https://doi.org/10.4081/monaldi.2024.2855
Existence and pattern of sleep-related breathing disorders in patients diagnosed with bronchial asthma
Submitted: November 25, 2023
Accepted: March 4, 2024
Published: April 23, 2024
Accepted: March 4, 2024
Abstract Views: 303
PDF_EARLY VIEW: 166
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Asthma and obstructive sleep apnea (OSA) are commonly prevalent diseases, and both can co-exist to result in an alternate overlap syndrome, where a bidirectional relationship can adversely affect each other. This study aimed to determine the existence and pattern of sleep-related breathing disorders in subjects with bronchial asthma. It was prospectively conducted at the National Institute of Tuberculosis and Respiratory Diseases, New Delhi, in diagnosed cases of bronchial asthma. A subjective assessment of sleepiness was done using the Epworth sleepiness scale (ESS). All subjects underwent overnight polysomnography (PSG) in the Sleep Laboratory of the Institute. A total of 70 subjects were screened, and among them, finally, 30 were enrolled. The mean age of the subjects was 37.53±11.21 years, the mean body mass index (BMI) was 26.4±5.58 kg/m2, the mean ESS score was 3.1, and 80% of the subjects were male. After PSG, OSA (apnea hypopnea index >5/hour) was found in 63% (19/30) of the patients, of whom 43% had mild OSA, 10% had moderate OSA, and 10% had severe OSA. 10% (3/30) had nocturnal oxygen desaturation, while none had sleep hypoventilation. Patients with OSA compared to those without OSA had a higher BMI, more co-morbid allergic rhinitis, severe bronchial asthma, and a worse percentage of predicted forced expiratory volume in the first second. The study showed high detection rates of OSA in bronchial asthma patients. Hence, asthma patients should be evaluated for OSA.
Global Initiative for Asthma. Global strategy for asthma management and prevention (2018 update). 2018. Available from: https://ginasthma.org/wp-content/uploads/2019/01/2018-GINA.pdf.
Jindal SK, Aggarwal AN, Gupta D, et al. Indian study on epidemiology of asthma, respiratory symptoms and chronic bronchitis in adults (INSEARCH). Int J Tuberc Lung Dis 2012;16:1270-7.
DOI: https://doi.org/10.5588/ijtld.12.0005
Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc 2008;5:136-43.
DOI: https://doi.org/10.1513/pats.200709-155MG
Prasad CN. Obstructive sleep apnea hypopnea syndrome: Indian scenario. Perspect Med Res 2013;1:22-5.
Pepito DL, Mohammed JM, Hardin KA. Obstructive sleep apnea and asthma: more than chance?. Curr Pulmonol Rep 2021;10:84-91.
DOI: https://doi.org/10.1007/s13665-021-00271-5
Ioachimescu OC, Teodorescu M. Integrating the overlap of obstructive lung disease and obstructive sleep apnoea: OLDOSA syndrome. Respirology 2013;18:421-31.
DOI: https://doi.org/10.1111/resp.12062
Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 1992;15:376-81.
DOI: https://doi.org/10.1093/sleep/15.4.376
Berry RB, Brooks R, Gamaldo CE, et al. The AASM manual for the scoring of sleep and associated events. Rules, terminology and technical specifications, Darien, Illinois, American Academy of Sleep Medicine; 2012.
American Academy of Sleep Medicine. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The report of an American Academy of Sleep Medicine task force. Sleep 1999;22:667-89.
DOI: https://doi.org/10.1093/sleep/22.5.667
Misra A, Chowbey P, Makkar BM. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India 2009;57:163-70.
Zidan M, Daabis R, Gharraf H. Overlap of obstructive sleep apnea and bronchial asthma: effect on asthma control. Egypt J Chest Dis Tuberc 2015;64:425-30.
DOI: https://doi.org/10.1016/j.ejcdt.2015.01.007
Dixit R, Verma S, Gupta N, et al. Obstructive sleep apnea in bronchial asthma patients: assessment of prevalence and risk factors. J Assoc Physicians India 2018;66:45-8.
Julien JY, Martin JG, Ernst P, et al. Prevalence of obstructive sleep apnea-hypopnea in severe versus moderate asthma. J Allergy Clin Immunol 2009;124:371-6.
DOI: https://doi.org/10.1016/j.jaci.2009.05.016
Braido F, Baiardini I, Lacedonia D, et al. Sleep apnea risk in subjects with asthma with or without comorbid rhinitis. Respir Care 2014;59:1851-6.
DOI: https://doi.org/10.4187/respcare.03084
Selsabil D, Mansour AB, Mhamedi S, et al. Prevalence of obstructive sleep-hyponea in severe asthma. J Pulm Respir Med 2017;7:414.
Teodorescu M, Consens FB, Bria WF, et al. Predictors of habitual snoring and obstructive sleep apnea risk in patients with asthma. Chest 2009;135:1125-32.
DOI: https://doi.org/10.1378/chest.08-1273
Qiao YX, Xiao Y. Asthma and obstructive sleep apnea. Chin Med J 2015;128:2798-804.
DOI: https://doi.org/10.4103/0366-6999.167361
Beuther DA, Sutherland ER. Overweight, obesity, and incident asthma: a meta-analysis of prospective epidemiologic studies. Am J Respir Crit Care Med 2007;175:661-6.
DOI: https://doi.org/10.1164/rccm.200611-1717OC
Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002;165:1217-39.
DOI: https://doi.org/10.1164/rccm.2109080
Guven SF, Dursun AB, Ciftci B, et al. Prevalence of obstructive sleep apnea with difficult-to-treat asthma. Asian Pac J Allergy Immunol 2011;32:153-9. Retraction in: Asian Pac J Allergy Immunol 2015;33:349.
Ethics Approval
The study protocol was approved by the Ethical Review Committee of the National Institute of Tuberculosis and Respiratory Diseases (protocol no. 6625 dated 2018/09/29)How to Cite
Meena, Saroj Kumari, Rajnish Gupta, and Manmohan Puri. 2024. “Existence and Pattern of Sleep-Related Breathing Disorders in Patients Diagnosed With Bronchial Asthma”. Monaldi Archives for Chest Disease, April. https://doi.org/10.4081/monaldi.2024.2855.
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