Association of allergic rhinitis with obstructive sleep apnea

Cao, Yuan; Wu, Shuang; Zhang, Liyu; Yang, Ying; Cao, Sheng; Qiao, Li

doi:10.1097/md.0000000000013783

Cited by 65 publications

(49 citation statements)

References 65 publications

(31 reference statements)

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“…To the best of our knowledge, this is the first systematic review and meta-analysis evaluating the association between AR and sleep based on observational investigations. A 2018 systematic review focused on the association between AR and OSA and applied a meta-analysis of population-based studies; however, this article concentrated mainly on the prevalence of AR in subjects with or without OSA/SDB [63]. Another related review examined AR and sleep impairment, but focused mainly on the mechanism of their association and the consequences of disordered sleep [64][65][66][67][68][69][70][71].…”

Section: Assessment Of Cumulative Evidencementioning

confidence: 99%

The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies

et al. 2020

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This systematic review and meta-analysis examines the associations of allergic rhinitis with sleep duration and sleep impairment. Observational studies published before August 2019 were obtained through English language literature searches in the PubMed, Embase, and CINAHL databases. Mean differences and odds ratios with 95% confidence intervals were extracted and used for meta-analysis. Heterogeneity was confirmed by the I 2-heterogeneity test. Subgroup analysis was conducted to evaluate the influence of study design. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to determine the level of evidence. In total, 2544 records were identified through database searches; 914 duplicate records were excluded, 1452 records were removed after screening of titles and abstracts, 151 records were excluded after full-text screening, and 27 articles were included in the final meta-analyses. A total of 240,706,026 patients (19,444,043 with allergic rhinitis) were considered. No significant difference in sleep duration between the allergic rhinitis and the control groups was found. Patients with allergic rhinitis presented with significantly higher sleep quality scores, sleep disturbances scores, and sleep latency scores; more frequent use of sleep medications; and lower sleep efficiency as measured by the Pittsburgh Sleep Quality Index and polysomnography. Meta-analyses for adjusted odds ratios showed that allergic rhinitis was also associated with higher risks of nocturnal dysfunctions, including insomnia, nocturnal enuresis, restless sleep, sleep-disordered breathing, obstructive sleep apnea, and snoring. Meta-analysis for adjusted odds ratio also showed that allergic rhinitis was associated with daytime dysfunction, including difficulty waking up, daytime sleepiness, morning headache, and the use of sleep medications. The overall quality of evidence ranged from low to very low, indicating that caution is required when interpreting these results. This study demonstrates that there is a significant association of AR with sleep characteristics.

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Section: Assessment Of Cumulative Evidencementioning

confidence: 99%

The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies

et al. 2020

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“…Cao et al in their meta-analysis, showed that in adults the incidence of AR in OSA patients was 35.2 [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…In accordance with the AASM Manual for the Scoring of Sleep and Associated Events, OSA severity was classified on the basis of the apnea + hypopnea index (AHI) [ 39 , 40 ].…”

Section: Methodsmentioning

confidence: 99%

Diagnosis of Obstructive Sleep Apnea in Patients with Allergic and Non-Allergic Rhinitis

et al. 2020

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Background and objectives: Rhinitis could be considered a risk factor for obstructive sleep apnea (OSA). Studies were conducted to evaluate the relation between OSA and Allergic rhinitis (AR). Non-allergic rhinitis with eosinophilia syndrome (NARES) is a condition with a symptomatology apparently similar to AR. The aim of this study was to evaluate the different presence of OSA in patients suffering from NARES and AR. Materials and Methods: Sixty patients were enrolled and subdivided into NARES, AR and control groups. NARES and AR diagnosis were performed using ARIA (Allergic Rhinitis and its Impact on Asthma) protocol. All patients were screened for OSA with home sleep apnea testing (HSAT) exam analyzing AHI (Apnea Hypopnea Index) values. Results: Results showed that 60% of patients affected by NARES presented OSA. On the contrary, altered AHI was found only in 35% of patients affected by AR and in 10% of patients belonging to the control group. Conclusions: In conclusion, data showed that there was an increased risk of OSA in NARES patients respect to AR patients and healthy patients.

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“…Similarly to our study, Juniper et al [21] reported that AR symptoms were related with discomfort to patients and negative impact in quality of life in general. In addition, Maspero et al [26] and Schatz [27] Indeed regarding the obstructive sleep apnea, Cao et al [46] reported that the prevalence of AR in obstructive sleep apnea (OSA) was considerably high and children with sleep-disordered breathing suffered from a higher incidence of AR than non-sleep-disordered breathing. However OSA adults accompanied with AR did not have any influences on sleep parameters [46].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Allergic Rhinitis on Quality of Life in Patients Suffering from the Disease: A Case Control Study

Komnos¹,

Michali²,

Asimakopoulos³

et al. 2019

IJOHNS

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Background: Apart from nasal symptoms allergic rhinitis was associated with ocular or other symptoms affecting social and somatic activities or sleep. In the literature, only a few prospective studies regarding allergic rhinitis and holistic consideration of quality of life were reported. Methods: The aim of this case control study was to investigate prospectively the effect of allergic rhinitis on quality of life. 103 patients (50 males and 53 females) with mean age 30.8 ± 13.4 years, range 18-55 years, diagnosed with the disease with skin prick testing, were evaluated regarding quality of life by using the General Health Questionnaire-28, the Athens Insomnia Scale (AIS) and the mini Rhinoconjunctivitis Quality of Life Questionnaire. 50 participants without history or allergic symptoms during the last 12 months formed the control group. Independent sample t-tests were conducted to assess significant differences between patients with allergic rhinitis and controls regarding all the examined parameters concerning quality of life. Data was analyzed using Windows statistical package of SPSS version 18.0

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Association of allergic rhinitis with obstructive sleep apnea

Abstract: Supplemental Digital Content is available in the text

Cited by 65 publications

References 65 publications

The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies

The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies

Diagnosis of Obstructive Sleep Apnea in Patients with Allergic and Non-Allergic Rhinitis

The Effect of Allergic Rhinitis on Quality of Life in Patients Suffering from the Disease: A Case Control Study

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