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Allergic rhinitis in children in relation to sleep breathing disorders: a meta-analysis

Quansheng Li1, Qinglin Zhong2, Xiangren Kong3

  • 1Department of Allergy, Shengjing Hospital of China Medical University, Shenyang, Liaoning, 110004, China.

International Journal of Pediatric Otorhinolaryngology
|June 16, 2026
PubMed

Insights

This meta-analysis found a significant link between allergic rhinitis (AR) and sleep-disordered breathing (SDB) in children. Children with SDB or habitual snoring (HS) are more likely to have AR.

Area of Science:

  • Pediatric Pulmonology
  • Allergy and Immunology
  • Sleep Medicine

Background:

  • Allergic rhinitis (AR) is a common condition in children.
  • Sleep-disordered breathing (SDB), including habitual snoring (HS) and obstructive sleep apnea (OSA), affects pediatric populations.
  • The relationship between AR and SDB in children requires further investigation.

Purpose of the Study:

  • To conduct an updated meta-analysis investigating the association between allergic rhinitis (AR) and sleep-disordered breathing (SDB) in children.
  • To determine the pooled prevalence of habitual snoring (HS) and SDB in children with AR.
  • To calculate the odds ratio (OR) for AR in children with SDB or HS compared to those without.

Main Methods:

  • Comprehensive literature search of PubMed, Embase, Web of Science, and Cochrane Library up to November 10, 2022.
  • Inclusion of 17 studies involving 32,907 children reporting on AR, SDB, or HS.
  • Random-effects model used for calculating pooled prevalence and odds ratios (OR) with 95% confidence intervals (CIs).

Main Results:

  • The pooled prevalence of habitual snoring (HS) was 0.04 (95% CI: 0.02-0.07).
  • Children with HS had a significantly higher odds of AR (OR = 2.24, 95% CI: 1.66-3.02).
  • Children with SDB showed increased odds of AR (OR = 1.49, 95% CI: 1.12-1.98), and those with OSA also had higher odds (OR = 1.23, 95% CI: 1.04-1.46).

Conclusions:

  • This meta-analysis confirms a positive association between allergic rhinitis (AR) and sleep-disordered breathing (SDB) in pediatric populations.
  • The findings highlight the importance of considering SDB in children diagnosed with AR.
  • Further research may explore underlying mechanisms linking AR and SDB in children.
Abstract

Keywords:
Allergic rhinitisHabitual snoringMeta-analysisObstructive sleep apneaSleep-disordered breathing

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