Mutual Influence Between Allergic Rhinitis and Sleep: Factors, Mechanisms, and interventions-A Narrative Review

Nat Sci Sleep. 2024 Sep 19:16:1451-1467. doi: 10.2147/NSS.S482258. eCollection 2024.

Abstract

Patients with allergic rhinitis (AR) have a high incidence of sleep disorders, such as insomnia, which can easily exacerbate nasal symptoms. The aggravation of nasal symptoms further promotes the deterioration of sleep disorders, forming a vicious cycle. Severe cases may even trigger psychological and neurological issues, such as anxiety, depression, and cognitive impairment, causing significant distress to patients, making clinical diagnosis and treatment difficult, and increasing costs. Furthermore, satisfactory therapeutics remain lacking. As the pathogenesis of AR-associated sleep disorders is not clear and research is still insufficient, paying attention to and understanding AR-related sleep disorders is crucial in clinical practice. Multiple studies have shown that the most crucial issues in current research on AR and sleep are analyzing the relationship between AR and sleep disorders, searching for the influencing factors, and investigating potential targets for diagnosis and treatment. This review aimed to identify and summarize the results of relevant studies using "AR" and "sleep disorders" as search terms. In addition, we evaluated the correlation between AR and sleep disorders and examined their interaction and potential mechanisms, offering a foundation for additional screening of potential diagnostic biomarkers and therapeutic targets.

Keywords: allergic rhinitis; biological rhythm; immune inflammatory; neurological regulation; sleep disorders.

Publication types

  • Review

Grants and funding

This work was supported by the National Natural Science Foundation of China (82371119, 82271146, 82071021); the Key Research and Development Program of Shandong Province (Major Science and Technology Innovation Project; 2020CXGC011302, 2022CXGC020506); the Taishan Scholar Project (No. tsqn202312392); Shandong Provincial Postdoctoral Foundation Project (Innovation Project; SDCX-ZG-202203077); Science and Technology Innovation development plan of Yantai (2023ZDCX033); the Outstanding Young Talents Project in Health of Qilu and the youth talent training program from Qingdao medical college of Qingdao University (No. RZ2300002690).