Changes in daytime sleepiness, quality of life, and objective sleep patterns in seasonal allergic rhinitis: A controlled clinical trial
Open accessAbstract
Background It has long been assumed that allergic rhinitis leads to daytime sleepiness and a deterioration of nocturnal sleep, yet systematic studies have only been rarely conducted in this field.Objective The aim of the present study was to investigate the effects of seasonal allergic rhinitis on subjective and objective sleep patterns, quality of life, and daytime sleepiness in otherwise healthy subjects in comparison with nonallergic volunteers.Methods Twenty-five patients with seasonal allergic rhinitis and 25 healthy volunteers were enrolled in this prospective, controlled clinical trial. Daytime sleepiness and quality of life were assessed with the help of questionnaires (Epworth Sleepiness Scale, SF-36); 2 consecutive nights of fully attended polysomnography were performed before and during the pollen season of 2002.Results Statistically significant differences between groups were found in respect to changes in daytime sleepiness and selected parameters of quality of life. Impairment of daytime sleepiness and quality of life were related to the severity of the disease. Statistically significant differences were also found for selected parameters of the sleep studies, although the changes were only minimal, and all values were within normal ranges.Conclusion Seasonal allergic rhinitis leads to increased daytime sleepiness, as well as to an impairment of quality of life, depending on the severity of the disease. Objective measurements revealed a statistically significant influence of seasonal allergic rhinitis on selected sleep parameters, but changes were not of clinical relevance. Daytime sleepiness seems to be related to the condition itself rather than to an impairment of nocturnal sleep.
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In a cohort of allergic rhinitis and non-allergic rhinitis patients, seasonal allergic rhinitis was associated with increased daytime sleepiness and quality-of-life impairment.
“In a cohort study of AR and non-AR patients, seasonal AR was associated with increased daytime sleepiness and QOL impairment.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [892]
The Abstract and Discussion report increased daytime sleepiness and impaired quality of life in people with seasonal allergic rhinitis compared with healthy nonallergic volunteers. The citing sentence misidentifies the study as a cohort study of AR and non-AR patients; the paper calls it a prospective, controlled clinical trial with healthy volunteers as controls. Page numbers are not provided in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredNasal obstruction, allergic rhinitis, and chronic sinusitis have repeatedly been demonstrated as significant risk factors for habitual snoring, chronic excessive daytime sleepiness, and sleep-disordered breathing.
“Nasal obstruction, AR, and chronic sinusitis have repeatedly been demonstrated as significant risk factors for habitual snoring, chronic excessive daytime sleepiness, and SDB.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [892]
The Discussion reports increased daytime sleepiness with seasonal allergic rhinitis and says its results support allergic rhinitis as a risk factor for snoring or sleep-disordered breathing, but the sleep-pattern differences were minor and not clinically relevant. The paper does not establish habitual snoring or chronic excessive daytime sleepiness as outcomes, and its Exclusion criteria say patients with chronic rhinosinusitis were excluded. Page numbers are not provided in our copy. (LLM, conf=0.88)
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References 20 · Cited by 181
- Authors
- Stuck, B. A., Czajkowski, J., Hagner, A.-E., Klimek, L., Verse, T., Hörmann, K., & Maurer, J. T.
- Affiliations
- University Medical Centre Mannheim (DE)
- Corresponding author
- Stuck, Boris A
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2004-04
- Volume
- 113
- Issue
- 4
- Pages
- 663-668
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2040544503
- Semantic Scholar
- b00269e37cefb29a73301a1b297020ae55bce92d
- Cited by
- 181
- References
- 20
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 9 · 2020: 12 · 2019: 8 · 2018: 10 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 11 · 2013: 12 · 2012: 10
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- allergic rhinitis, daytime sleepiness, quality of life, nocturnal sleep, sleep patterns, pollen season, disease severity, polysomnography, Epworth Sleepiness Scale
- MeSH terms
- Adult, Circadian Rhythm, Female, Rhinitis, Allergic, Seasonal, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Regression Analysis, Sleep, Sleep Stages
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