Recommandations pour le diagnostic et la prise en charge de la rhinite allergique (épidémiologie et physiopathologie exclues) – Texte long

Braun, Jean; Devillier, Philippe; Wallaert, B.; Rancé, F.; Jankowski, R.; Acquaviva, Jean-Thomas; Beley, G.; Démoly, P.

doi:10.1016/s0761-8425(10)70012-7

Cited by 48 publications

(3 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For adults, this frequency is twice as high as that obtained in the “Sleep and Transport” yearly survey poll commissioned by the French Institute for Public Health Surveillance (INVS), which reported that 37% of French people suffered from sleep disorders [ 27 ]. For participants in the MORPHEE study, the other symptoms that were commonly reported as reasons for consultation were typical of AR [ 14 ]: rhinorrhea (71.0% of adults and 66.1% of children), nasal congestion (65.5 and 66.7%), and sneezing (65.3 and 62.8%). In addition, persistent cough was a reason for consultation in 44.1% of children.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the higher frequency of severe AR in the MORPHEE study may be linked to the recruitment of participants who were candidates for AIT. Indeed, according to the latest ARIA guidelines, AIT is indicated for severe and/or persistent AR that is difficult to control with symptomatic treatments alone or, in the case of rhinitis accompanied by asthma, that justify systemic treatment with AIT [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…The primary objective of the MORPHEE study was to describe the nature and frequency of sleep disorders in participants with respiratory allergy to HDM for whom SLIT had been initiated. All data relating to quality of sleep in the participants’ self-administered questionnaire were described for the analysis population overall and for subgroups according to age (adult/child) and type of allergic rhinitis (AR) (according to the revised ARIA 2010 criteria [ 14 ]: mild intermittent/mild persistent/severe intermittent/severe persistent). Logistic regression models adjusted for body mass index (obesity or overweight vs. others), smoking status (current smoker or subject currently exposed to passive smoking vs. non-smoker or former smoker), asthma control (non controlled asthma vs. controlled asthma or no asthma) and nasal obstruction (severe or moderate vs. slight or absent) were used to study the relationship between rhinitis status (persistent severe vs. other type of rhinitis) and sleep complaints/disorders: difficulty falling asleep, nocturnal awakening, poor-quality sleep, snoring, daytime sleepiness and clinical insomnia.…”

Section: Participants and Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Poor sleep is highly associated with house dust mite allergic rhinitis in adults and children

Léger

Bonnefoy²,

Pigearias³

et al. 2017

Allergy Asthma Clin Immunol

View full text Add to dashboard Cite

BackgroundSleep disorders are often underreported to physicians by patients with allergies. This study aimed to characterize the sleep disorders associated with respiratory allergy to house dust mites (HDM) at the time of initiation of sublingual allergen immunotherapy (SLIT) in routine clinical practice.MethodsThis prospective, cross-sectional, observational study was conducted between November 2014 and March 2015 at 189 French trial sites and included 1750 participants suffering from HDM allergy who were initiating SLIT. Participants aged less than 5 years old and those who had previously started an allergen immunotherapy (AIT) for HDM allergy were not enrolled in the study. Sleep disorders were assessed by self-administered questionnaires: the Epworth Sleepiness Scale (ESS), the Insomnia Severity Index (ISI) and a modified version of the Hotel Dieu-42 (HD-42) sleep disorder questionnaire. Logistic regression models adjusted for obesity, smoking status, asthma control and nasal obstruction were used to study the relationship between allergic rhinitis (AR) classification and sleep disorders/complaints.ResultsOf the 1786 participants enrolled, 1750 (907 adults and 843 children) composed the analysis population. The majority of participants (73.5% of adults and 65.8% of children) reported that their sleep disorders had prompted them to consult their physician. The most commonly observed sleep complaints were poor-quality sleep (50.3% of adults and 37.3% of children), snoring (48.1 and 41.4%, respectively) and nocturnal awakening (37.6 and 28.2%, respectively). Difficulties falling asleep were reported by 27.0% of adults and 24.7% of children. Adults and children suffering from severe persistent AR experienced sleep complaints significantly more often than participants with intermittent or mild persistent AR.ConclusionsThis study highlights the high frequency of sleep disorders and their significant impact on patients with AR induced by HDM, in particular when AR is persistent and severe. Consequently, asking allergic patients about the quality of their sleep appears to be important, especially when the patient has persistent and severe AR.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Participants and Methodsmentioning

confidence: 99%

See 1 more Smart Citation