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Habitual snoring in school-aged children: environmental and biological predictors
Shenghui Li1, Xinming Jin, Chonghuai Yan
1Shanghai Key Laboratory of Children's Environmental Health, Shanghai, People's Republic of China.
Insights
Habitual snoring affects 12.0% of Chinese school-aged children, with higher prevalence in boys. Factors like lower socioeconomic status, maternal smoking, obesity, and respiratory issues increase risk, suggesting prevention through health promotion and environmental changes.
Area of Science:
- Pediatric Sleep Medicine
- Public Health
- Epidemiology
Background:
- Habitual snoring in children is a key indicator of sleep-disordered breathing and associated health issues.
- Large-scale epidemiological studies on childhood snoring and its risk factors are limited, especially in China.
- This study investigates the prevalence and contributing factors of habitual snoring in Chinese school-aged children.
Purpose of the Study:
- To determine the prevalence of habitual snoring among Chinese school-aged children.
- To identify predisposing factors associated with habitual snoring in this population.
- To inform potential prevention strategies for childhood habitual snoring.
Main Methods:
- A cross-sectional survey was conducted on a random sample of 20,152 children aged 5.08 to 11.99 years in eight Chinese cities.
- Parent-administered questionnaires collected data on children's snoring frequency and potential associated factors.
- Statistical analysis was performed to identify significant risk factors for habitual snoring.
Main Results:
- The prevalence of habitual snoring was 12.0% (14.5% in boys, 9.5% in girls).
- Associated risk factors included lower socioeconomic status, maternal smoking during pregnancy, shorter breastfeeding duration, obesity, overweight, and specific respiratory conditions (allergic rhinitis, asthma, adenotonsillar hypertrophy, otitis media).
- A family history of habitual snoring also significantly increased the risk.
Conclusions:
- The prevalence of habitual snoring in Chinese children is comparable to global figures.
- Predisposing factors encompass socioeconomic, environmental, and health-related aspects, with environmental exposures and chronic health problems showing a greater impact.
- Childhood habitual snoring may be preventable through targeted health promotion and environmental interventions.
Background:
Habitual snoring, a prominent symptom of sleep-disordered breathing, is an important indicator for a number of health problems in children. Compared to adults, large epidemiological studies on childhood habitual snoring and associated predisposing factors are extremely scarce. The present study aimed to assess the prevalence and associated factors of habitual snoring among Chinese school-aged children.
Methods:
A random sample of 20,152 children aged 5.08 to 11.99 years old participated in a cross-sectional survey, which was conducted in eight cities of China. Parent-administrated questionnaires were used to collect information on children's snoring frequency and the possible correlates.
Results:
The prevalence of habitual snoring was 12.0% (14.5% for boys vs. 9.5% for girls) in our sampled children. Following factors were associated with an increased risk for habitual snoring: lower family income (adjusted odds ratio [OR] = 1.46), lower father's education (OR = 1.38 and 1.14 for middle school or under and high school of educational level, respectively), breastfeeding duration < 6 months (OR = 1.17), pregnancy maternal smoking (OR = 1.51), obesity (OR = 1.50), overweight (OR = 1.35), several respiratory problems associated with atopy and infection, such as chronic/allergic rhinitis (OR = 1.94), asthma (OR = 1.43), adenotonsillar hypertrophy (OR = 2.17), and chronic otitis media (OR = 1.31), and family history of habitual snoring (OR = 1.70).
Conclusion:
The prevalence of habitual snoring in Chinese children was similar to that observed in other countries. The potential predisposing factors covered socioeconomic characteristics, environmental exposures, chronic health problems, and family susceptibility. Compared to socioeconomic status and family susceptibility, environmental exposures and chronic health problems had greater impact, indicating childhood habitual snoring could be partly prevented by health promotion and environmental intervention.
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