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Published in: Sleep and Breathing 3/2022

17-01-2022 | Allergic Rhinitis | Sleep Breathing Physiology and Disorders • Original Article

Effect of allergic rhinitis on sleep in children and the risk factors of an indoor environment

Authors: Qian Wang, Yun Guo, Xiaoping Wu, Zhenzhen Pan, Shanshan Pan, Shiyao Xu, Qin Zhou, Jun Qian, Ling Li

Published in: Sleep and Breathing | Issue 3/2022

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Abstract

Purpose

Allergic rhinitis (AR) is an independent risk factor for sleep disorders in children, including abnormal sleep behaviors. We investigated the occurrence of abnormal sleep behaviors in children with AR to determine indoor environmental risk factors affecting sleep.

Methods

This case-control study collected the sleep status and characteristics of the indoor environment of children aged 3–14 years with and without AR using a questionnaire. The differences between the two groups were compared using the Mann–Whitney U test, chi-square test, and Fisher’s exact test. The indoor environmental factors affecting sleep behavior were analyzed using logistic regression analysis.

Results

Children with AR (n=427) had a higher probability of snoring (8.7 % vs. 2.9 %; P < 0.001), mouth breathing (14.1 % vs. 5.2 %; P < 0.001), restless sleep (6.6 % vs. 4.1 %; P = 0.047), sleep talking (3.3 % vs. 1.1 %; P = 0.003), and hyperhidrosis (16.4 % vs. 8.5 %; P < 0.001) than those without AR (n=1046). Emulsion wall paint (odds ratio (OR) = 2.779; 95 % confidence interval (CI), 1.332–5.796; P = 0.006) and tobacco exposure in early infancy (OR = 2.065; 95 % CI 1.079–3.950; P = 0.029) were associated with hyperhidrosis.

Conclusion

Children with AR are more likely to have abnormal sleep behaviors than those without, including snoring, mouth breathing, restless sleep, sleep talking, and hyperhidrosis. Emulsion paint wall and tobacco smoke exposure in early infancy had a twofold higher risk of hyperhidrosis during sleep.
Literature
6.
go back to reference Chirakalwasan N, Ruxrungtham K (2014) The linkage of allergic rhinitis and obstructive sleep apnea. Asian Pac J Allergy Immunol 32:276–286PubMed Chirakalwasan N, Ruxrungtham K (2014) The linkage of allergic rhinitis and obstructive sleep apnea. Asian Pac J Allergy Immunol 32:276–286PubMed
29.
go back to reference Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association (2019) Chinese guidelines for diagnosis and treatment of chronic rhinosinusitis (2018). Chin J Otorhinolaryngol Head Neck Surg 54:81–100. https://doi.org/10.3760/cma.j.issn.1673-0860.2019.02.001CrossRef Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association (2019) Chinese guidelines for diagnosis and treatment of chronic rhinosinusitis (2018). Chin J Otorhinolaryngol Head Neck Surg 54:81–100. https://​doi.​org/​10.​3760/​cma.​j.​issn.​1673-0860.​2019.​02.​001CrossRef
30.
go back to reference Owens JA, Spirito A, McGuinn M (2000) The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 23:1043–1051CrossRef Owens JA, Spirito A, McGuinn M (2000) The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 23:1043–1051CrossRef
36.
go back to reference American Academy of Sleep Medicine (2014) International classification of sleep disorders, 3rd end edn. Academy of Sleep Medicine, Darien American Academy of Sleep Medicine (2014) International classification of sleep disorders, 3rd end edn. Academy of Sleep Medicine, Darien
37.
go back to reference Poachanukoon O, Kitcharoensakkul M (2015) Snoring and sleep problems in children with and without allergic rhinitis: a case control study. J Med Assoc Thail 98(Suppl 2):S138–S144 Poachanukoon O, Kitcharoensakkul M (2015) Snoring and sleep problems in children with and without allergic rhinitis: a case control study. J Med Assoc Thail 98(Suppl 2):S138–S144
56.
go back to reference Li JS, Peat JK, Xuan W, Berry G (1999) Meta-analysis on the association between environmental tobacco smoke (ETS) exposure and the prevalence of lower respiratory tract infection in early childhood. Pediatr Pulmonol 27:5–13. Li JS, Peat JK, Xuan W, Berry G (1999) Meta-analysis on the association between environmental tobacco smoke (ETS) exposure and the prevalence of lower respiratory tract infection in early childhood. Pediatr Pulmonol 27:5–13.
Metadata
Title
Effect of allergic rhinitis on sleep in children and the risk factors of an indoor environment
Authors
Qian Wang
Yun Guo
Xiaoping Wu
Zhenzhen Pan
Shanshan Pan
Shiyao Xu
Qin Zhou
Jun Qian
Ling Li
Publication date
17-01-2022
Publisher
Springer International Publishing
Published in
Sleep and Breathing / Issue 3/2022
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-021-02546-2

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