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Sleep Disturbance in Chronic Rhinitis: Evaluation of Nasal Symptoms, Sleep Disorder Questionnaires, and Sleep Architecture in Allergic and Non-allergic Rhinitis in Dr. Cipto Mangunkusumo Hospital

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Abstract

Chronic rhinitis is often associated with sleep disturbance and daytime sleepiness. Disturbance in sleep impairs numerous metabolic processes and brain function. However, there is a paucity of data regarding the evaluation of nasal symptoms and sleep disturbance in chronic rhinitis, either allergic or non-allergic group. To evaluate the characteristic of sleep disturbance in allergic and non-allergic rhinitis in Dr. Cipto Mangunkusumo Hospital Jakarta, a cross sectional analytic descriptive study was performed. All recruited subjects were evaluated for total nasal symptom scores (TNSS) and nasal obstruction symptoms evaluation scores (NOSE). Sleep disorder was assessed using Epworth Sleepiness Scale (ESS), Pittsburg Sleep Quality Index (PSQI) questionnaires, and polysomnography (PSG). A total of 22 chronic rhinitis patients, with 11 allergic and 11 non-allergic rhinitis were evaluated. Most subjects with allergic rhinitis experienced daytime sleepiness and poor quality of sleep as well as non-allergic rhinitis, without significant differences in TNSS, NOSE, ESS, and PSQI scores. There was impairment in sleep architecture from PSG parameters in both groups, but the difference was not significant. However, RDI-REM (17.7 ± 14.5 vs. 14.7 ± 18.5) and RERA (2.2 ± 2.1 vs. 1.6 ± 1.7) parameters have a tendency to be higher in the allergic rhinitis compared to non-allergic rhinitis group. Sleep disturbance existed in chronic rhinitis, presented by excessive daytime sleepiness and impairment in sleep architecture, yet no significant difference shown in the severity of TNSS, NOSE, ESS, PSQI scores, and sleep architecture parameters between the allergic and non-allergic rhinitis.

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References

  1. Fauzi SM, Lestari BW (2015) Prevalence of allergic rhinitis based on world health organization (ARIA-WHO) questionnaire among batch 2010 students of the faculty of medicine universitas padjajaran. AMJ 2(4):620–5

    Google Scholar 

  2. Giavina-Bianchi P, Aun MV, Takejima P, Kalil J, Agondi RC (2016) United airway disease: current perspectives. J Asthma Allergy 9:93–100

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Bousquet J, Schünemann HJ, Samolinski B, Demoly P, Baena-Cagnani CE, Bachert C et al (2012) Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs. J Allergy Clin Immunol 130(5):1049–1062

    Article  CAS  PubMed  Google Scholar 

  4. Lunn M, Craig T (2011) Rhinitis and sleep. Sleep Med Rev 15(5):293–299

    Article  PubMed  Google Scholar 

  5. Potkin KT, Bunney WE Jr (2012) Sleep improves memory: the effect of sleep on long term memory in early adolescence. PLoS ONE 7(8):e42191

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S et al (2017) Sleep apnea: types, mechanisms, and clinical cardiovascular consequences. J Am Coll Cardiol 69(7):841–858

    Article  PubMed  PubMed Central  Google Scholar 

  7. Bauchau V, Durham SR (2004) Prevalence and rate of diagnosis of allergic rhinitis in Europe. Eur Respir J 24(5):758–764

    Article  CAS  PubMed  Google Scholar 

  8. Tamasauskiene L, Gasiuniene E, Sitkauskiene B (2021) Translation, adaption and validation of the total nasal symptom score (TNSS) for Lithuanian population. Health Qual Life Outcomes 19(1):54

    Article  PubMed  PubMed Central  Google Scholar 

  9. Braido F, Baiardini I, Scichilone N, Musarra A, Menoni S, Ridolo E et al (2014) Illness perception, mood and coping strategies in allergic rhinitis: are there differences among ARIA classes of severity? Rhinology 52(1):66–71

    Article  CAS  PubMed  Google Scholar 

  10. Camacho M, Zaghi S, Certal V, Abdullatif J, Modi R, Sridhara S et al (2016) Predictors of nasal obstruction: quantification and assessment using multiple grading scales. Plast Surg Int 2016:6945297

    PubMed  PubMed Central  Google Scholar 

  11. Dutta A, Vallur S, Arjun AP, Goyal L (2020) A study on role of nose scale in the management of allergic rhinitis. Indian J Otolaryngol Head Neck Surg 72(2):234–238

