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.
