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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
The Relationship between Feeding and Non-Nutritive Sucking Behaviours and Speech Sound Development: A Systematic
Samantha Burr1, Sam Harding2, Yvonne Wren2
1The Faculty of Health and Applied Sciences (HAS), University of the West of England, Bristol, United Kingdom, sam.burr@uwe.ac.uk.
Insights
Limited evidence suggests a link between infant feeding/sucking habits and speech sound development. More research is needed to understand how non-nutritive sucking (NNS) duration may influence speech sound disorders (SSDs).
Area of Science:
- Pediatric feeding and development
- Speech-language pathology
- Oral motor development
Background:
- Infant feeding methods (breast/bottle) and non-nutritive sucking (NNS) habits (pacifier/digit sucking) vary among children.
- Oral musculature and structures used for sucking and speech overlap, suggesting potential impacts on early speech sound development.
- Understanding these influences is crucial for identifying potential risk factors for speech sound disorders (SSDs).
Purpose of the Study:
- To synthesize current evidence on the influence of infant feeding and NNS on the speech sound development of healthy, full-term children.
- To explore the relationship between early oral behaviors and the emergence of speech sound production.
Main Methods:
- A systematic review of electronic databases (PubMed, NHS CRD, EMBASE, MEDLINE) was conducted.
- Studies examining feeding, NNS, and speech sound development were included regardless of methodology.
- Four primary studies were included after screening over 1,000 initial results, with quality assessed using the AXIS tool.
Main Results:
- The available literature presents inconsistent and inconclusive evidence regarding the relationship between feeding, NNS, and speech sound development.
- A potential association between the duration of non-nutritive sucking (NNS) and speech sound disorders (SSDs) was the most frequently reported finding across the included studies.
- The included studies were assessed as being of moderate quality.
Conclusions:
- There is currently limited evidence to definitively establish a relationship between infant feeding/NNS and speech sound development.
- The overlapping oral mechanisms highlight the importance of further investigation into how feeding and sucking behaviors may impact speech sound acquisition.
- High-quality research with specific SSD types and clinically relevant measures is necessary to clarify these associations and inform clinical practice and parental guidance.
Background:
Children with and without speech sound disorders (SSDs) are exposed to different patterns of infant feeding (breast/bottle-feeding) and may or may not engage in non-nutritive sucking (NNS) (pacifier/digit-sucking). Sucking and speech use similar oral musculature and structures, therefore it is possible that early sucking patterns may impact early speech sound development. The objective of this review is to synthesise the current evidence on the influence of feeding and NNS on the speech sound development of healthy full-term children.
Summary:
Electronic databases (PubMed, NHS CRD, EMBASE, MEDLINE) were searched using terms specific to feeding, NNS and speech sound development. All methodologies were considered. Studies were assessed for inclusion and quality by 2 reviewers. Of 1,031 initial results, 751 records were screened, and 5 primary studies were assessed for eligibility, 4 of which were included in the review. Evidence from the available literature on the relationship between feeding, NNS and speech sound development was inconsistent and inconclusive. An association between NNS duration and SSDs was the most consistent finding, reported by 3 of the 4 studies. Quality appraisal was carried out using the Appraisal Tool for Cross-Sectional Studies (AXIS). The included studies were found to be of moderate quality. Key Messages: This review found there is currently limited evidence on the relationship between feeding, NNS and speech sound development. Exploring this unclear relationship is important because of the overlapping physical mechanisms for feeding, NNS and speech production, and therefore the possibility that feeding and/or sucking behaviours may have the potential to impact on speech sound development. Further high-quality research into specific types of SSD using coherent clinically relevant assessment measures is needed to clarify the nature of the association between feeding, NNS and speech sound development, in order to inform and support families and health care professionals.
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