    Article  PubMed  PubMed Central  Google Scholar 

  12. Hiraki N, Suzuki H, Udaka T, Shiomori T (2008) Snoring, daytime sleepiness, and nasal obstruction with or without allergic rhinitis. Arch Otolaryngol Head Neck Surg 134(12):1254–1257

    Article  PubMed  Google Scholar 

  13. Liu J, Zhang X, Zhao Y, Wang Y (2020) The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies. PLoS ONE 15(2):e0228533

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Shrivastava D, Jung S, Saadat M, Sirohi R, Crewson K (2014) How to interpret the results of a sleep study. J Commun Hosp Intern Med Perspect 4(5):24983

    Article  Google Scholar 

  15. Institute of Medicine Committee on Sleep M, Research (2006) The national academies collection: reports funded by national institutes of health. In: Colten HR, Altevogt BM, (eds). Sleep disorders and sleep deprivation: an unmet public health problem. National Academies Press (US) Copyright ©, Washington (DC). National Academy of Sciences

  16. Zhenf M, Wang X, Ge S, Gu Y, Ding X, Zhang Y et al (2017) Allergic and non-allergic rhinitis are common in obstructive sleep apnea but not associated with disease severity. J Clin Sleep Med 13(8):959–966

    Article  Google Scholar 

  17. Poirrier AL, Eloy P, Rombaux P (2013) Nose and sleep breathing disorders. In: Onerci TM (ed) Nasal Physiology and Pathophysiology of Nasal Disorders. Springer, Berlin

    Google Scholar 

  18. Morris LG, Burschtin O, Lebowitz RA, Jacobs JB, Lee KC (2005) Nasal obstruction and sleep-disordered breathing: a study using acoustic rhinometry. Am J Rhinol 19(1):33–39

    Article  PubMed  Google Scholar 

  19. Kimura A, Chiba S, Capasso R, Yagi T, Ando Y, Watanabe S et al (2013) Phase of nasal cycle during sleep tends to be associated with sleep stage. Laryngoscope 123(8):2050–2055

    Article  PubMed  Google Scholar 

  20. Huseni S, Gutierrez MJ, Rodriguez-Martinez CE, Nino CL, Perez GF, Pancham K et al (2014) The link between rhinitis and rapid-eye-movement sleep breathing disturbances in children with obstructive sleep apnea. Am J Rhinol Allergy 28(1):e56-61

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

This study was funded by PUTI QI Universitas Indonesia Agreement letter NKB-1324/UN2.RST/HKP.05.00/2020. Addendum letter NKB-3933/UN2.RST/HKP.05.00/2020. Record of transfer BA-345/UN2.RST/PPM.00.03.01/2021.

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Authors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine Universitas Indonesia – Dr. Cipto Mangunkusumo Hospital, Jl. Pangeran Diponegoro No. 71, Kenari, Jakarta Pusat, DKI Jakarta, 10430, Indonesia

    Nina Irawati, Retno Sulistyo Wardani, Niken Lestari Poerbonegoro & Indah Rahmawati

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  1. Nina Irawati
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  2. Retno Sulistyo Wardani
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  3. Niken Lestari Poerbonegoro
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  4. Indah Rahmawati
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by NI, RSW, NLP, and IR. The first draft of the manuscript was written by NI and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Conceptualization: NI, RSW, NLP, and IR. Methodology: NI, RSW, NLP, and IR. Formal analysis and investigation: NI, NLP, and IR. Writing—original draft preparation: NI, IR. Writing—review and editing: NI, RSW, NLP, and IR. Supervision: NI.

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Correspondence to Nina Irawati.

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Conflict of interests

The authors have no relevant financial or non-financial interests to disclose.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

Consent to Publish

Patients signed informed consent regarding publishing their data.

Ethical Approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Faculty of Medicine, University of Indonesia with regards of the protection of human rights and welfare in medical research. Ethics approval number: KET-122/UN2.F1/ETIK/PPM.00.02/2020.

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Irawati, N., Wardani, R., Poerbonegoro, N. et al. Sleep Disturbance in Chronic Rhinitis: Evaluation of Nasal Symptoms, Sleep Disorder Questionnaires, and Sleep Architecture in Allergic and Non-allergic Rhinitis in Dr. Cipto Mangunkusumo Hospital. Indian J Otolaryngol Head Neck Surg 75, 1888–1893 (2023). https://doi.org/10.1007/s12070-023-03783-5

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  • DOI: https://doi.org/10.1007/s12070-023-03783-5

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