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Snoring and sleep problems in children with and without allergic rhinitis: a case control study
Insights
Children with allergic rhinitis (AR) experience significantly more sleep problems, including snoring and difficulty waking, compared to healthy children. This highlights a crucial link between AR and impaired sleep quality in pediatric populations.
Area of Science:
- Pediatric Allergy and Sleep Medicine
Background:
- Allergic rhinitis (AR) is a common condition in children.
- Sleep disturbances can negatively impact a child's health and development.
Purpose of the Study:
- To investigate and compare the prevalence and types of sleep problems in children diagnosed with allergic rhinitis versus those without the condition.
Main Methods:
- A case-control study involved 65 children (aged 6-15) with AR and 104 matched healthy controls.
- Data on sleep issues were collected via questionnaires completed by children and caregivers.
Main Results:
- Children with AR showed a higher incidence of sleep disturbances, including snoring, sleep apnea, restlessness, and morning headaches.
- Persistent and moderate-to-severe AR were common, with nasal blockage being the most frequent symptom.
- Nasal blockage in AR patients correlated with more restless sleep and dry mouth upon waking.
Conclusions:
- Children diagnosed with allergic rhinitis exhibit a greater prevalence of sleep problems compared to their non-allergic peers.
- These findings underscore the importance of addressing AR to improve sleep quality in children.
Objective:
To compare the sleep problems between children with and without allergic rhinitis (AR).
Material And Method:
A case-control study was conducted in 65 children aged 6-15 years with allergic rhinitis and 104 control subjects matched individually by age, height and weight. Cases were recruited from the Pediatric Allergy Clinic at Thammasat University Hospital. The selection of cases was based on clinical history, physical examination and skin prick test. Matched healthy control children were recruited from the Thammasat primary school. Children and their caregivers who usually sleep with them completed the questionnaire.
Results:
86.2% of allergic rhinitis was classified as persistent rhinitis and 63.1% had moderate to severe disease. The most common presenting symptom was nasal blockage (66.2%). Allergic rhinitis patients had significant sleep problems with snoring, sleep apnea, restless, night sweating, mouth breathing, dry throat, morning headache, falling asleep in class, difficulty in waking up and not refreshed in the morning (p<0.05). Patients who categorized as blockers had significantly more restless sleep and dry mouth on waking up compared to that of non-blockers (p<0.05).
Conclusion:
There was a higher prevalence of sleep problems in children with AR then those without AR.
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