Fact sheet

Sleep and asthma

The connection between asthma and sleep

Sleep is essential for good health. Healthy sleep means having a regular sleep-wake cycle, getting enough sleep each day, and enjoying good-quality sleep (falling asleep easily, staying asleep through the night and feeling refreshed after sleeping).  Disruption to any of these can affect health and wellbeing. Asthma symptoms can disrupt sleep and sleep disturbances can affect asthma control and quality of life. 

Poor asthma control is linked to sleep disturbance

Asthma symptoms during sleep or on waking are a sign of poor asthma control. Frequent night-time symptoms are a sign of increased risk of asthma flare-ups. Some asthma treatments can also affect sleep.

Asthma, common comorbidities and sleep health 

The following conditions can be common in people with asthma and can affect sleep quality. 

Condition

Effects on sleep health

Obstructive sleep apnoea

This can lead to unrefreshing sleep, fatigue, poor concentration, low mood, excessive daytime sleepiness.

Obesity

Obesity is a major risk factor for obstructive sleep apnoea.

Allergic rhinitis  (hay fever)

 

This may cause sleep disturbances.

Chronic rhinosinusitus

This may cause sleep disturbances.

Inducible laryngeal obstruction

This can occur during sleep.

Gastro-oesophageal reflux disease

This may cause sleep disturbances and is made worse with poor quality sleep.

Anxiety and depression

These conditions may contribute to poor quality sleep.

Tips to improve sleep quality and maintain good asthma management

  • Take your medications as prescribed by your doctor. Check that medications are not expired.
  • Ensure that you are using your asthma inhalers correctly. Incorrect device technique may mean that the medications are trapped in your mouth or throat instead of reaching the airways where they are needed. The National Asthma Council Australia has a comprehensive ‘how-to’ video library, with a range of step-by-step tutorials on how to use various asthma inhalers and allergy nasal sprays.
  • Improve your sleep environment by removing common triggers for asthma and allergies. This includes dust mites, mould spores or pollen that may be in the air. Sensitive Choice approved bedding products can help reduce the impact of allergens in the bedroom.
  • Consider getting an air purifier to filter out allergens from the air in your home. All Sensitive Choice approved air purifiers have a HEPA-13 filter that filters 99.97% of particles, as small as 0.3 microns.
  • Take the asthma control check to see if your asthma is well controlled.

Signs of well controlled asthma include:

  • no night-time asthma symptoms.
  • no asthma symptoms when waking up.

Do not accept night time asthma symptoms as ‘normal’

Experiencing any type of difficulty breathing when sleeping or waking up should not be ignored. 

Individuals experience asthma symptoms differently. Monitor if your sleep is being affected by any of the following asthma symptoms:

  • coughing
  • wheezing
  • shortness of breath
  • chest tightness.

Please visit your doctor and ask about sleep when discussing your asthma symptoms.


This summary is based on the National Asthma Council Australia’s ‘Sleep and asthma: Information for health professionals’. 

View the information and full reference list at: nationalasthma.org.au/living-with-asthma/resources/health-professionals/information-paper/sleep-and-asthma-information-for-health-professionals.


Disclaimer

It is important to note that information contained in this brochure is not intended to replace professional medical advice. Any questions regarding a medical diagnosis or treatment should be directed to a medical practitioner. 


Related Resources

Nac034 Sleep And Asthma Information For Health Professionals 2024 V3 Page 1 Copy
Information Paper
Sleep and asthma information for health professionals

Information about the impact of asthma symptoms on sleep and how sleep disturbances impact asthma control.

View all