3156 Sleep disorders in latin-American children with asthma and/or allergic rhinitis and normal controls

Friday, 16 October 2015
Hall D1 Foyer (Floor 3) (Coex Convention Center)

Marilyn Urrutia Pereira, MD, PhD, , Pediatric Program of Asthma Prevention (PIPA), Brazilian Sociaty, Uruguaina, Brazil

Dirceu Sole, MD, PhD , Sao Paulo Federal University, Brazilian Society, Sao Paulo, Brazil

Herberto Jose Chong Neto, MD, PhD , Pediatric, Universidade Federal Do Paraná, Curitiba, Brazil

Veronica Acosta, MD, , Pediatric, Hospital Dr Avelino L Castelán, Resistencia-Chaco, Argentina

Alfonso Mario Cepeda, MD, , Pediatria, Hospital Universitario Metropolitano, Barranquilla, Colombia

Mirta Alvarez Castello, MD , Pediatric, Hospital Universitário General Calixto Garcia, Havana, Cuba

Jose Santos Lozano Saenz, MD, , Pediatric, Centro medica San Angel, Xalapa, Mexico

Juan C. Sisul, MD, , State Director Gard/ARIA, Paraguay

Nelson Rosario Filho, MD PhD , Pediatrics, University of Parana, Curitiba, Brazil

Marylin Valentin Rostan, MD, , Montevideo, Rafael Barradas 1671, Montevideo, Uruguay

Antonio Castillo, MD, , Pediatric, Centro De Medicina Avanzada Dr. Abel González, Santo Domingo, Dominican Republic

Claudia Almendarez, MD, , Pediatric, Centro De Asma y Alergia, Tagucigalpa, Honduras

Hector Badellino, MD, PhD , Pediatric, Clínica Regional Del Este, San Francisco-Cordoba, Argentina

Raúl Lázaro Castro Almarales, MD, MSc , Allergens Department, National Center of Bioproducts, Mayabeque, Cuba

Jennifer Avila, Enfermeira , Pediatria, Pediatric Program of Asthma Prevention (PIPA), Uruguaiana, Brazil

Miguel Alejandro Medina Avalos, MD, , Pediatric, Servicio De Alergologia Del Hospital Issste, Veracruz,, Mexico

Maria Carolina Manotas, MD, , Pediatric, Hosp Universitario Metropolitano, Barranquilla, Colombia

Mayda González León, MD , Docent Polyclinic "Pedro Fonseca", Cuban Society of Integral General Medicine Member, Cuban Society of Allergy , Asthma and Clinical Immunology, Member, Cuban Society of Immunology Member,, Havana, Cuba

Caridad Sanchez Silot, MD, MSc , Allergology Service, Pediatric, University Hospital Infantil Sur, Santiago de Cuba, Cuba

Carmen Fernandez, MD, , Pediatric, Centro Pediátrico Paidos – Universidad Nacional Del Este, Asunción, Paraguay

Felicia Berroa Rodriguez, MD, , Pediatric, Centro De Medicina Avanzada Dr. Abel González, Santo Domingo, Dominican Republic

Michel De La Cruz Betances, MD, , Pediatric, Centro De Medicina Avanzada Dr. Abel González, Santo Domingo, Dominican Republic

Background:Asthma and/or allergic rhinitis have been associated with sleep disorders. The aim of this study was to evaluate sleep disorders in Latin-American children (4 to 10 years) from 10 countries, with persistent asthma (A) and/or allergic rhinitis (AR) and in normal controls (C)

Methods: parents from 454 C and 700 A and/or AR children followed in reference clinics answered the Children Sleep Habits Questionnaire (CSHQ) that is an one-week retrospective questionnaire composed by 33 questions and divided in 7 subscales (bedtime resistance, sleep duration, sleep anxiety, night awaking, parasomnias, sleep-disordered breathing and daytime sleepiness). Total CSHQ scale and subscales were compared between C and A+AR, A (n=285) vs AR (n=390), and controlled A (CA, n=103) vs partially controlled/uncontrolled A (UA, n=182).

Results: comparison between C and A+AR showed no significant differences in age (6.7 vs 7.0 years, respectively) and total CSHQ (53.3 vs 63.2, respectively) and subscales were significantly higher among A+AR group. Comparison between A and AR groups, except for sleep anxiety, show significantly higher values for total CSHQ (66.9 vs 61.0, respectively) and the other subscales. UA showed significantly higher values for total CSHQ and subscales in comparison to CA (71.1 vs 59.4, respectively).

Conclusions: Latin-American asthmatic and/or allergic rhinitis children showed to have sleep disorders defined by the CSHQ when compared to normal controls. Despite being treated, asthma causes sleep compromise, mainly if uncontrolled.