Polysomnographic Findings in Persistent Allergic Rhinitis

Bozkurt, Bülent; Uğur, Kadriye Şerife; Küçüker, Fatma; Özol, Duygu

doi:10.1016/j.jaci.2014.12.1819

Cited by 3 publications

(5 citation statements)

References 20 publications

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“…This rate is approximately twice compared to the known prevalence of high risk for OSA in general Thai population. 7 The results from the present study are lower than those reported by Kalpalklioglu, et al 14 and Bozkurt, et al 29 who reported that 36% and 32.7% of AR patients (skin prick tests) also had OSA diagnosed by PSG, respectively.…”

Section: Discussioncontrasting

confidence: 83%

“…The fact that the prevalence of high risk patients for OSA in AR was lower than the rates reported by previous studies may be explained by the lower BMI, which an important risk factor for OSA, of our patients (mean BMI of only 23.4 kg/m 2 compared to 25.3 and 29.4 kg/m 2 in other studies). 14,29 The majority of patients in this study and previous studies were female, which is the gender that has lower risk for OSA. 30,31 Although PSG is accepted as a standard test for OSA diagnosis, its limitations, such as a long waiting list, a need of laborious procedures, and expensive cost, often make it impractical for most patients in a routine allergy clinic.…”

Section: Discussionmentioning

confidence: 71%

“…Stuck, et al 28 reported that seasonal AR could increase the mean apnea-hypopnea index (AHI) from 0.32 to 0.81 events/hr. However, only a few studies have focused on the prevalence of OSA in AR 14,29 and data in South-East Asians has not yet been reported. Our findings revealed that 23.3% of AR patients are at high risk for OSA.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The prevalence of high risk of obstructive sleep apnea in patients with allergic rhinitis

Wongvilairat

Assanasen

Banhiran

et al. 2022

Asian Pac J Allergy Immunol

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Background: Although allergic rhinitis (AR) has not been acknowledged as a strong risk factor for obstructive sleep apnea (OSA), several pathophysiological linkages between these two conditions have frequently been reported. However, epidemiological data relating to the prevalence of OSA in patients with AR remain scarce.Objective: To investigate the prevalence of patients at high risk for OSA among patients with AR, and to determine the relationship between OSA and severity of AR.Methods: Patients aged ≥ 18 years with a diagnosis of AR and positive skin prick test were recruited from the allergy clinic,

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Section: Discussioncontrasting

confidence: 83%

Section: Discussionmentioning

confidence: 71%

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The prevalence of high risk of obstructive sleep apnea in patients with allergic rhinitis

Wongvilairat

Assanasen

Banhiran

et al. 2022

Asian Pac J Allergy Immunol

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“…Unfortunately, at the time of this review, to our knowledge there have been no studies comparing the other rhinologic diseases to OSA; however, based on the data, some inferences can be made. Rhinitis was once considered a risk factor for developing OSA, 61 but more recent findings have cast some doubt on this suggestion, 62 showing that, although rhinitis may have an effect on OSA symptoms, it did not affect PSG results and was not considered a risk factor for OSA. This corroborates the data reported in the present review as rhinitis was shown to have the lowest AHI.…”

Section: Discussionmentioning

confidence: 99%

Rhinologic disease and its impact on sleep: a systematic review

Fried

Yuen

et al. 2020

Int Forum Allergy Rhinol

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Background Rhinologic disease can be responsible for systemic symptoms affecting mood, cognition, and sleep. It is unclear whether sleep disturbance in specific rhinologic disorders (chronic rhinosinusitis [CRS], rhinitis, and nasal septal deviation [NSD]) is an obstructive phenomenon or due to other mechanisms. In this review we examine the impact of CRS, rhinitis, and NSD on objective and subjective sleep outcome metrics and draw comparisons to normal controls and patients with known obstructive sleep apnea (OSA). Methods A systematic review of 4 databases (PubMed, Scopus, Cochrane Library, and Web of Science) was performed. Studies reporting on objective (apnea‐hypopnea index [AHI], respiratory disturbance index [RDI], oxygen nadir) and subjective (Epworth Sleepiness Scale [EpSS], Pittsburgh Sleep Quality Index [PSQI], Fatigue Severity Scale [FSS]) sleep parameters and disease‐specific patient‐reported outcome measures (PROMs; 22‐item Sino‐Nasal Outcome Test [SNOT‐22], Rhinoconjunctivitis Quality of Life Questionnaire [RQLQ], Nasal Obstruction Symptom Evaluation [NOSE]) were included. Results The database search yielded 1414 unique articles, of which 103 were included for analysis. Baseline PROMs were at the high end of normal to abnormal for all 3 conditions: EpSS: CRS (9.8 ± 4.0), rhinitis (9.7 ± 4.3), and NSD (8.9 ± 4.6); and PSQI: CRS (11.0 ± 4.5), rhinitis (6.1 ± 3.7), and NSD (8.6 ± 3.5). Objective measures demonstrated a mild to moderate OSA in the studied diseases: AHI: CRS (10.4 ± 11.5), rhinitis (8.6 ± 8.8), and NSD (13.0 ± 6.9). There were significant differences when compared with reported norms in all measured outcomes (p < 0.001). Conclusion Sleep quality is impacted by rhinologic (CRS, rhinitis, NSD) disease. There is likely a mild obstructive component contributing to poor sleep, but other contributing factors may be involved.

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“…This has potential for serious ramifications, as OSA has been linked to cardiovascular disease 63 . However, recent studies have cast some doubt on the link between AR and OSA, 64 and the disturbed sleep seen in AR may be a consequence of sinonasal symptoms. This coexistence of previously undiagnosed OSA and sinonasal disorders has been noted by previous studies 65 , 66 .…”

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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Polysomnographic Findings in Persistent Allergic Rhinitis

Cited by 3 publications

References 20 publications

The prevalence of high risk of obstructive sleep apnea in patients with allergic rhinitis

The prevalence of high risk of obstructive sleep apnea in patients with allergic rhinitis

Rhinologic disease and its impact on sleep: a systematic review

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

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