School of Psychology, University of Adelaide, North Terrace, Adelaide 5000, Australia.
Sleep Med. 2011 Sep;12(8):787-92. doi: 10.1016/j.sleep.2011.01.019. Epub 2011 Aug 23.
In children aged 3-12 years snoring is associated with significant neurocognitive and behavioural deficits; however, there are few studies that have considered both the prevalence of snoring in infants and associated factors that may influence the development of snoring. The goal of the present study was to examine sleep, snoring and associated factors in a community sample of 0-3 month olds.
Previously validated infant sleep and parent sleep questionnaires were completed by parents of 457 term infants aged 1-13.9 weeks old (mean age=4.6 weeks; SD=2.7; 45% males) during a home-based nurse visit.
Approximately 9% of infants were reported to snore habitually (snoring ≥ 3 nights/week). Habitual snoring was significantly associated with exclusive formula feeding (OR: 28.87; p<.01), maternal concern about child's breathing during sleep (OR: 3.91; p=.01) and restless sleep ≥ 3 nights/week (OR: 17.76; p<.001).
These results show that snoring is as common in infants as it is in older children. Given the known relationships between Sleep Disordered Breathing (SDB) and neurocognitive development, the effect of SDB developing early in childhood may have important consequences on future developmental outcomes.
在 3-12 岁的儿童中,打鼾与显著的神经认知和行为缺陷有关;然而,很少有研究同时考虑婴儿打鼾的普遍性以及可能影响打鼾发展的相关因素。本研究的目的是在 0-3 个月大的社区样本中检查睡眠、打鼾和相关因素。
通过在家中由护士进行的访问,由 457 名 1-13.9 周龄(平均年龄=4.6 周;SD=2.7;45%为男性)的足月婴儿的父母填写了先前经过验证的婴儿睡眠和父母睡眠问卷。
约 9%的婴儿习惯性打鼾(每周打鼾≥3 次)。习惯性打鼾与纯配方奶喂养显著相关(OR:28.87;p<.01)、母亲在睡眠中对孩子呼吸的担忧(OR:3.91;p=.01)和≥3 晚不安稳睡眠(OR:17.76;p<.001)。
这些结果表明,打鼾在婴儿和年龄较大的儿童中一样常见。鉴于睡眠呼吸障碍(SDB)与神经认知发育之间的已知关系,SDB 在儿童早期发展的影响可能对未来的发育结果产生重要影响。