies have comprehensively assessed the quality of sleep in patients with bronchial asthma by full polysomnographic parameters and validated questionnaires.Material and methodsWe 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.ResultsThe 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).ConclusionsThere 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.