Objective To analyze the correlations of sleep timing and sleep patterns with the risk of allergic rhinitis in Chinese adolescents, in order to provide scientific reference for understanding the health effect of sleep. Methods A stratified cluster sampling method was used to perform a cross-sectional survey among 4 932 middle school students in six administrative districts of Shanghai in 2009. The Modified Version of the Adolescent Sleep Hygiene Scale (M-ASHS) was applied to evaluate sleep-related indicators. Adolescent Behavior and Health Questionnaire was used to evaluate allergic diseases, basic personal information and environmental exposure. Logistic multivariate regression was adopted to analyze the correlations of sleep timing, sleep patterns with allergic rhinitis in adolescents. Results The overall prevalence rate of allergic rhinitis was 17.5%, of which 19.2% for males and 15.8% for females (P=0.002). After controlling for basic social-demographic characteristics, maternal variables and chronic health-behavioral problems, Logistic regression analysis showed that bedtime and sleep patterns were associated with the risk of allergic rhinitis. The risk of allergic rhinitis was increased by 30% (OR= 1.30, 95%CI: 1.06 - 1.60, P=0.013) and 28% (OR=1.28, 95%CI: 1.07 - 1.78, P=0.014) with late bedtime and late bed/late wake-up sleep pattern, respectively. After further adjustment for nocturnal sleep duration, the above effects remained significant (OR=1.40,95%CI: 1.12 - 1.75, P=0.003; OR=1.44, 95%CI: 1.11 - 1.86, P=0.006), respectively. Conclusion Late bedtime and late bed/late wake-up sleep pattern are associated with a higher risk of allergic rhinitis in adolescents, suggesting that sleep management is of great significance in the prevention and treatment of allergic diseases.
Key words
adolescents /
sleep duration /
sleep patterns /
allergic rhinitis
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