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Sleep duration, obesity, and asthma, in Florida adolescents: analysis of data from the Florida Youth Risk Behavior Survey (2009–2013)

  • Epidemiology • Original Article
  • Published:
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Abstract

Purpose

To examine the association between sleep duration and asthma among Florida high school students and whether body mass index (BMI) modifies this association.

Methods

This cross-sectional analysis included 16,728 participants in the Florida Youth Risk Behavior Survey (2009–2013). Using logistic regression, we examined the association between sleep duration and asthma, and, after controlling for potential confounders, analyzed the interaction between sleep duration and BMI.

Results

Sleeping for less than 7 h or more than 8 h on school night was associated with increased odds of current asthma. Compared with 7–8 h of sleep per night, sleeping for <7 h had an OR of 1.22 (95% CI 1.07, 1.40), while sleeping for ≥9 h had and OR of 1.31 (1.06, 1.63). When stratified by body mass index (BMI), these associations were significant only in overweight adolescents, with those sleeping for <7 or ≥9 h having approximately twice the odds of having current asthma (OR = 1.75 (1.45, 2.11) and OR = 2.00 (1.32, 3.02) respectively), compared with normal weight adolescents who slept for 7–8 h per night.

Conclusion

The association between sleep duration and asthma in adolescents is modified by BMI. Short and long sleep durations are associated with asthma in overweight adolescents while no significant association is seen in those with normal BMI.

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Abbreviations

BMI:

Body mass index

YRBS:

Youth Risk Behavior Survey

OR:

Odds ratio

95% CI:

95% confidence interval

References

  1. Akinbami LJ, Moorman JE, Bailey C et al (2012) Trends in asthma prevalence, health care use, and mortality in the United States, 2001-2010. NCHS Data Brief 94:1–8 http://www.ncbi.nlm.nih.gov/pubmed/22617340

    Google Scholar 

  2. National Commission on Sleep Disorders Research (1993) Wake up America a National Sleep Alert : report of the National Commission on sleep disorders research. The Commission, Washington D.C. ?]

    Google Scholar 

  3. Wheaton AG, Perry GS, Chapman DP, Croft JB (2013) Self-reported sleep duration and weight-control strategies among U.S. high school students. Sleep 36:1139–1145. doi:10.5665/sleep.2872

    Article  PubMed  PubMed Central  Google Scholar 

  4. Khan WH, Mohsenin V, D’Ambrosio CM (2014) Sleep in asthma. Clin Chest Med 35(3):483–493. doi:10.1016/j.ccm.2014.06.004

    Article  PubMed  Google Scholar 

  5. Fitzpatrick MF, Martin K, Fossey E, Shapiro CM, Elton RA, Douglas NJ (1993) Snoring, asthma and sleep disturbance in Britain: a community-based survey. Eur Respir J. 6(4):531–535 http://www.ncbi.nlm.nih.gov/pubmed/8491303. Accessed August 30, 2015

    CAS  PubMed  Google Scholar 

  6. Vir R, Bhagat R, Shah A (1997) Sleep disturbances in clinically stable young asthmatic adults. Ann Allergy Asthma Immunol 79(3):251–255. doi:10.1016/S1081-1206(10)63010-4

    Article  CAS  PubMed  Google Scholar 

  7. Janson C, De Backer W, Gislason T et al (1996) Increased prevalence of sleep disturbances and daytime sleepiness in subjects with bronchial asthma: a population study of young adults in three European countries. Eur Respir J Off J Eur Soc Clin Respir Physiol 9:2132–2138

    CAS  Google Scholar 

  8. Xie A, Kakkar R, Teodorescu MC, Harpel L, Krishnan V, Teodorescu M (2011) Sleep and respiratory disease. In: Sleep, Health and Society: From Aetiology to Public Health. doi:10.1093/acprof

  9. Jensen ME, Gibson PG, Collins CE, Hilton JM, Latham-Smith F, Wood LG (2013) Increased sleep latency and reduced sleep duration in children with asthma. Sleep Breath 17(1):281–287. doi:10.1007/s11325-012-0687-1

    Article  PubMed  Google Scholar 

  10. Meltzer LJ, Ullrich M, Szefler SJ (2014) Sleep duration, sleep hygiene, and insomnia in adolescents with asthma. J Allergy Clin Immunol Pract. doi:10.1016/j.jaip.2014.02.005

    PubMed  PubMed Central  Google Scholar 

  11. Stores G, Ellis AJ, Wiggs L, Crawford C, Thomson A (1998) Sleep and psychological disturbance in nocturnal asthma. Arch Dis Child 78(5):413–419 /pmc/articles/PMC1717552/?report=abstract. Accessed August 19, 2014

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Desager KN, Nelen V, Weyler JJJ, De Backer W (2005) A. Sleep disturbance and daytime symptoms in wheezing school-aged children. J Sleep Res 14(1):77–82. doi:10.1111/j.1365-2869.2004.00432.x

    Article  PubMed  Google Scholar 

  13. Short MA, Gradisar M, Lack LC, Wright HR, Chatburn A (2013) Estimating adolescent sleep patterns: parent reports versus adolescent self-report surveys, sleep diaries, and actigraphy. Nat Sci Sleep 5:23–26. doi:10.2147/NSS.S38369

    Article  PubMed  PubMed Central  Google Scholar 

  14. Miller MA, Cappuccio FP (2010) Sleep, inflammation, and disease. In: Sleep, Health and Society: From Aetiology to Public Health, p 1–34. doi:10.1093/acprof.

