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Deficits in working memory, reading comprehension and arithmetic skills in children with mouth breathing syndrome:
Rita Cristina Sadako Kuroishi1, Ricardo Basso Garcia2, Fabiana Cardoso Pereira Valera1
1Department of Ophthalmology, Otolaryngology and Head and Neck Surgery, Faculdade de Medicina de Ribeirão Preto (FMRP), Universidade de São Paulo (USP), Ribeirão Preto, São Paulo, Brasil.
Insights
Children who breathe through their mouths often struggle with reading comprehension, arithmetic, and phonological working memory. This highlights a link between mouth breathing and lower academic performance in school-aged children.
Area of Science:
- Pediatric Health
- Cognitive Science
- Educational Psychology
Background:
- Mouth breathing syndrome is prevalent in school-aged children.
- It is potentially linked to learning difficulties and reduced academic achievement.
Purpose of the Study:
- To investigate working memory, reading comprehension, and arithmetic skills in children with nasal versus mouth breathing.
- To identify cognitive differences associated with mouth breathing in children.
Main Methods:
- An analytical cross-sectional study was conducted with a control group.
- 42 mouth-breathing children were compared to a matched control group.
- Cognitive assessments included phonological working memory, reading comprehension, and arithmetic skills.
Main Results:
- Mouth-breathing children demonstrated significantly poorer reading comprehension (P = 0.006) and arithmetic skills (P = 0.025) compared to controls.
- Poorer performance in working memory for pseudowords (P = 0.002) was observed in mouth breathers, but not for numbers (P = 0.76).
Conclusions:
- Children with mouth breathing exhibit lower academic achievement and impaired phonological working memory.
- Awareness of the mouth breathing association with cognitive health is crucial for educators and healthcare providers.
Context And Objective:
Mouth breathing syndrome is very common among school-age children, and it is possibly related to learning difficulties and low academic achievement. In this study, we investigated working memory, reading comprehension and arithmetic skills in children with nasal and mouth breathing.
Design And Setting:
Analytical cross-sectional study with control group conducted in a public university hospital.
Methods:
42 children (mean age = 8.7 years) who had been identified as mouth breathers were compared with a control group (mean age = 8.4 years) matched for age and schooling. All the participants underwent a clinical interview, tone audiometry, otorhinolaryngological evaluation and cognitive assessment of phonological working memory (numbers and pseudowords), reading comprehension and arithmetic skills.
Results:
Children with mouth breathing had poorer performance than controls, regarding reading comprehension (P = 0.006), arithmetic (P = 0.025) and working memory for pseudowords (P = 0.002), but not for numbers (P = 0.76).
Conclusion:
Children with mouth breathing have low academic achievement and poorer phonological working memory than controls. Teachers and healthcare professionals should be aware of the association of mouth breathing with children's physical and cognitive health.
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