Journal of Asthma and Allergy (Jan 2022)
Prevalence of Insomnia Among Patients with Bronchial Asthma
Abstract
Abdullah AL-Harbi,1– 3 Tammam Alanazi,1 Hazim Alghamdi,1 Meshal Alberreet,1 Abdulaziz Alkewaibeen,1 Abdulrahman Alkhalifah,1 Aamir Omair,1,4 Mohammad Khan,1– 3 Hamdan AL-Jahdali1– 3 1College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2Department of Medicine, Pulmonary Division, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia; 3King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; 4Department of Medical education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaCorrespondence: Abdullah AL-HarbiDepartment of Medicine, Pulmonary Division, Ministry of National Guard-Health Affairs, P.O. Box 22490, MC 1443, Riyadh, 11426, Saudi Arabia, Email [email protected]; [email protected]: Insomnia is commonly reported in patients with asthma. However, the prevalence of insomnia and its relationship to asthma control have not been established.Objective: To determine the prevalence of insomnia in adults with asthma and to evaluate the association between insomnia and level of asthma control.Methods: This is a cross-sectional study of 200 patients recruited from pulmonary clinics at a tertiary care center. Adults (age ≥ 16 years) diagnosed with asthma by the primary treating physician were recruited over a 6-month period from December 2018 to May 2019. Asthma and insomnia severity were assessed using the Asthma Control Test and Insomnia Severity Index (ISI).Results: The mean age of participants was 51± 17 years, and 67% were female. Insomnia (ISI score ≥ 10) was present in 46.5% of the participants. The severity of insomnia was inversely related to the level of asthma control: moderate-to-severe insomnia was more frequent in patients with uncontrolled asthma (43%) than in those with partially controlled asthma (25%) or well-controlled asthma (12%) (P < 0.05 for all comparisons).Conclusion: Insomnia is common among patients with asthma, especially those with suboptimal asthma control. Further investigations are required to more fully understand the complex relationship between asthma and insomnia.Keywords: prevalence, asthma, insomnia, asthma control, Insomnia Severity Index