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Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban Children
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...
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| Published in: | Pediatric pulmonology 2025-01, Vol.60 (1), p.e27492-n/a |
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| container_start_page | e27492 |
| container_title | Pediatric pulmonology |
| container_volume | 60 |
| creator | Teape, Daniella Tanzer, Joshua R. Kopel, Sheryl J. Guzman, Luis O. Esteban, Cynthia A. Koinis‐Mitchell, Daphne |
| description | 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 |
| doi_str_mv | 10.1002/ppul.27492 |
| format | article |
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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 < 0.05), and more nighttime awakenings (difference = 0.6 awakenings, Z = 2.30, p < 0.05). Children with well‐controlled asthma had longer sleep duration (difference = 18 min, p < 0.0001).
Conclusion
This study builds on the literature on asthma symptom recognition by adding an evaluation of how ASC relates to sleep outcomes. Findings suggest that concordance of asthma symptoms with lung function is associated with longer sleep duration and moderated by asthma control. ASC may be important to sleep duration, which has important implications for tailoring asthma management to optimize symptom concordance.</description><identifier>ISSN: 8755-6863</identifier><identifier>ISSN: 1099-0496</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.27492</identifier><identifier>PMID: 39868941</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>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</subject><ispartof>Pediatric pulmonology, 2025-01, Vol.60 (1), p.e27492-n/a</ispartof><rights>2025 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1972-d3850ef08441ce5a5c6c0f8bbf9d2d7df4851267f303d5ac1defa9a6421e5aee3</cites><orcidid>0000-0002-5009-1647 ; 0000-0002-1809-5613</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39868941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teape, Daniella</creatorcontrib><creatorcontrib>Tanzer, Joshua R.</creatorcontrib><creatorcontrib>Kopel, Sheryl J.</creatorcontrib><creatorcontrib>Guzman, Luis O.</creatorcontrib><creatorcontrib>Esteban, Cynthia A.</creatorcontrib><creatorcontrib>Koinis‐Mitchell, Daphne</creatorcontrib><title>Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban Children</title><title>Pediatric pulmonology</title><addtitle>Pediatr Pulmonol</addtitle><description>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 < 0.05), and more nighttime awakenings (difference = 0.6 awakenings, Z = 2.30, p < 0.05). Children with well‐controlled asthma had longer sleep duration (difference = 18 min, p < 0.0001).
Conclusion
This study builds on the literature on asthma symptom recognition by adding an evaluation of how ASC relates to sleep outcomes. Findings suggest that concordance of asthma symptoms with lung function is associated with longer sleep duration and moderated by asthma control. ASC may be important to sleep duration, which has important implications for tailoring asthma management to optimize symptom concordance.</description><subject>Adolescent</subject><subject>adolescents</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - physiopathology</subject><subject>asthma symptom perception</subject><subject>Child</subject><subject>children</subject><subject>concordance</subject><subject>Female</subject><subject>Humans</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Respiratory Function Tests</subject><subject>Retrospective Studies</subject><subject>Self Report</subject><subject>Severity of Illness Index</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep Wake Disorders - physiopathology</subject><subject>Urban Population - statistics & numerical data</subject><issn>8755-6863</issn><issn>1099-0496</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNp90c9r2zAUB3AxVta03WV_QBHsMkrdPfmHLB2zsP6AQMrasKORpefGwZZcyV7IZX_7nKTdoYeexNP78OXBl5AvDK4YQPy964bmKs5TGX8gEwZSRpBK_pFMRJ5lERc8OSYnIawBxp1kn8hxIgUXMmUT8nfmrHbeKKuR_sB-g2jpNPSrVtGHbdv1rqW_sHO-D1RZQxflGnVf_0E6H-wTvR7sODl7uV9OQ3C6VruPQH_X_Yo-NIgdXQy9di0GWlu69KWydLaqG-PRnpGjSjUBP7-8p2R5_fNxdhvNFzd3s-k80kzmcWQSkQFWINKUacxUprmGSpRlJU1sclOlImMxz6sEEpMpzQxWSiqexmzUiMkp-XbI7bx7HjD0RVsHjU2jLLohFAnjADlLJIz06xu6doO343V7JYBnEI_q4qC0dyF4rIrO163y24JBsWul2LVS7FsZ8flL5FC2aP7T1xpGwA5gUze4fSequL9fzg-h_wC_KZkZ</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Teape, Daniella</creator><creator>Tanzer, Joshua R.</creator><creator>Kopel, Sheryl J.</creator><creator>Guzman, Luis O.</creator><creator>Esteban, Cynthia A.</creator><creator>Koinis‐Mitchell, Daphne</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5009-1647</orcidid><orcidid>https://orcid.org/0000-0002-1809-5613</orcidid></search><sort><creationdate>202501</creationdate><title>Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban Children</title><author>Teape, Daniella ; Tanzer, Joshua R. ; Kopel, Sheryl J. ; Guzman, Luis O. ; Esteban, Cynthia A. ; Koinis‐Mitchell, Daphne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1972-d3850ef08441ce5a5c6c0f8bbf9d2d7df4851267f303d5ac1defa9a6421e5aee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adolescent</topic><topic>adolescents</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - physiopathology</topic><topic>asthma symptom perception</topic><topic>Child</topic><topic>children</topic><topic>concordance</topic><topic>Female</topic><topic>Humans</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Respiratory Function Tests</topic><topic>Retrospective Studies</topic><topic>Self Report</topic><topic>Severity of Illness Index</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Sleep Wake Disorders - physiopathology</topic><topic>Urban Population - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Teape, Daniella</creatorcontrib><creatorcontrib>Tanzer, Joshua R.</creatorcontrib><creatorcontrib>Kopel, Sheryl J.</creatorcontrib><creatorcontrib>Guzman, Luis O.</creatorcontrib><creatorcontrib>Esteban, Cynthia A.</creatorcontrib><creatorcontrib>Koinis‐Mitchell, Daphne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teape, Daniella</au><au>Tanzer, Joshua R.</au><au>Kopel, Sheryl J.</au><au>Guzman, Luis O.</au><au>Esteban, Cynthia A.</au><au>Koinis‐Mitchell, Daphne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban Children</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr Pulmonol</addtitle><date>2025-01</date><risdate>2025</risdate><volume>60</volume><issue>1</issue><spage>e27492</spage><epage>n/a</epage><pages>e27492-n/a</pages><issn>8755-6863</issn><issn>1099-0496</issn><eissn>1099-0496</eissn><abstract>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 < 0.05), and more nighttime awakenings (difference = 0.6 awakenings, Z = 2.30, p < 0.05). Children with well‐controlled asthma had longer sleep duration (difference = 18 min, p < 0.0001).
Conclusion
This study builds on the literature on asthma symptom recognition by adding an evaluation of how ASC relates to sleep outcomes. Findings suggest that concordance of asthma symptoms with lung function is associated with longer sleep duration and moderated by asthma control. ASC may be important to sleep duration, which has important implications for tailoring asthma management to optimize symptom concordance.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39868941</pmid><doi>10.1002/ppul.27492</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5009-1647</orcidid><orcidid>https://orcid.org/0000-0002-1809-5613</orcidid></addata></record> |
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| 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 |
| title | Concordance Between Asthma Symptom Reports and Objective Lung Function, and Associations With Sleep Outcomes in Urban Children |
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