哮喘联盟

   摘要
   背景：我们需要深入了解可能与哮喘控制相关的可改变的健康行为。睡眠就是这样一种健康行为，然而在儿童哮喘研究中却很少受到关注。
   目的：观察青少年（哮喘患者和非哮喘患者）的睡眠持续时间、睡眠卫生和失眠情况。
   方法：来自社区的298名青少年（男孩占51%；年龄12～17岁；哮喘患者占48%）参与了一项网上调查，该项调查包括儿童哮喘及变态反应性疾病国际研究调查问卷、儿童睡眠方式报告和失眠严重指数。
   结果：不同哮喘严重程度组的睡眠持续时间并无不同，然而重度哮喘组中报道工作日睡眠不足的青少年比例（44%）高于非哮喘青少年组（31%）。哮喘青少年的睡眠卫生存在明显的组间差异，重度哮喘青少年的睡眠卫生更差。与轻度哮喘或非哮喘青少年相比，重度哮喘青少年的失眠人数是其2倍。睡眠卫生与失眠相关，尽管在重度哮喘和非重度哮喘青少年中这种相关性没有差异。失眠的严重程度和哮喘的严重程度都是工作日睡眠的重要预测因素；然而，哮喘严重程度仅占差异的2%，失眠严重程度占差异的28%。
   结论：许多重度哮喘的青少年患者常有睡眠不足、睡眠卫生差及失眠。干预措施可以有效改善青少年哮喘患者的睡眠情况，所以调查他们的睡眠持续时间、睡眠卫生和失眠情况很重要。
 

（林江涛 审校）
J Allergy ClinImmunolPract.2014Sep-Oct;2(5):562-9.doi:10.1016/j.jaip.2014.02.005. Epub 2014 Apr 13.

 

Sleep duration, sleep hygiene, and insomnia in adolescents with asthma.
 

Meltzer LJ1, Ullrich M2, Szefler SJ3.
 

ABSTRACT
BACKGROUND: There is a need to understand more about modifiable health behaviors that may be related to asthma control. Sleep is one such health behavior that has received little attention in pediatric asthma research.
OBJECTIVE: To examine sleep duration, sleep hygiene, and insomnia in adolescents with and without asthma.
METHODS: Adolescents (n = 298; 51% boys; age range, 12-17 years; 48% with asthma) from the general community completed an online survey that included the International Study of Asthma and Allergies in Childhood questionnaire, the Children's Report of Sleep Patterns, and the Insomnia Severity Index.
RESULTS: Sleep duration did not differ between the asthma severity groups, yet more adolescents with severe asthma reported insufficient weekday sleep (44%) versus adolescents without asthma (31%). Significant asthma group differences were found for sleep hygiene, with adolescents with severe asthma reporting poorer sleep hygiene. Almost twice as many adolescents with severe asthma reported clinically significant insomnia than adolescents with mild or no asthma. Sleep hygiene variables were correlated with insomnia, although these associations did not differ between adolescents with and without severe asthma. Finally, both insomnia severity and asthma severity were significant predictors of daytime sleepiness; however, asthma severity accounted for only 2% of the variance compared with 28% of the variance accounted for by insomnia severity.
CONCLUSIONS: Many adolescents with severe asthma regularly obtain insufficient sleep, have poor sleep hygiene, and experience clinically significant insomnia. It is important to ask adolescents with asthma about sleep duration, sleep hygiene, and insomnia because there are effective interventions that can improve sleep for these youths.
 

J Allergy ClinImmunolPract.2014Sep-Oct;2(5):562-9.doi:10.1016/j.jaip.2014.02.005. Epub 2014 Apr 13.