Evidence map›Paper›PMID 28890019›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2017

Allergic sensitization and objective measures of sleep in urban school-aged children with asthma.

Cynthia A Esteban, Robin S Everhart, Sheryl J Kopel, Robert B Klein, Daphne Koinis-Mitchell

Open access · bronzeAbstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  3. Review
  4. Article
  5. Article
  6. Article
  7. Asthma and academic performance in urban children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Cynthia A EstebanDepartment of Pediatrics, Division of Allergy and Immunology, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island. Electronic address: cesteban@mgh.harvard.edu.
Robin S EverhartDepartment of Psychology, Virginia Commonwealth University, Richmond, Virginia.
Sheryl J KopelDepartment of Psychiatry, Division of Child Psychiatry, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.
Robert B KleinDepartment of Pediatrics, Division of Allergy and Immunology, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.
Daphne Koinis-MitchellDepartment of Psychiatry, Division of Child Psychiatry, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.
Brown University · USRhode Island Hospital · USVirginia Commonwealth University · US

Funding

Asthma and Academic Performance in Urban ChildrenR01HD057220 · NICHD · RHODE ISLAND HOSPITAL · PI KOINIS MITCHELL, DAPHNE · 2009 to 2013
$3.1M
Pediatric Asthma Disparities: The Role of Sleep and Immune BalanceK24HL130451 · NHLBI · RHODE ISLAND HOSPITAL · PI KOINIS MITCHELL, DAPHNE · 2016 to 2020
$508k
NHLBI NIH HHS K24 HL130451NICHD NIH HHS R01 HD057220
6 · The paper itself

Abstract

backgroundAllergic sensitization is associated with increased child asthma morbidity and decreased pulmonary function. Nocturnal symptoms and/or awakenings typically are measured by self-report from diary data, whereas objective assessments of sleep in child asthma studies are lacking.

objectiveTo investigate the association between increased allergic sensitization (number of positive allergy test results measured by skin prick test or specific immunoglobulin E) and sleep outcomes (sleep efficiency, sleep duration, and mean number of awakenings measured by actigraphy) in urban schoolchildren with persistent asthma.

methodsOne hundred ninety-six children with persistent asthma (7-9 years old) attending public school in 1 of 4 large urban school districts completed allergy testing during a study clinic visit. Forced expiratory volume in 1 second was monitored at home using a handheld spirometer. Sleep outcomes were measured with a wrist Actiwatch during a 1-month period in the fall and winter seasons.

resultsNumber of positive allergy test results significantly predicted mean sleep efficiency (P = .02), such that children with more positive test results experienced less efficient sleep. Number of positive allergy test results significantly predicted mean number of night awakenings (P = .05), such that children with more positive allergy test results experienced more night awakenings. Variability in forced expiratory volume in 1 second was a significant moderator in the association between number of positive allergy test results and variability in sleep efficiency (P = .04). Racial and ethnic differences in allergic sensitization and sleep outcomes were found between African Americans and Latinos.

conclusionMore positive allergy test results were associated with poorer sleep outcomes measured objectively in this sample of urban children. Implications for environmental control interventions and asthma treatments in different racial and ethnic groups are discussed.

Indexed as

AllergensChildFemaleForced Expiratory VolumeHumansHypersensitivityImmunoglobulin EMaleSkin TestsSleep Wake DisordersUrban PopulationAllergensImmunoglobulin E

Identifiers

PMID28890019
PMCPMC5611865
OpenAlexW2750988057

What OpenQuestion holds

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Registered trials

None linked

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.