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Association between allergic rhinitis and poor sleep parameters in U.S. adults
Christopher R Roxbury1, Mary Qiu2, Josef Shargorodsky3
1Section of Rhinology, Sinus and Skull Base Surgery, Head & Neck Institute,, Cleveland Clinic Foundation, Cleveland, OH.
International Forum of Allergy & Rhinology
|July 7, 2018
Summary
Allergic rhinitis (AR) is linked to significant sleep problems in U.S. adults, including insomnia and sleep apnea. Healthcare providers should assess sleep quality in patients with AR to improve overall health outcomes.
Area of Science:
- Sleep Medicine
- Allergy and Immunology
- Public Health
Background:
- Existing evidence suggests a link between allergic rhinitis (AR) and impaired sleep.
- Population-based studies in the United States examining this relationship are limited.
- This study addresses this gap by investigating AR and sleep parameters in a diverse U.S. adult population.
Purpose of the Study:
- To examine the association between allergic rhinitis and various sleep parameters.
- To determine if AR is independently related to poor sleep quality and daytime dysfunction.
- To provide population-based data from the U.S. on the AR-sleep relationship.
Main Methods:
- A cross-sectional study design was employed using data from 5563 U.S. adults (≥18 years) from the 2005-2006 National Health and Nutrition Examination Survey.
- Allergic rhinitis was defined by self-reported hay fever and/or nasal symptoms in the past 12 months.
- Sleep parameters including sleep latency, duration, disorders, habits, medication use, and daytime dysfunction were assessed via questionnaires, with adjustments for age, gender, race, and obesity.
Main Results:
- The prevalence of AR in the study population was 36.5%.
- Individuals with AR demonstrated significantly higher odds of experiencing prolonged sleep latency (≥30 minutes), insomnia, and sleep apnea.
- Furthermore, AR was associated with increased difficulty falling asleep, nighttime awakenings, waking too early, daytime dysfunction (e.g., difficulty concentrating, fatigue), and use of sleep medication.
Conclusions:
- This study confirms significant associations between allergic rhinitis and a spectrum of poor sleep parameters in a representative U.S. adult sample.
- Findings include links to prolonged sleep latency, insomnia, sleep apnea, sleep disturbances, and daytime dysfunction.
- The results underscore the importance of evaluating sleep quality in patients diagnosed with or being evaluated for allergic rhinitis.
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