PMID- 37093511 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20231127 IS - 1522-1709 (Electronic) IS - 1520-9512 (Linking) VI - 27 IP - 6 DP - 2023 Dec TI - Effect of house dust mite allergen on sleep parameters and sleep quality. PG - 2231-2239 LID - 10.1007/s11325-023-02832-1 [doi] AB - PURPOSE: The role of nasal problems such as allergic rhinitis in the development of obstructive sleep apnea (OSA) is controversial. The purpose of this study was to analyze the effects of house dust mite (HDM) allergen on sleep-related problems. METHODS: In a retrospective study patients were classified according to the house dust mite (HDM)-related specific immunoglobulin E (IgE) level into a low HDM-IgE group (group A) and a high HDM-IgE group (group B). Polysomnographic indices, OSA severity, and self-administered questionnaire results were compared between groups. Correlational analysis was used to identify associations between specific IgE values and sleep parameters related to respiratory events. RESULTS: A total of 327 patients were enrolled. N1 stage ratio, apnea index, and apnea-hypopnea index were significantly higher in group B (P = 0.010, 0.003, and 0.002 respectively) than in group A. N2 stage ratio, and lowest and mean oxygen saturation were significantly lower in group B (P = 0.001, 0.001, and < 0.001 respectively). After propensity score matching, the apnea index and lowest and mean oxygen saturation remained significantly different (P = 0.005, 0.005, and 0.001 respectively). Patients in group B were more likely to have severe OSA and worse subjective sleep quality. In correlational analysis, lowest and mean oxygen saturation were significantly negatively correlated with specific IgE values. CONCLUSION: A high HDM-specific IgE level was associated with the occurrence of respiratory events and oxygen desaturation during sleep, and with the presence of severe OSA, as well as poorer subjective sleep quality. CI - (c) 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG. FAU - Im, Yeon Hee AU - Im YH AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. FAU - Kim, Dong-Hyun AU - Kim DH AUID- ORCID: 0000-0002-4046-4155 AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. monolithkim@catholic.ac.kr. FAU - Jeon, Eun-Ju AU - Jeon EJ AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. FAU - Nam, Inn-Chul AU - Nam IC AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. FAU - Lee, Hyun Jin AU - Lee HJ AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. FAU - Yu, Kwi Ju AU - Yu KJ AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. FAU - Kim, Dae-Yang AU - Kim DY AD - Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56, Dongsu-Ro, Bupyeong-Gu, Incheon, 21431, Republic of Korea. LA - eng PT - Journal Article DEP - 20230424 PL - Germany TA - Sleep Breath JT - Sleep & breathing = Schlaf & Atmung JID - 9804161 RN - 0 (Antigens, Dermatophagoides) RN - 37341-29-0 (Immunoglobulin E) RN - 0 (Allergens) SB - IM MH - Animals MH - Humans MH - Sleep Quality MH - Retrospective Studies MH - Pyroglyphidae MH - Sleep MH - *Sleep Apnea, Obstructive MH - Antigens, Dermatophagoides MH - Immunoglobulin E MH - *Dyssomnias MH - Allergens OTO - NOTNLM OT - Allergic rhinitis OT - House dust mite OT - Obstructive sleep apnea EDAT- 2023/04/24 12:41 MHDA- 2023/11/27 12:44 CRDT- 2023/04/24 11:22 PHST- 2023/01/18 00:00 [received] PHST- 2023/04/12 00:00 [accepted] PHST- 2023/03/29 00:00 [revised] PHST- 2023/11/27 12:44 [medline] PHST- 2023/04/24 12:41 [pubmed] PHST- 2023/04/24 11:22 [entrez] AID - 10.1007/s11325-023-02832-1 [pii] AID - 10.1007/s11325-023-02832-1 [doi] PST - ppublish SO - Sleep Breath. 2023 Dec;27(6):2231-2239. doi: 10.1007/s11325-023-02832-1. Epub 2023 Apr 24.