Strang Abigail R, Covington Lauren, Rani Seema, Gao David, Flores Micayla, Canter Kimberly, Patterson Freda, Chidekel Aaron
Pediatric Pulmonology, Nemours Children's Health System, Wilmington, USA.
School of Nursing, University of Delaware, Newark, USA.
Cureus. 2023 Jun 13;15(6):e40370. doi: 10.7759/cureus.40370. eCollection 2023 Jun.
Objective Daytime sleepiness is common in youth with asthma (YWA). Treatments designed to mitigate daytime sleepiness in YWA require an understanding of the primary causes of this problem. We examined respiratory- and non-respiratory-related factors associated with daytime sleepiness in YWA. Methods One hundred YWA (eight to 17 years old) were included in a cross-sectional study. Daytime sleepiness, quality of life, anxiety, bedtime cellphone use, and respiratory symptoms were self-reported. Asthma severity, lung function, and the number of prescribed medications were obtained from electronic medical records. Multivariable regression models identifying variables associated with daytime sleepiness were generated. Results Participants were 54% male and 45% Black, with a mean age of 12.1 years. The multivariable regression model showed decreased quality of life (b = -0.328, p = 0.004) and increased bedtime cellphone use (b = 0.300, p = 0.004)were significantly related to daytime sleepiness, while anxiety (b = 0.213, p = 0.05), prescribed asthma medications (b = 0.173, p = 0.05), and worse lung function (b = -0.173, p = 0.05)were marginally related to daytime sleepiness. Conclusions In addition to optimizing asthma control, strategies targeting anxiety, quality of life, and nocturnal cellphone use are important to mitigate daytime sleepiness in YWA.
目的 白天嗜睡在患有哮喘的青少年（YWA）中很常见。旨在减轻YWA白天嗜睡的治疗方法需要了解该问题的主要原因。我们研究了与YWA白天嗜睡相关的呼吸和非呼吸相关因素。方法 一项横断面研究纳入了100名YWA（8至17岁）。白天嗜睡、生活质量、焦虑、睡前使用手机情况和呼吸道症状均通过自我报告获得。哮喘严重程度、肺功能和处方药物数量从电子病历中获取。生成了识别与白天嗜睡相关变量的多变量回归模型。结果 参与者中54%为男性，45%为黑人，平均年龄为12.1岁。多变量回归模型显示，生活质量下降（b = -0.328，p = 0.004）和睡前使用手机增加（b = 0.300，p = 0.004）与白天嗜睡显著相关，而焦虑（b = 0.213，p = 0.05）、哮喘处方药物（b = 0.173，p = 0.05）和肺功能较差（b = -0.173，p = 0.05）与白天嗜睡有边缘相关性。结论 除了优化哮喘控制外，针对焦虑、生活质量和夜间手机使用的策略对于减轻YWA的白天嗜睡很重要。
