Overlap of obstructive sleep apnea and bronchial asthma: Effect on asthma control

Zidan, Mohamed; Daabis, Rasha; Gharraf, Heba Said

doi:10.1016/j.ejcdt.2015.01.007

Cited by 16 publications

(11 citation statements)

References 34 publications

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“…We observed OSA to be more common in females (64.2%) compared to males (44.9%) which is statically significant. Similar results of high female predominance of OSA were also reported by Zidan, et al [16] of 66.6% and by Madama, et al [17] of 59.2%. Further OSA was more prevalent in obese patients in our study with prevalence of 67.1% in patients with BMI >30 compared to 37.5% only in patients with BMI <30 which is statistically significant.…”

Section: Discussionsupporting

confidence: 88%

Polysomnographic Evaluation of OSA in Patients of Bronchial Asthma

Yousoof

Mohammad

Shahnawaz

et al. 2020

ijirms

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Introduction: Bronchial asthma a common non-communicable disease affecting more than 300 million people world-wide. Compared to general population quality of sleep is poor in asthma patients due to various factors like poor control of asthma, co-morbidities like allergic rhinitis and oesophageal reflex disease but little is known about the potential role of obstructive sleep apnoea. Aims and objectives: This study was conducted is to evaluate the association between Asthma and risk of developing Obstructive Sleep Apnoea. Materials and methods: This was a prospective design study conducted on 137 patients of diagnosed bronchial asthma attending out-patient department of a referral chest from north India after ethical clearance. These patients underwent Berlin score assessment first and later level-1 polysomnography to evaluate for OSA. Results: prevalence of PSG documented OSA observed was 53.3% which is significantly higher than the general population and there was significant association with increasing age as 54.7% of patients were in middle aged population (40-60 years) and obesity with 67.1% patients having OSA with BMI >30 compared to 37.5% prevalence only with BMI <30, as well as with severity of asthma. Besides OSA was seen in 91.9% of Berlin high risk group patients, while it was found in only 21.3 % of Berlin low-risk group. Conclusion: prevalence of OSA in asthma patients is significantly higher as compared to general population and there is significant positive co-relation between severity of asthma, BMI, increasing age and higher Berlin score with the overall prevalence of OSA.

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Section: Discussionsupporting

confidence: 88%

Polysomnographic Evaluation of OSA in Patients of Bronchial Asthma

Yousoof

Mohammad

Shahnawaz

et al. 2020

ijirms

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“…Zidan et al . 47 found that percentage of OSA-asthma patients was 5.6% in well-controlled asthma patients, 61% in partially controlled and 33.3% in uncontrolled asthma patients.…”

Section: Discussionmentioning

confidence: 89%

“…Data were acquired from 26 studies 22 – 47 (7675 patients) which fulfilled the eligibility criteria (Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

Association of Obstructive Sleep Apnea with Asthma: A Meta-Analysis

Kong

Qin

Shen

et al. 2017

Sci Rep

114

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This study evaluates the relationship between obstructive sleep apnea (OSA) and asthma. Literature search was carried out in several electronic databases and random effects meta-analyses were performed to obtain pooled estimates of the prevalence of OSA, OSA risk and sleep disordered breathing (SDB) in asthma patients and pooled odds ratios of the prevalence between asthma and non-asthma patients. In adult asthma patients, the prevalence [95% confidence interval] of OSA, OSA risk, and SDB was 49.50 [36.39, 62.60] %, 27.50 [19.31, 35.69] %, and 19.65 [14.84, 24.46] % respectively. The odds of having OSA, OS risk and SDB by the asthma patients were 2.64 [1.76, 3.52], 3.73 [2.90, 4.57] and 1.73 [1.11, 2.36] times higher (p < 0.00001 for all) in asthma than in non-asthma patients, respectively. Adult asthma patients with OSA had significantly higher BMI in comparison with asthma patients without OSA. This study reveals that the prevalence of OSA in asthma patients is considerably higher; even higher than OSA risk and SDB. Sleep studies should be performed in asthma patients with symptoms suggestive of OSA/OSA risk/SDB.

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“…In addition, obesity is a stronger link between SRDB and asthma. Zidan et al [ 36 ] found a higher BMI was found to be a significant independent predictor of the development of OSA in asthmatics. We also evaluated the prevalence of obesity in our children and found a higher SRDB prevalence in children with obesity than in those without obesity.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A Two-Center Study

Guo

Zhang

et al. 2021

Canadian Respiratory Journal

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Objective. Asthma and sleep-related breathing disorders (SRBD) are common chronic respiratory diseases in children. The relationship between asthma and SRDB is bidirectional. However, only a few studies have analyzed the relationship between asthma control status and risk of SRBD. The aim of this study was to evaluate the relationship between asthma control and SRBD and further assess the relationship between therapy/atopy/lung function of children with asthma and SRBD. Methods. A total of 209 children aged 3–16 years were enrolled in this study. Pediatric sleep questionnaire (PSQ) scores were used to identify children at high risk of developing SRBD. Data on asthma control status, therapy, allergy, lung function, and exhaled nitric oxide were collected. Results. A significantly higher risk of SRBD was found among children with poorly controlled asthma (34.25% vs. 13.97%, P < 0.01) and allergic rhinitis (AR) (34.29% vs. 13.92%, P < 0.01) than among children with well-controlled asthma and AR. The prevalence of SRBD was also significantly higher in asthmatic children with obesity than that with just obesity (42.11% vs. 20.00%, P < 0.05). Multiple logistic regression analysis showed that poorly controlled asthma (OR, 2.746 (95% CI, 1.215–6.209); P < 0.05) and poorly controlled AR (OR, 3.284 (95% CI, 1.430–7.544); P < 0.01) increased the odds of having SRBD. Conclusion. Poorly controlled asthma and AR increase the risk of SRBD. A routine check of the level of asthma control and appropriate use of medication for AR are important because of their influence on SRBD.

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Overlap of obstructive sleep apnea and bronchial asthma: Effect on asthma control

Cited by 16 publications

References 34 publications

Polysomnographic Evaluation of OSA in Patients of Bronchial Asthma

Polysomnographic Evaluation of OSA in Patients of Bronchial Asthma

Association of Obstructive Sleep Apnea with Asthma: A Meta-Analysis

Relationship between Poorly Controlled Asthma and Sleep-Related Breathing Disorders in Children with Asthma: A Two-Center Study

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