A new study shows that asthma and allergies are more common among teens who prefer to stay up late and wake later in the morning, compared to those who sleep and wake earlier.
Asthma symptoms are known to be strongly linked to the body’s internal clock, but this study is the first to examine how individual sleep preferences influence asthma risk in teenagers.
Researchers say the study reinforces the importance of sleep timing for teenagers and opens up a new channel of research into how sleep affects teenagers’ respiratory health.
The new findings are published in the journal ERJ Open Research.
“Asthma and allergic diseases are common in children and adolescents across the world and the prevalence is increasing. We know some of the reasons for this increase, such as exposure to pollution and tobacco smoke, but we still need to find out more,” said study leader Dr. Subhabrata Moitra from the division of pulmonary medicine at the University of Alberta, Canada, who carried out the research while at the Barcelona Institute for Global Health, Spain.
“Sleep and the ‘sleep hormone’ melatonin are known to influence asthma, so we wanted to see if adolescents’ preference for staying up late or going to bed early could be involved in their asthma risk.”
The study involved 1,684 teens living in West Bengal, India, ages 13 to 14 years, who were taking part in the Prevalence and Risk Factors of Asthma and Allergy-Related Diseases among Adolescents (PERFORMANCE) study.
Each teen reported any wheezing, asthma, or symptoms of allergic rhinitis, such as a runny nose and sneezing. They were asked a series of questions to judge whether they were evening types, morning types or in-between, such as what time of the evening or night they tend to feel tired, when they would choose to wake up, and how tired they feel first thing in the morning.
Researchers compared the teens’ symptoms with their sleep preferences, taking into account other factors that are known to affect asthma and allergies, such as where the participants live and whether their family members smoke.
The results show that the chance of having asthma was around three times greater in teens who prefer to sleep later compared to those who preferred to sleep earlier. They also found the risk of suffering allergic rhinitis was twice as high in late-sleepers compared to early-sleepers.
“Our results suggest there’s a link between preferred sleep time, and asthma and allergies in teenagers. We can’t be certain that staying up late is causing asthma, but we know that the sleep hormone melatonin is often out of sync in late-sleepers and that could, in turn, be influencing teenagers allergic response,” said Moitra.
“We also know that children and young people are increasingly exposed to the light from mobile phone, tablets, and other devices, and staying up later at night. It could be that encouraging teenagers to put down their devices and get to bed a little earlier would help decrease the risk of asthma and allergies. That’s something that we need to study more.”
A second phase of the study is scheduled for 2028-29, which means it will be possible to repeat the research with a new group of teenagers to see if there has been any change in teens’ sleeping habits and their respiratory health. Moitra and his team also hope to quantify their findings by taking objective measurements of participants’ lung function and sleep time.
“We need to know much more about why asthma and allergies are rising in children and teenager and, hopefully, find ways to reduce these conditions,” said Professor Thierry Troosters, president of the European Respiratory Society, who was not involved in the research.
“This is the first study to examine the possible role of different sleep preferences in teenagers’ risk of asthma and allergies, and it opens up an interesting and important new line of research. We already know that sleeping well is important for physical and mental health, so we should continue to encourage teenagers to get a good night’s sleep.”
Source: European Lung Foundation