The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits

Zhigang Hu,1– 3,* Yufeng Tian,4,* Fanjun Zeng,1,2 Xinyu Song1,2 1Department of Respiratory and Critical Care Medicine, The First College of Clinical Medicine Science, China Three Gorges University, Yichang 443003, People’s Republic of China; 2Department of Respiratory and Critica...

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Autores principales:	Hu Z, Tian Y, Zeng F, Song X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	sleep duration asthma attack; Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/c7d1cc02bc8e4acbb11b476f10430cce
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spelling	oai:doaj.org-article:c7d1cc02bc8e4acbb11b476f10430cce2021-12-02T11:38:31ZThe Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits1179-1608https://doaj.org/article/c7d1cc02bc8e4acbb11b476f10430cce2020-04-01T00:00:00Zhttps://www.dovepress.com/the-association-between-sleep-duration-asthma-related-episodesattacks--peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Zhigang Hu,1– 3,* Yufeng Tian,4,* Fanjun Zeng,1,2 Xinyu Song1,2 1Department of Respiratory and Critical Care Medicine, The First College of Clinical Medicine Science, China Three Gorges University, Yichang 443003, People’s Republic of China; 2Department of Respiratory and Critical Care Medicine, Yichang Central People’s Hospital, Yichang,People’s Republic of China; 3Department of Respiratory and Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, People’s Republic of China; 4Department of Teaching Office, Three Gorges University, Yichang 443003, People’s Republic of China*These authors contributed equally to this workCorrespondence: Zhigang HuDepartment of Respiratory Medicine, The First College of Clinical Medicine Science, Three Gorges University, NO. 183 Yiling Road, Yichang 443003, People’s Republic of ChinaTel +86 717-6486930Email hxq910813@163.comYufeng TianDepartment of Teaching Office, Three Gorges University, No. 183 Yiling Road, Yichang 443003, People’s Republic of ChinaEmail tyf460@126.comBackground: Inadequate sleep duration potentially increases the risk of allergic asthma; yet, the effect of different sleep duration on asthma-related episodes/attacks and emergency department (ED) visits has remained unclear. The purpose of this study is to evaluate the association between sleep duration, asthma-related episodes/attacks and ED visits.Methods: This study included 1526 asthma participants from the Behavioral Risk Factor Surveillance System Questionnaire during 2013– 2017. Self-reported sleep duration was classified into three groups: ≤ 6 h (short), 7 h to 8 h (optimal) and ≥ 9 h (long). Generalized additive model with binomial or Poisson regression was used to complete all statistical analyses.Results: During a 12-month period, 857 participants reported acute episodes/attacks of asthma, and 279 participants reported asthma-related ED visits. Asthmatics with ED visits harbored significantly lower mean sleep duration (6.50 h vs 7.01 h, adjusted OR=0.93, 95% CI: 0.88– 0.98) than those without episodes/attacks. After adjusting the potential confounding factors, the participants with long sleep duration were associated with lower risk of asthma-related episodes/attacks (adjusted OR=0.59, 95% CI:  0.41– 0.86) than those with short sleep duration. The prevalence (adjusted OR=0.67, 95% CI:  0.47– 0.94) and frequency (adjusted OR=0.83, 95% CI:  0.69– 0.9996) of asthma-related ED visits among short sleepers were significantly higher than that among optimal sleepers. The differences of asthma-related episodes/attacks and ED visits between long and optimal sleepers were statistically insignificant.Conclusion: Our study demonstrated that asthmatics with short sleep duration were associated with highest prevalence of asthma-related episodes/attacks and ED visits among the three sleep duration groups.Keywords: sleep duration, asthma, attackHu ZTian YZeng FSong XDove Medical Pressarticlesleep durationasthmaattack;PsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 253-262 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep duration asthma attack; Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep duration asthma attack; Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Hu Z Tian Y Zeng F Song X The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits
description	Zhigang Hu,1– 3,* Yufeng Tian,4,* Fanjun Zeng,1,2 Xinyu Song1,2 1Department of Respiratory and Critical Care Medicine, The First College of Clinical Medicine Science, China Three Gorges University, Yichang 443003, People’s Republic of China; 2Department of Respiratory and Critical Care Medicine, Yichang Central People’s Hospital, Yichang,People’s Republic of China; 3Department of Respiratory and Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, People’s Republic of China; 4Department of Teaching Office, Three Gorges University, Yichang 443003, People’s Republic of China*These authors contributed equally to this workCorrespondence: Zhigang HuDepartment of Respiratory Medicine, The First College of Clinical Medicine Science, Three Gorges University, NO. 183 Yiling Road, Yichang 443003, People’s Republic of ChinaTel +86 717-6486930Email hxq910813@163.comYufeng TianDepartment of Teaching Office, Three Gorges University, No. 183 Yiling Road, Yichang 443003, People’s Republic of ChinaEmail tyf460@126.comBackground: Inadequate sleep duration potentially increases the risk of allergic asthma; yet, the effect of different sleep duration on asthma-related episodes/attacks and emergency department (ED) visits has remained unclear. The purpose of this study is to evaluate the association between sleep duration, asthma-related episodes/attacks and ED visits.Methods: This study included 1526 asthma participants from the Behavioral Risk Factor Surveillance System Questionnaire during 2013– 2017. Self-reported sleep duration was classified into three groups: ≤ 6 h (short), 7 h to 8 h (optimal) and ≥ 9 h (long). Generalized additive model with binomial or Poisson regression was used to complete all statistical analyses.Results: During a 12-month period, 857 participants reported acute episodes/attacks of asthma, and 279 participants reported asthma-related ED visits. Asthmatics with ED visits harbored significantly lower mean sleep duration (6.50 h vs 7.01 h, adjusted OR=0.93, 95% CI: 0.88– 0.98) than those without episodes/attacks. After adjusting the potential confounding factors, the participants with long sleep duration were associated with lower risk of asthma-related episodes/attacks (adjusted OR=0.59, 95% CI:  0.41– 0.86) than those with short sleep duration. The prevalence (adjusted OR=0.67, 95% CI:  0.47– 0.94) and frequency (adjusted OR=0.83, 95% CI:  0.69– 0.9996) of asthma-related ED visits among short sleepers were significantly higher than that among optimal sleepers. The differences of asthma-related episodes/attacks and ED visits between long and optimal sleepers were statistically insignificant.Conclusion: Our study demonstrated that asthmatics with short sleep duration were associated with highest prevalence of asthma-related episodes/attacks and ED visits among the three sleep duration groups.Keywords: sleep duration, asthma, attack
format	article
author	Hu Z Tian Y Zeng F Song X
author_facet	Hu Z Tian Y Zeng F Song X
author_sort	Hu Z
title	The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits
title_short	The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits
title_full	The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits
title_fullStr	The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits
title_full_unstemmed	The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits
title_sort	association between sleep duration, asthma-related episodes/attacks and emergency department visits
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/c7d1cc02bc8e4acbb11b476f10430cce
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The Association Between Sleep Duration, Asthma-Related Episodes/Attacks and Emergency Department Visits

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