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Association between asthma and sleep hours in Brazilian adolescents: ERICA
Authors:Natalia Rocha do Amaral Estanislau  Erica Azevedo de Oliveira Costa Jordão  Gabriela de Azevedo Abreu  Katia Vergetti Bloch  Maria Cristina Caetano Kuschnir  Mara M.R. Felix  Fabio Chigres Kuschnir
Affiliation:1. Universidade do Estado do Rio de Janeiro (UERJ), Programa de Pós-Graduação em Ciências Médicas, Rio de Janeiro, RJ, Brazil;2. Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio de Janeiro, RJ, Brazil;3. Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil;4. Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Estudos de Saúde Coletiva, Rio de Janeiro, RJ, Brazil
Abstract:ObjectiveTo investigate the association between asthma and sleep duration in participants of the Study of Cardiovascular Risks in Adolescents.Materials and methodsCross-sectional, national, school-based study, involving adolescents aged 12–17 years. In the period between 2013?14, data from 59,442 participants were analyzed. Bivariate analysis between current asthma and short sleep duration, defined as < 7 h/night, was performed separately with the other variables analyzed: sex, age group, type of school, weight categories, and common mental disorders. Then, different generalized linear models with Poisson family and logarithmic link functions were used to assess the independence of potential confounding covariates associated with both asthma and short sleep duration in the previous analysis. Crude and adjusted prevalence ratios and respective 95% confidence intervals were calculated, and a value of p < 0.05 was considered significant for all analyses performed.ResultsPrevalence of current asthma was 13.4%, being significantly higher among students with short sleep duration (PR: 1.17; 95% CI: 1.01–1.35; p = 0.034). This remained significant even after adjusting for the other study covariates.ConclusionThere was a positive association between the prevalence of current asthma and short sleep duration among Brazilian adolescents. Considering the high prevalence and morbidity of the disease in this age group, the promotion of sleep hygiene should be considered as a possible health strategy aimed at contributing to better control of asthma in this population.
Keywords:Adolescents  Asthma  Epidemiological study  Sleep
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