Abstract
Introduction: Allergic rhinitis is a common condition in children linked to sleep-related breathing disorders (SRBD). Because of nasal congestion, it can cause obstructive sleep apnea, sleep fragmentation, and excessive fatigue. Studies regarding its association with SRBD is limited. Objectives: To determine the association of allergic rhinitis with sleep-related breathing disorders. Methodology: A cross-sectional analytical study involving pediatric patients diagnosed with allergic rhinitis was conducted. Allergic rhinitis severity was evaluated with the ARIA classification. SRBD was identified using the validated Filipino version of the pediatric sleep questionnaire. Potential association between allergic rhinitis and SRBD were assessed using the student’s t-test, Fisher’s exact test and odds ratio. Results: A total of 66 children with mean age 8.2 years were included in the study. The mean age, weight, height, and BMI were comparable among participants who were positive or negative for obstructive sleep apnea (OSA). Among the perceived problems related to sleeping disorders, snoring loudly, heavy breathing, dry mouth of awakening, not listening, and difficulty organizing showed different responses (p<0.05) among the subgroups of allergic rhinitis. The odds ratio of snoring loudly, not listening, difficulty organizing, heavy breathing, and unfreshened in the morning were more likely among patients with mild persistent allergic rhinitis compared to patients with mild intermittent allergic rhinitis. Conclusion: There was sufficient evidence to prove the association of SRBD with severity of allergic rhinitis using the validated Filipino version of the Pediatric Sleep Questionnaire. OSA shows a greater likelihood among patients with mild persistent allergic rhinitis compared to those with mild intermittent allergic rhinitis.
Highlights
Allergic rhinitis is a common condition in children linked to sleep-related breathing disorders (SRBD)
Patients with mild persistent allergic rhinitis tend to have symptoms related to sleep disordered breathing such as loud snoring, heavy breathing, daytime sleepiness, and inattentiveness compared to patients with mild intermittent allergic rhinitis
The results showed that the mean congestion factors were significantly higher in allergic rhinitis patients with obstructive sleep apnea (OSA) compared to the non-OSA group showing the correlation between nasal obstruction and presence of sleep-disordered breathing
Summary
Allergic rhinitis is a common condition in children linked to sleep-related breathing disorders (SRBD). Objectives: To determine the association of allergic rhinitis with sleep-related breathing disorders. Sleep-related breathing disorders (SRBD) encompass conditions such as obstructive sleep apnea syndrome, central sleep apnea, upper airway resistance syndrome, and obesity hypoventilation syndrome. The Association of Sleep-Related Breathing Disorders Among Pediatric Patients sleep, difficulty breathing with snorting, cyanosis, sweating, restless sleep, frequent awakenings, night terrors, daytime hypersomnolence, fatigue, reduced ability to function, and headache.[1]. The prevalence of SRBD among the pediatric population has constantly increased in the last few decades This condition has significantly affected the quality of life of children and has been associated with neurobehavioral and cognitive problems, metabolic ailments (insulin resistance and hyperlipidemia), cardiovascular disorders (cor pulmonale, systemic and pulmonary hypertension), growth and developmental abnormalities, and death. It is recommended that physicians be wary of its existence and exert vigilance in detecting SRBD in children to obviate the harmful consequences of the disease
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