  15. Florida Department of Health. Youth Risk Behavior Survey (YRBS). http://www.floridahealth.gov/statistics-and-data/survey-data/youth-risk-behavior-survey/. Accessed 21 May 2016

  16. Natioanl Sleep Foundation recommends new sleep times—National Sleep Foundation. http://sleepfoundation.org/media-center/press-release/natioanl-sleep-foundation-recommends-new-sleep-times. Accessed 18 Feb 2015

  17. Centers for Disease Control and Prevention. Combining YRBS data across years and sites. http://www.cdc.gov/healthyyouth/data/yrbs/pdf/yrbs_combining_data.pdf. Published 2014. Accessed 5 July 2015

  18. CDC-Asthma-BRFSS -2013 Child Asthma Data-Table C3. http://www.cdc.gov/asthma/brfss/2013/child/tableC3.htm. Accessed 30 August 2015

  19. Chugh IM, Khanna P, Shah A (2006) Nocturnal symptoms and sleep disturbances in clinically stable asthmatic children. Asian Pac J Allergy Immunol 24(2–3):135–142 http://www.ncbi.nlm.nih.gov/pubmed/17136879

    PubMed  Google Scholar 

  20. Teodorescu MCM, Polomis DA, Gangnon RE, Consens FB, Chervin RD (2013) Sleep duration, asthma and obesity. J Asthma. 50(9):945–953. doi:10.3109/02770903.2013.831871

    Article  CAS  PubMed  Google Scholar 

  21. Fedele DA, Janicke DM, Lim CS, Abu-Hasan M (2014) An examination of comorbid asthma and obesity: assessing differences in physical activity, sleep duration, health-related quality of life and parental distress. J Asthma 51(3):275–281. doi:10.3109/02770903.2013.873807

    Article  PubMed  Google Scholar 

  22. Linet MS, Harlow SD, McLaughlin JK, McCaffrey LD (1989) A comparison of interview data and medical records for previous medical conditions and surgery. J Clin Epidemiol 42(12):1207–1213 http://www.ncbi.nlm.nih.gov/pubmed/2585011. Accessed May 22, 2016

    Article  CAS  PubMed  Google Scholar 

  23. Torén K, Brisman J, Järvholm B (1993) Asthma and asthma-like symptoms in adults assessed by questionnaires. A literature review. Chest 104(2):600–608 http://www.ncbi.nlm.nih.gov/pubmed/7802735. Accessed May 22, 2016

    Article  PubMed  Google Scholar 

  24. Brener ND, Mcmanus T, Galuska DA, Lowry R, Wechsler H (2003) Reliability and validity of self-reported height and weight among high school students. J Adolesc Health 32(4):281–287 http://www.ncbi.nlm.nih.gov/pubmed/12667732. Accessed May 22, 2016

    Article  PubMed  Google Scholar 

  25. Biddle DJ, Robillard R, Hermens DF, Hickie IB, Glozier N (2015) Accuracy of self-reported sleep parameters compared with actigraphy in young people with mental ill-health. Sleep Heal 1(3):214–220. doi:10.1016/j.sleh.2015.07.006

    Article  Google Scholar 

  26. Tremaine RB, Dorrian J, Blunden S (2010) Subjective and objective sleep in children and adolescents: measurement, age, and gender differences. Sleep Biol Rhythms 8(4):229–238. doi:10.1111/j.1479-8425.2010.00452.x

    Article  Google Scholar 

  27. Wolfson AR, Carskadon MA, Acebo C et al (2003) Evidence for the validity of a sleep habits survey for adolescents. Sleep 26(2):213–216 http://www.ncbi.nlm.nih.gov/pubmed/12683482. Accessed April 19, 2016

  28. Rothman KJ, Greenland S, Associate TLL (2014) Modern epidemiology, 3rd Edition. Hastings Cent Rep 44(Suppl 2):insidebackcover. doi:10.1002/hast.292

  29. Renzoni E, Forastiere F, Biggeri A et al (1999) Differences in parental- and self-report of asthma, rhinitis and eczema among Italian adolescents. SIDRIA collaborative group. Studi Italiani sui Disordini Respiratori dell’ Infanzia e l’Ambiente. Eur Respir J 14(3):597–604 http://www.ncbi.nlm.nih.gov/pubmed/10543281. Accessed April 24, 2016

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. College of Public Health, Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA

    Chighaf Bakour, Kathleen O’Rourke, Skai Schwartz & Wei Wang

  2. College of Public Health, Department of Community and Family Health & Chiles Center, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA

    William Sappenfield

  3. College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, Tampa, FL, 33612, USA

    Marisa Couluris

Authors
  1. Chighaf Bakour
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  2. Kathleen O’Rourke
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  3. Skai Schwartz
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  4. Wei Wang
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  5. William Sappenfield
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  6. Marisa Couluris
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Corresponding author

Correspondence to Chighaf Bakour.

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Funding

This research was partially funded by the Health Resource and Service Administration (HRSA) through the Maternal and Child Health Epidemiology Doctoral Training grant.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study used secondary data and does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

This study used secondary data with no involvement of human participants. For this type of study, formal consent is not required. Furthermore, data did not include any identifying information.

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Bakour, C., O’Rourke, K., Schwartz, S. et al. Sleep duration, obesity, and asthma, in Florida adolescents: analysis of data from the Florida Youth Risk Behavior Survey (2009–2013). Sleep Breath 21, 1039–1045 (2017). https://doi.org/10.1007/s11325-017-1460-2

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  • DOI: https://doi.org/10.1007/s11325-017-1460-2

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