Is Your Patient’s Ability to Sleep Impacted by Allergies?

Is Your Patient’s Ability to Sleep Impacted by Allergies?

This evidence-based research suggests that allergies contribute to poor sleep in both adults and children

The following article is a synopsis of this published research:

Leger D, Bonnefoy B, Pigearias B, de La Giclais B, and Chartier A.Poor sleep is highly associated with house dust mite allergic rhinitis in adults and children. Allergy Asthma Clin Immunol. 2017; 13:36. Published online 2017 Aug 16. The full article is available here HERE.

Sleep disorders are often underreported to physicians by patients with allergies. Asking allergic patients about the quality of their sleep is important. Patients who have persistent and severe allergic rhinitis (AR) experienced sleep complaints significantly more often than those with intermittent or mild persistent AR.

This study aimed to characterize the sleep disorders associated with respiratory allergy to house dust mites (HDM) at the time of initiation of sublingual allergen immunotherapy (SLIT) in routine clinical practice. This prospective, cross-sectional, observational study was conducted at 189 French sites between November 2014 and March 2015. It included 212 specialists in general practice, pneumology, pediatrics, ear, nose and throat (ENT) and dermatology who each included 6–10 participants all meeting the inclusion/exclusion criteria in consecutive consultations.

The 1750 total study participants were all individuals planning on starting SLIT for HDM allergy for the first time. The population surveyed included children between the ages of 5–17 years and adults who were over the age of 18.

The participant’s sleep disorders were assessed by reliable, self-administered questionnaires including: Epworth Sleepiness Scale (ESS) to document daytime sleepiness; Insomnia Severity Index (ISI) rating sleeplessness within the prior month; and a modified version of the Hotel Dieu-42 (HD-42) sleep disorder questionnaire to assess factors including difficulty falling asleep, nocturnal and early awakening, poor-quality sleep, and snoring. Obesity, smoking status, asthma control and nasal obstruction were also taken into consideration with logistic regression models.

The majority of participants (73.5% of adults and 65.8% of children) reported that it was their sleep disorders that had prompted them to consult their physician. The most commonly observed sleep complaints were poor-quality sleep (50.3% of adults and 37.3% of children), snoring (48.1 and 41.4%, respectively), and nocturnal awakening (37.6 and 28.2%, respectively). Difficulties falling asleep were reported by 27.0% of adults and 24.7% of children.

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