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Prevalence and factors associated with snoring in 3-year olds: early links with behavioral adjustment
Amelia I Gill1, Elizabeth Schaughency, Barbara C Galland
1Department of Women's and Children's Health, University of Otago, P.O. Box 913, Dunedin 9054, New Zealand.
Insights
Habitual snoring affects 11.3% of 3-year-olds in New Zealand, with links to male gender, Māori ethnicity, and neighborhood deprivation. Snoring in young children is also associated with irritability and hyperactivity.
Area of Science:
- Pediatric Sleep Medicine
- Community Health Research
- Child Behavioral Science
Background:
- Sleep disordered breathing (SDB) symptoms are prevalent in young children.
- Understanding factors associated with habitual snoring in preschoolers is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of sleep disordered breathing symptoms in a New Zealand community sample of 3-year-olds.
- To identify sleep, demographic, health, environmental, familial, perinatal, and behavioral factors linked to habitual snoring.
Main Methods:
- A cross-sectional study involving 823 children aged 3 years.
- Parental questionnaires were used to collect data on children's sleep, focusing on snoring and other SDB symptoms.
- Demographic, health, environmental, and behavioral data were also gathered.
Main Results:
- Habitual snoring (≥4 nights/week) was reported in 11.3% of children.
- Habitual snoring was more common in males and Māori children, and in those from deprived neighborhoods.
- Associated symptoms included mouth breathing, tonsillitis, and night waking; snoring correlated with child irritability and hyperactivity.
Conclusions:
- The prevalence of habitual snoring in New Zealand preschoolers is comparable to international findings.
- Factors associated with habitual snoring include male gender, Māori ethnicity, neighborhood deprivation, and specific environmental/health factors.
- Habitual snoring in 3-year-olds is linked to irritable and hyperactive behaviors.
Objective:
Identify the prevalence of sleep disordered breathing (SDB) symptoms in a community sample of New Zealand 3-year olds. To examine sleep, demographic, health, environmental, familial, perinatal, and behavioral adjustment factors associated with habitual snoring.
Methods:
A cross sectional study, in which parents of 823 children aged 3 years 0 months to 3 years 12 months (M:F=1:0.9) were recruited from the community. Participants completed questionnaires designed to assess information relevant to their children's sleep, with a particular focus on snoring.
Results:
Parents reported snoring at least once a week in 36.9% of children, and habitual snoring (more than four nights per week) in 11.3% of children. Univariate analysis showed habitual snoring was more common amongst Māori (indigenous New Zealanders) (P=0.04) and males (P=0.05), and that habitual snorers came from more socio-economically deprived neighborhoods (P<0.01). Several other SDB-related symptoms were significantly associated with habitual snoring: mouth breathing, sweating profusely, waking during the night, sleeping with neck extended, constant runny nose, and suffering from tonsillitis. Mouth breathing was the most strongly associated. Multivariate analyzes revealed a strong positive relationship between snoring and some health and familial factors, as well as parent reported child irritability (OR=2.83; 95% CI 1.4-5.6) and hyperactivity (OR=1.6; 95% CI 1.0-2.7).
Conclusions:
The prevalence of habitual snoring amongst New Zealand pre-schoolers is similar to that reported elsewhere. Factors associated with habitual snoring include male gender, Māori ethnicity, and poorer deprivation neighborhood, as well as a variety of other environmental and health factors. The data provide evidence that habitual snoring associated with irritable and hyperactive behavior is evident in children as young as three.
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