Prevalence of potential nonallergic rhinitis at a community-based sleep medical center

Krakow, Barry; Foley-Shea, Michelle R; Ulibarri, Victor A.; McIver, Natalia D.; Honsinger, Richard W.

doi:10.1007/s11325-016-1322-3

Cited by 9 publications

(5 citation statements)

References 30 publications

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“…Nasal congestion is considered to be a major factor interfering with sleep quality and inducing daytime somnolence. Previous studies suggest that nasal obstruction contributes to higher risks of OSA [48][49][50] and SDB [51,52]. The role of nasal congestion as a risk factor for snoring has also been confirmed by a population-based cohort study [53].…”

Section: Assessment Of Cumulative Evidencementioning

confidence: 69%

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: 69%

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

et al. 2020

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“…To our knowledge, the prevalence of nasal obstruction in OSA has not been described previously. A previous retrospective study reported a prevalence of non‐allergic nasal obstruction of 45% in unselected sleepy patients (Krakow et al ., ). The Wisconsin Sleep Cohort reported nasal obstruction to be a risk factor for apneas, hypopneas and habitual snoring (Young et al ., ).…”

Section: Discussionmentioning

confidence: 97%

“…This finding is in line with a previous study that reported more insomnia problems in patients with undifferentiated sleep problems and nasal obstruction than in patients without these problems. However, it was a retrospective questionnaire study, and the patients were not diagnosed with OSA (Krakow et al ., ). It is possible that nocturnal nasal obstruction has an influence on late insomnia in OSA patients.…”

Section: Discussionmentioning

confidence: 97%

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Nocturnal nasal obstruction is frequent and reduces sleep quality in patients with obstructive sleep apnea

Värendh

Andersson

Björnsdóttir

et al. 2017

Journal of Sleep Research

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SUMMARY The prevalence and consequences of nasal obstruction in untreated obstructive sleep apnoea patients are not known. The study objectives were to investigate the frequency of subjective and objective nasal obstruction in untreated sleep apnoea patients, and the associations with sleep and quality of life. Patients in the Icelandic Sleep Apnea Cohort were subjected to a type 3 sleep study, answered questionnaires, and had their nasal dimensions measured by acoustic rhinometry. In total, 810 patients participated (including 153 females), aged 54.5 ± 10.6 years (mean ± SD) with an apnoea/hypopnea index 44.7 ± 20.7/hour. Nocturnal nasal obstruction (≥ 3 times/week) was reported by 35% of the patients. These patients had smaller nasal dimensions measured by the minimum cross-sectional area within the smaller nasal valve (0.42 ± 0.17 cm2 vs. 0.45 ± 0.16 cm2, p = 0.013), reported more daytime sleepiness (Epworth sleepiness scale score 12.5 ± 4.9 vs. 10.8 ± 5.0; p < 0.001) and slightly lower mental quality of life than patients without nocturnal nasal obstruction. Nocturnal nasal obstruction is reported in one-third of the sleep apnoea patients and they are more likely to suffer from daytime sleepiness and slightly reduced quality of life than other sleep apnoea patients.

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“…Congestion may lead to obstruction, which forces a switch to breathing from the mouth, thus increasing the total resistance and risk of sleep‐disordered breathing 59 . Indeed, it has been suggested that nasal obstruction secondary to AR contributes to sleep‐disordered breathing 60 and may be considered a risk factor for OSA in children 61 and adults 62 . This has potential for serious ramifications, as OSA has been linked to cardiovascular disease 63 .…”

Section: Discussionmentioning

confidence: 99%

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Fried

Yuen

Zhang

et al. 2021

Otolaryngol.--head neck surg.

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Objective To determine the impact of treatment for patients with nasal obstruction secondary to allergic rhinitis (AR) and nasal septal deviation (NSD) on sleep quality. Data Sources Primary studies were identified though PubMed, Scopus, Cochrane Library, and Web of Science. Review Methods A systematic review was performed by querying databases for articles published through August 2020. Studies were included that reported on objective sleep parameters (apnea-hypopnea index) and sinonasal and sleep-specific patient-reported outcome measures: Rhinoconjunctivitis Quality of Life Questionnaire, Nasal Obstruction Symptom Evaluation, Epworth Sleepiness Scale (EpSS), and Pittsburgh Sleep Quality Index (PSQI). Results The database search yielded 1414 unique articles, of which 28 AR and 7 NSD studies were utilized for meta-analysis. A total of 9037 patients (8515 with AR, 522 with NSD) were identified with a mean age of 35.0 years (35.3 for AR, 34.0 for NSD). Treatment for AR and NSD significantly improved subjective sleep quality. For AR, the EpSS mean difference was −1.5 (95% CI, –2.4 to –0.5; P = .002) and for the PSQI, –1.7 (95% CI, –2.1 to –1.2; P < .00001). For NSD, the EpSS mean difference was −3.2 (95% CI, –4.2 to –2.2; P < .00001) and for the PSQI, –3.4 (95% CI, –6.1 to –0.6; P = .02). Conclusion Subjective sleep quality significantly improved following treatment for AR and NSD. There were insufficient data to demonstrate that objective metrics of sleep quality similarly improved.

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Prevalence of potential nonallergic rhinitis at a community-based sleep medical center

Cited by 9 publications

References 30 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

Nocturnal nasal obstruction is frequent and reduces sleep quality in patients with obstructive sleep apnea

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

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