Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University, Seoul, 02841, Republic of Korea.
Department of Biostatistics, Korea University College of Medicine, Seoul, 02841, Republic of Korea.
Int J Pediatr Otorhinolaryngol. 2021 Mar;142:110613. doi: 10.1016/j.ijporl.2021.110613. Epub 2021 Jan 4.
Previous studies have shown that sleep and allergic rhinitis (AR) is closely associated, bidirectionally affecting each other. Adolescence is a period that adequate sleep is essential, and the burden of AR increases, both of which greatly affect the quality of life. The aim of the present study was to investigate the correlation between inappropriate sleep duration and each AR-related subjective/objective factor in Korean adolescents.
We analyzed the data of 1936 adolescents aged between 12 and 18 years who participated in the Korea National Health and Nutrition Examination Survey from 2010 to 2012. Data on sleep duration, physician-diagnosed AR, and presence of rhinitis symptoms were collected using a self-administered questionnaire. Nasal endoscopic findings, including watery rhinorrhea and pale inferior turbinate mucosa, and aeroallergen sensitization based on serum specific immunoglobulin E levels were examined.
There was a higher prevalence of AR (23.68%) in the inappropriate sleep duration group than in the control group (16.56%; odds ratio = 1.56, p = 0.0024). The presence of endoscopic findings of AR showed a positive association with inappropriate sleep duration in males (odds ratio = 1.52, p = 0.008). In addition, in all three indoor allergens investigated, aeroallergen sensitization was not associated with inappropriate sleep duration.
Inappropriate sleep duration was associated with increased prevalence of AR in Korean adolescents. Especially, this association was relevant in nasal endoscopic findings in male.
既往研究表明,睡眠与变应性鼻炎(AR)密切相关,二者相互影响。青少年时期是睡眠至关重要的时期,AR 负担增加,这两者都极大地影响了生活质量。本研究旨在探讨韩国青少年中睡眠时间不当与 AR 相关的各个主观/客观因素之间的相关性。
我们分析了 2010 年至 2012 年期间参加韩国国家健康和营养检查调查的 1936 名 12 至 18 岁青少年的数据。使用自我管理问卷收集睡眠时间、医生诊断的 AR 以及存在鼻炎症状的数据。使用鼻内镜检查水样鼻涕和苍白的下鼻甲黏膜等鼻内表现,并根据血清特异性免疫球蛋白 E 水平检查变应原致敏情况。
睡眠时间不当组的 AR 患病率(23.68%)高于对照组(16.56%;比值比=1.56,p=0.0024)。男性中存在 AR 的内镜表现与睡眠时间不当呈正相关(比值比=1.52,p=0.008)。此外,在所调查的三种室内过敏原中,变应原致敏与睡眠时间不当无关。
睡眠时间不当与韩国青少年中 AR 的患病率增加有关。特别是,这种关联与男性的鼻内镜表现相关。