Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban Children

• Published in: Pediatric pulmonology 2025-01, Vol.60 (1), p.e27492-n/a
• Main Authors: Teape, Daniella, Tanzer, Joshua R., Kopel, Sheryl J., Guzman, Luis O., Esteban, Cynthia A., Koinis‐Mitchell, Daphne
• Format: Article
• Language: English
• Subjects: Adolescent; adolescents; Asthma; Asthma - diagnosis; Asthma - physiopathology; asthma symptom perception; Child; children; concordance; Female; Humans; Lung - physiopathology; Male; Respiratory Function Tests; Retrospective Studies; Self Report; Severity of Illness Index; Sleep; Sleep - physiology; Sleep Wake Disorders - epidemiology; Sleep Wake Disorders - physiopathology; Urban Population - statistics & numerical data
• ISSN: 8755-6863; 1099-0496; 1099-0496
• DOI: 10.1002/ppul.27492

ABSTRACT Objectives To examine the extent to which asthma symptom concordance (ASC) or discordance (ASD) is associated with sleep outcomes in children with persistent asthma. Also, to investigate whether the association between ASC and sleep outcomes varies as a function of children's level of asthma control and severity. Methods A retrospective data analysis of Project NAPS (Nocturnal Asthma and Performance in School), an observational study which examined asthma and sleep outcomes in children with persistent asthma. Measures of ASC and ASD were developed from daily self‐reported asthma symptoms and lung function measurements performed over 4 weeks. The extent to which ASC and ASD were associated with sleep efficiency, duration, and awakenings was evaluated. Concordance and discordance of asthma symptoms with sleep outcomes were examined as a function of the child's asthma severity and control. Results Those whose asthma symptom reports were in concordance with their lung function had longer sleep duration than children whose reports were discordant (difference = 15 min, Z = 2.61, p