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Persistent snoring in preschool children: predictors and behavioral and developmental correlates
Dean W Beebe1, Joseph Rausch, Kelly C Byars
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 3015, 3333 Burnet Ave, Cincinnati, OH 45229-3039, USA. dean.beebe@cchmc.org
Persistent loud snoring in young children is linked to increased behavioral issues. Lower socioeconomic status and shorter breastfeeding duration predict snoring, highlighting the need for early screening and support.
Area of Science:
- Pediatric Sleep Medicine
- Child Behavioral Development
- Developmental Pediatrics
Background:
- Persistent loud snoring in early childhood may impact development.
- Understanding predictors of snoring is crucial for early intervention.
Purpose of the Study:
- To investigate the association between persistent snoring in 2- to 3-year-olds and their behavioral and cognitive development.
- To identify predictors of transient and persistent snoring in young children.
Main Methods:
- Prospective birth cohort study of 249 mother/child pairs.
- Children classified as nonsnorers, transient snorers, or persistent snorers based on parental reports at 2 and 3 years.
- Assessment of behavioral and cognitive functioning, with analysis of predictors including socioeconomic status and breastfeeding duration.
Main Results:
- Persistent snorers exhibited significantly higher reported behavior problems, including hyperactivity, depression, and inattention.
- Lower socioeconomic status and shorter duration of breast milk feeding were the strongest predictors of snoring.
- Unadjusted analyses showed better cognitive development in nonsnorers, but this difference diminished after demographic adjustment.
Conclusions:
- Persistent loud snoring in young children is associated with elevated behavioral problems.
- Routine screening for snoring, particularly in low socioeconomic status children, is recommended.
- Encouraging and facilitating breastfeeding is important; referral for persistent snoring is advised.
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