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Current Allergy and Asthma Reports

, Volume 13, Issue 2, pp 131–141 | Cite as

Impact of Sleep as a Specific Marker of Quality of Life in Allergic Rhinitis

  • Vanesa González-Núñez
  • Antonio Luís Valero
  • Joaquim Mullol
RHINITIS (JN BARANIUK AND JJ OPPENHEIMER, SECTION EDITORS)

Abstract

Allergic rhinitis (AR) is a common disorder, which represents a considerable burden both on individual patients and society. It is associated with bothersome symptoms, which may impair usual daily activities, sleep quality, and productivity. Associated with impaired sleep, quality of life is significantly impaired in AR patients. AR significantly contributes to sleep-disordered breathing through multiple mechanisms, with the greatest impact mediated through nasal obstruction. Sleep impairment is very common in AR patients and has a significant impact on disease-specific measures of general health and quality of life. The degree of sleep disturbance is directly related to the severity of the disease. Nasal congestion also demonstrates circadian rhythm and positional variability, worsening during nighttime hours and in supine position. Increased sleep disordered events lead to poor sleep with fatigue and daytime somnolence, impaired performance, productivity and social functioning, and an increased risk of associated diseases.

Keywords

Sleep Quality of life Allergic rhinitis Quality of sleep Nasal congestion Questionnaire Sleep disturbance Sleep problems Allergy Sleepiness Somnolence Sleep-disordered breathing Stuffy nose Blocked nose Circadian rhythm Nasal symptoms Persistent Intermittent Perennial Seasonal ARIA Daytime fatigue Intranasal corticosteroid Antihistamine 

Notes

Disclosure

Dr. Valero has served on boards for Stallergenes, Meda Pharmaceuticals, FAES, and ESTEVE; has received grant support from Uriach; and has received payment for development of educational presentations (including service on speakers’ bureaus) from FAES, Stallergenes, Novartis, and Pfizer.

Dr. Mullol has served on boards for Uriach, Meda Pharmaceuticals, Johnson & Johnson, FAES, and Hartington Pharma; has received grant support from GlaxoSmithKline, Uriach, FAES, and Merck Sharp & Dohme; and has received payment for development of educational presentations (including lectures and service on speakers bureaus) from Uriach, Hartington Pharma, FAES, Novartis, Boehringer-Ingelheim, ESTEVE, Merck Sharp & Dohme, and PIERRE-FABRE.

Dr. Gonzalez-Nuñez reported no potential conflicts of interest relevant to this article.

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Vanesa González-Núñez
    • 1
  • Antonio Luís Valero
    • 2
  • Joaquim Mullol
    • 3
  1. 1.Department of AllergologyHospital Quirón. BarcelonaCataloniaSpain
  2. 2.Allergy Unit, Department of Pneumology and Respiratory Allergy, ICT, Hospital Clínic i UniversitariInstitut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS); and CIBER de Enfermedades Respiratorias (CIBERES)BarcelonaSpain
  3. 3.Rhinology Unit & Smell Clinic, Department of Otorhinolaryngology, Hospital Clínic i UniversitariInstitut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS); and CIBER de Enfermedades Respiratorias (CIBERES)BarcelonaSpain

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