Sleep-Disordered Breathing and Allergy in Children: Current Research Insights and Future Directions

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Pulmonary and Sleep Medicine".

Deadline for manuscript submissions: 15 March 2025 | Viewed by 1785

Special Issue Editor


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Guest Editor
Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Faculty of Medicine, University of Verona, 37124 Verona, Italy
Interests: sleep-disordered breathing; sleep apnea syndrome; children; infants
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Special Issue Information

Dear Colleagues,

Sleep-disordered breathing (SDB) is a significant health problem worldwide. Among children, the prevalence of habitual snoring is 10% to 12%, while the prevalence of OSA is 1% to 3%. SDB encompasses a range of abnormal conditions with manifestations that range from simple snoring to potentially serious diseases, including OSA.

Sneezing, itching, a runny nose, and nasal congestion characterize allergic rhinitis. Atopy is considered a risk factor for habitual snoring. Furthermore, children with allergies have a higher risk for SDB or OSAS than non-allergic children. However, the severity of allergic rhinitis is significantly associated with the severity of OSAS. Additionally, allergic rhinitis, habitual snoring, and poor asthma control are important risk factors for SDB. Therefore, atopic children should receive additional attention for snoring and other features of OSAS.

The medical literature supports a proactive role for allergists in diagnosing and managing SDB. Although several studies have investigated the coexistence of OSA and inhalant allergy in standard clinical practice, the correlation has not been sufficiently clarified and investigated.

Dr. Marco Zaffanello
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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Keywords

  • sleep-disordered breathing
  • obstructive sleep apnea syndrome
  • children
  • inhalant allergy
  • allergic rhinitis
  • asthma

Published Papers (2 papers)

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Editorial

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5 pages, 206 KiB  
Editorial
Unveiling the Hidden Connection between Allergies and Sleep-Disordered Breathing in Children and Its Impact on Health
by Marco Zaffanello and Giorgio Piacentini
Children 2023, 10(7), 1143; https://doi.org/10.3390/children10071143 - 30 Jun 2023
Viewed by 1009
Abstract
Sleep-disordered breathing (SDB) and allergies in children are increasingly relevant health issues that require attention [...] Full article

Review

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16 pages, 1033 KiB  
Review
Exploring the Complex Interplay of Obesity, Allergic Diseases, and Sleep-Disordered Breathing in Children
by Chiara Voltan, Francesca Concer, Luca Pecoraro, Angelo Pietrobelli, Giorgio Piacentini and Marco Zaffanello
Children 2024, 11(5), 595; https://doi.org/10.3390/children11050595 - 15 May 2024
Viewed by 325
Abstract
This narrative review study investigates the correlations between obesity, allergies, and sleep-disordered breathing in pediatric populations. Searches for pertinent articles were conducted on the Medline PubMed Advanced Search Builder, Scopus, and Web of Science databases from unlimited to April 2024. Sleep-disordered breathing causes [...] Read more.
This narrative review study investigates the correlations between obesity, allergies, and sleep-disordered breathing in pediatric populations. Searches for pertinent articles were conducted on the Medline PubMed Advanced Search Builder, Scopus, and Web of Science databases from unlimited to April 2024. Sleep-disordered breathing causes repeated upper airway obstructions, leading to apneas and restless sleep. Childhood obesity, which affects around 20% of children, is often associated with sleep-disordered breathing and allergies such as asthma and allergic rhinitis. It is distinguished between diet-induced obesity (resulting from excess of diet and physical inactivity) and genetic obesity (such as is seen in Down syndrome and Prader–Willi syndrome). In children with diet-induced obesity, chronic inflammation linked to weight can worsen allergies and increase the risk and severity of asthma and rhinitis. Furthermore, the nasal congestion typical of rhinitis can contribute to upper respiratory tract obstruction and obstructive sleep apnea. A vicious circle is created between asthma and sleep-disordered breathing: uncontrolled asthma and sleep-disordered breathing can worsen each other. In children with genetic obesity, despite alterations in the immune system, fewer allergies are observed compared to the broader population. The causes of this reduced allergenicity are unclear but probably involve genetic, immunological, and environmental factors. Additional research is necessary to elucidate the underlying mechanisms. The present narrative review study emphasizes the importance of jointly evaluating and managing allergies, obesity, and obstructive sleep apnea in children considering their close interconnection. Full article
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