Evidence map›Paper›PMID 21816697›Full record

ArticleAcademic pediatrics

Nocturnal asthma symptoms and poor sleep quality among urban school children with asthma.

Maria Fagnano, Alison L Bayer, Carrie A Isensee, Telva Hernandez, Jill S Halterman

Registry-linked trialAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01175369 (School-Based Asthma Therapy), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01175369 nacompletednot on this map

School-Based Asthma Therapy: Stage 2 Effectiveness Study

TypeinterventionalSponsorUniversity of RochesterRan2006 to 2012Enrolled530ConditionsAsthmaArmsSchool-based Care
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Asthma: onset at young, persist when grow up.Translational pediatrics · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The relationship between teen-reported nocturnal asthma symptoms and daily functioning.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  10. Physical Activity Among Urban Children with Asthma: Does Sleep Matter?Journal of clinical psychology in medical settings · 2022
    Article
  11. Sleep disorders in children with asthma.Pediatric pulmonology · 2022
    Review
  12. Sleep and asthma management in youth with poorly-controlled asthma and their caregivers: a qualitative approach.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Experimental methods to study sleep disruption and immune balance in urban children with asthma.Sleep advances : a journal of the Sleep Research Society · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Internalizing symptoms and sleep outcomes in urban children with and without asthma.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Maria FagnanoDepartment of Pediatrics and the Strong Children's Research Center, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA. maria_fagnano@urmc.rochester.edu
Alison L Bayer
Carrie A Isensee
Telva Hernandez
Jill S Halterman

Funding

School-Based Telemedicine Enhanced Asthma Management (SB-TEAM)R01HL079954 · NHLBI · UNIVERSITY OF ROCHESTER · PI HALTERMAN, JILL S · 2006 to 2016
$6.6M
NHLBI NIH HHS R01 HL079954
6 · The paper itself

Abstract

objectiveThe aim of this study was to describe nocturnal asthma symptoms among urban children with asthma and assess the burden of sleep difficulties between children with varying levels of nocturnal symptoms.

methodsWe analyzed baseline data from 287 urban children with persistent asthma (aged 4-10 years) enrolled in the School-Based Asthma Therapy trial; Rochester, New York. Caregivers reported on nocturnal asthma symptoms (number of nights/2 weeks with wheezing or coughing), parent quality of life (Juniper's Pediatric Asthma Caregivers Quality of Life Questionnaire), and sleep quality by using the validated Children's Sleep Habits Questionnaire. We used bivariate and multivariate statistics to compare nocturnal asthma symptoms with sleep quality/quantity and quality of life.

resultsMost children (mean age, 7.5 years) were black (62%); 74% had Medicaid. Forty-one percent of children had intermittent nocturnal asthma symptoms, 23% mild persistent, and 36% moderate to severe. Children's average total sleep quality score was 51 (range, 33-99) which is above the clinically significant cutoff of 41, indicating pervasive sleep disturbances among this population. Sleep scores were worse for children with more nocturnal asthma symptoms compared with those with milder symptoms on total score, as well as several subscales, including night wakings, parasomnias, and sleep disordered breathing (all P < .03). Parents of children with more nocturnal asthma symptoms reported their child having fewer nights with enough sleep in the past week (P = .018) and worse parent quality of life (P < .001).

conclusionsNocturnal asthma symptoms are prevalent in this population and are associated with poor sleep quality and worse parent quality of life. These findings have potential implications for understanding the disease burden of pediatric asthma.

Indexed as

AsthmaChildChild, PreschoolFemaleHumansMaleNew YorkParentsQuality of LifeRisk FactorsSchoolsSickness Impact ProfileSleep Wake DisordersUrban Population

Identifiers

PMID21816697
PMCPMC3481184

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.