Association of asthma and sleep insufficiency among South Korean adolescents: analysis of web-based self-reported data from the Korean youth risk behavior web-based survey

Jan 19, 2019The Journal of asthma : official journal of the Association for the Care of Asthma

Link between asthma and poor sleep in South Korean teenagers based on self-reported survey data

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Abstract

Among 25,927 adolescents with asthma, a sleep duration of ≤5 hours is associated with a higher frequency of asthma.

Adolescents with asthma reported sleeping less and having different sleep patterns compared to those without asthma.
A sleep duration of ≤5 hours is linked to a higher likelihood of having asthma, with an odds ratio of 1.09.
Waking up early on weekends (≤7:00 AM) is associated with an increased frequency of asthma, indicated by an odds ratio of 1.03.
Long weekend catch-up sleep (≥2 hours more sleep on weekends than weekdays) is associated with a lower frequency of asthma, with an odds ratio of 0.98.

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: Weekend oversleep or catch-up sleep is common among adolescents, but relatively few data are available with regard to its effects on asthma. Our aim was to investigate whether weekend oversleep is associated with ever having asthma among Korean adolescents.: We analyzed web-based self-reported data from the Korean Youth Risk Behavior Web-based Survey in 25,927 physician-diagnosed adolescent asthma cases and 266,160 non-asthma cases. Self-report questionnaires were used to assess socioeconomic status, health behaviors, psychological factors and sleep patterns. Multiple logistic regression after adjusting for factors was used to determine the association between sleep and asthma.: The asthma group slept less (≤5 hours: 23.9% vs. 22.8%) had a later weekend bedtime (≥1:00 AM: 58.1% vs. 57.8%), and an earlier weekend wake time (≤7:00 AM: 18.1% vs. 17.0%) compared to the non-asthma group. After multiple logistic regression, a sleep duration ≤5 hours (odds ratio (OR), 1.09; 95% confidence interval (CI), 1.04-1.14) and weekend "early bird" (weekend wake time ≤7:00 AM: OR, 1.03; 95% CI, 1.00-1.07) were significantly associated with an increased frequency of asthma. Long weekend catch-up sleep (weekend sleep duration minus weekday sleep duration ≥2 hours) was significantly associated with a decreased frequency of asthma (OR, 0.98; 95% CI, 0.94-0.99).: Long weekend catch-up sleep, as an indicator of insufficient weekday sleep, is associated with a decreased frequency of asthma in Korean adolescents. Objectives Methods Results Conclusion

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Association of asthma and sleep insufficiency among South Korean adolescents: analysis of web-based self-reported data from the Korean youth risk behavior web-based survey

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