BACKGROUND: We evaluated the prevalence of sleep-disordered breathing (SDB) and sleepiness in children with allergy and compared sleep-specific quality of life measures to those of children without allergy. METHODS: A prospective case-control study was done at a tertiary care academic center. The parents of 21 pediatric patients with positive environmental allergy testing completed questionnaires including the Obstructive Sleep Apnea-18 (OSA18), the Pediatric Sleep Questionnaire (PSQ), and the Pediatric Daytime Sleepiness Scale (PDSS). Comparisons were made to 113 children without allergy who had undergone cochlear implantation (CI) who served as controls. RESULTS: SDB was suggested in 19% of children with allergy using the OSA18 and in 29% using the PSQ vs 6% and 7% of controls (p = 0.029; p = 0.003), respectively. In addition, daytime sleepiness was suggested in 45% to 48% of children with allergy using the PSQ and PDSS vs 17% to 25% of controls (p = 0.015; p = 0.025), respectively. Patients with allergy had SDB and sleepiness scores higher than population normal values: OSA-18 of 41.7 vs 34.0, PSQ-SDB of 0.25 vs 0.14, PSQ-Sleepy of 0.34 vs 0.15, and PDSS of 14.2 vs 11.4. The difference between cases and controls was significant for all measures of sleepiness and SDB. CONCLUSION: Children with allergy have higher SDB and sleepiness scores than controls. This suggests that children with allergic rhinitis are at increased risk for SDB and screening should be considered in this population. In addition, studies with a larger sample size are important to fully understand this relationship.
BACKGROUND: We evaluated the prevalence of sleep-disordered breathing (SDB) and sleepiness in children with allergy and compared sleep-specific quality of life measures to those of children without allergy. METHODS: A prospective case-control study was done at a tertiary care academic center. The parents of 21 pediatric patients with positive environmental allergy testing completed questionnaires including the Obstructive Sleep Apnea-18 (OSA18), the Pediatric Sleep Questionnaire (PSQ), and the Pediatric Daytime Sleepiness Scale (PDSS). Comparisons were made to 113 children without allergy who had undergone cochlear implantation (CI) who served as controls. RESULTS: SDB was suggested in 19% of children with allergy using the OSA18 and in 29% using the PSQ vs 6% and 7% of controls (p = 0.029; p = 0.003), respectively. In addition, daytime sleepiness was suggested in 45% to 48% of children with allergy using the PSQ and PDSS vs 17% to 25% of controls (p = 0.015; p = 0.025), respectively. Patients with allergy had SDB and sleepiness scores higher than population normal values: OSA-18 of 41.7 vs 34.0, PSQ-SDB of 0.25 vs 0.14, PSQ-Sleepy of 0.34 vs 0.15, and PDSS of 14.2 vs 11.4. The difference between cases and controls was significant for all measures of sleepiness and SDB. CONCLUSION:Children with allergy have higher SDB and sleepiness scores than controls. This suggests that children with allergic rhinitis are at increased risk for SDB and screening should be considered in this population. In addition, studies with a larger sample size are important to fully understand this relationship.
Authors: Sarah K Wise; Sandra Y Lin; Elina Toskala; Richard R Orlandi; Cezmi A Akdis; Jeremiah A Alt; Antoine Azar; Fuad M Baroody; Claus Bachert; G Walter Canonica; Thomas Chacko; Cemal Cingi; Giorgio Ciprandi; Jacquelynne Corey; Linda S Cox; Peter Socrates Creticos; Adnan Custovic; Cecelia Damask; Adam DeConde; John M DelGaudio; Charles S Ebert; Jean Anderson Eloy; Carrie E Flanagan; Wytske J Fokkens; Christine Franzese; Jan Gosepath; Ashleigh Halderman; Robert G Hamilton; Hans Jürgen Hoffman; Jens M Hohlfeld; Steven M Houser; Peter H Hwang; Cristoforo Incorvaia; Deborah Jarvis; Ayesha N Khalid; Maritta Kilpeläinen; Todd T Kingdom; Helene Krouse; Desiree Larenas-Linnemann; Adrienne M Laury; Stella E Lee; Joshua M Levy; Amber U Luong; Bradley F Marple; Edward D McCoul; K Christopher McMains; Erik Melén; James W Mims; Gianna Moscato; Joaquim Mullol; Harold S Nelson; Monica Patadia; Ruby Pawankar; Oliver Pfaar; Michael P Platt; William Reisacher; Carmen Rondón; Luke Rudmik; Matthew Ryan; Joaquin Sastre; Rodney J Schlosser; Russell A Settipane; Hemant P Sharma; Aziz Sheikh; Timothy L Smith; Pongsakorn Tantilipikorn; Jody R Tversky; Maria C Veling; De Yun Wang; Marit Westman; Magnus Wickman; Mark Zacharek Journal: Int Forum Allergy Rhinol Date: 2018-02 Impact factor: 3.858
Authors: Shehlanoor Huseni; Maria J Gutierrez; Carlos E Rodriguez-Martinez; Carlos E Rodriguez; Cesar L Nino; Geovanny F Perez; Krishna Pancham; Gustavo Nino Journal: Am J Rhinol Allergy Date: 2014 Jan-Feb Impact factor: 2.467
Authors: Anna Maria Zicari; Giuseppe Marzo; Anna Rugiano; Camilla Celani; Maria Palma Carbone; Simona Tecco; Marzia Duse Journal: BMC Pediatr Date: 2012-11-07 Impact factor: 2.125