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Breast-feeding and deleterious oral habits in mouth and nose breathers
Luciana Vitaliano Voi Trawitzki1, Wilma T Anselmo-Lima, Melissa O Melchior
1FMRP-USP, Department of Ophthalmology, Otorhinolaryngology and Head and Neck, School of Speech Therapy, UNAERP.
Insights
Children who breastfed longer were more likely to be nasal breathers. Mouth breathers had shorter breastfeeding durations and more oral habits like thumb sucking and nail biting.
Area of Science:
- Pediatric Health
- Otorhinolaryngology
- Speech-Language Pathology
Background:
- Breast-feeding offers numerous childhood benefits, including promoting nasal breathing.
- Understanding the interplay between infant feeding practices and respiratory patterns is crucial for early intervention.
Purpose of the Study:
- To investigate the association between breathing patterns (nasal vs. mouth breathing) and the history of breast-feeding and oral habits in young children.
- To determine if shorter breast-feeding duration or specific oral habits correlate with mouth breathing.
Main Methods:
- A cross-sectional cohort study involving 62 children aged 3 to 6 years and 11 months.
- Otorhinolaryngologic evaluations (rhinoscopy, oroscopy, radiology) and speech-language pathology interviews were conducted.
- Parental questionnaires gathered data on feeding methods, breast-feeding duration, and deleterious oral habits (suction, biting).
Main Results:
- Nasal breathers exhibited significantly longer breast-feeding periods, particularly between 3 and 6 months of age.
- Mouth breathers showed a higher prevalence of deleterious oral habits, specifically suction (p=0.004) and biting (p=0.0002).
- No significant difference was found in the use of bottle feeding between nasal and mouth breathers.
Conclusions:
- Shorter breast-feeding duration is associated with mouth breathing in children.
- Deleterious oral habits are more prevalent in children who are mouth breathers.
- Findings highlight the importance of prolonged breast-feeding for establishing healthy respiratory patterns and preventing oral habit development.
Aim:
Breast-feeding promotes several benefits in childhood, among them favoring the nasal breathing. In the present study, the relationship between breathing pattern and the history of breast-feeding and of deleterious oral habits was determined.
Study Design:
clinical with transversal cohort.
Material And Method:
The study population consisted of 62 children ranging in age from 3 years and 3 months to 6 years and 11 months who were submitted to otorhinolaryngologic evaluation to determine nasal and mouth breathers and to a speech language pathologic interview. The otorhinolaryngologic evaluation involved the following exams: anterior rhinoscopy, oroscopy and radiologic examination. The parents of the children were questioned about the form of feeding (natural and/or artificial), the duration of breast-feeding and the presence of deleterious oral habits (suction and biting). The Fisher exact test was used to compare groups regarding the presence and absence of habits and the different periods of breast-feeding.
Results:
The breast-feeding period was longer among nasal breathers and was concentrated in the period between 3 and 6 months of age. Regarding the use of bottle, the results showed that most of the children in both groups used this type of feeding during the first years of life, with no significant difference between groups (p=0.58). There was a marked presence of deleterious oral habits among mouth breathers, with a statistically significant difference between groups regarding suction (p=0.004) and biting habits (p=0.0002).
Conclusion:
Mouth breathing children were breast-fed for a shorter period of time and had a history of deleterious oral habits compared to nose breathers.
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