Associations between recorded tracheal sound and guardian-reported snoring frequency and loudness in children

Mariko Miyakawa1, Hiroo Wada1, Yuito Ueda1

  • 1Department of Public Health, Juntendo University Graduate School of Medicine, Hongo, Bunkyo-Ku, Tokyo, Japan.

Sleep Medicine
|April 12, 2026
PubMed

Insights

Guardian reports of snoring in children align with objective measurements. This validates using parent snoring surveys for pediatric sleep health research.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Physiology
  • Epidemiology

Background:

  • Sleep apnea is a significant concern in pediatric sleep health.
  • Epidemiological studies often use guardian-reported snoring as a proxy for sleep apnea.
  • The accuracy of guardian-reported snoring data requires validation.

Purpose of the Study:

  • To investigate the association between guardian-reported snoring and objective snoring parameters.
  • To assess the reliability of subjective snoring reports in children.

Main Methods:

  • A cross-sectional study involving 555 Japanese elementary school children.
  • Guardian questionnaires collected data on snoring frequency and loudness.
  • Objective snoring data were obtained from overnight tracheal sound recordings.
  • Statistical analysis included Kruskal-Wallis and Dwass-Steel-Critchlow-Fligner tests.

Main Results:

  • Guardian-reported snoring frequency showed a significant positive correlation with objective snoring-time ratio (p < 0.05).
  • Snoring loudness reported by guardians correlated with increased equivalent sound pressure levels (Leq, dB) of tracheal sounds.
  • Children reporting more frequent or louder snoring had higher objective measurements.

Conclusions:

  • Guardian-reported snoring frequency and loudness are significantly associated with objective tracheal sound measurements.
  • These findings support the use of guardian reports in epidemiological research on pediatric sleep health.
  • Parental reports can be considered a valid tool for assessing snoring in children for sleep studies.
Abstract

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