The link between rhinitis and rapid-eye-movement sleep breathing disturbances in children with obstructive sleep apnea

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dc.contributor.authorHuseni, Shehlanoor
dc.contributor.authorGutierrez, Maria J.
dc.contributor.authorRodriguez-Martinez, Carlos E.
dc.contributor.authorNino, Cesar L.
dc.contributor.authorPerez, Geovanny F.
dc.contributor.authorPancham, Krishna
dc.contributor.authorNino, Gustavo
dc.date.accessioned2020-07-16T20:52:49Z
dc.date.available2020-07-16T20:52:49Z
dc.date.issued2014
dc.description.abstractenglishRhinitis and obstructive sleep apnea (OSA) often coexist during childhood. To delineate this clinical association, we examined OSA severity and polysomnogram (PSG) features in children with rhinitis and OSA. Given that rapid-eye-movement (REM) sleep is characterized by nasal congestion, we hypothesized that children with rhinitis have more REM-related breathing abnormalities. We conducted a retrospective cross-sectional analysis of 145 children with PSG-diagnosed OSA. Outcomes included PSG parameters and obstructive apnea–hypopnea index (OAHI) during REM and non-REM. Linear multivariable models examined the joint effect of rhinitis and OSA parameters with control for potential confounders. Rhinitis was present in 43% of children with OSA (n = 63) but overall OAHI severity was unaffected by the presence of rhinitis. In contrast, OAHI during REM sleep in children with moderate–severe OSA was significantly increased in subjects with rhinitis and OSA (44.1/hr; SE = 6.4) compared with those with OSA alone (28.2/hr; SE = 3.8). Rhinitis is highly prevalent in children with OSA. Although OSA is not more severe in children with rhinitis, they do have a distinct OSA phenotype characterized by more REM-related OSA. Further research is needed to delineate the link between REM-sleep and the physiology of the nose during health and disease.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://dx.doi.org/10.2500%2Fajra.2014.28.3994
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1945-8932
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3545
dc.language.isoeng
dc.publisherSage Publishingspa
dc.publisher.journalAmerican Journal of Rhinology & Allergyspa
dc.relation.ispartofseriesAmerican Journal of Rhinology & Allergy, 1945-8932, Vol. 28, No. 1, 2014 p. 56-61spa
dc.relation.urihttps://journals.sagepub.com/doi/full/10.2500/ajra.2014.28.3994?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2014-01-01
dc.rights.localAcceso abiertospa
dc.subject.keywordsApneaspa
dc.subject.keywordsOSAspa
dc.subject.keywordsPediatric OSAspa
dc.subject.keywordsREMspa
dc.subject.keywordsREM-related OSAspa
dc.subject.keywordsRhinitisspa
dc.subject.keywordsSleepspa
dc.subject.keywordsSleep breathingspa
dc.titleThe link between rhinitis and rapid-eye-movement sleep breathing disturbances in children with obstructive sleep apneaspa
dc.title.translatedThe link between rhinitis and rapid-eye-movement sleep breathing disturbances in children with obstructive sleep apneaspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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