Hábitos de sono e autoavaliação miofuncional orofacial de crianças com risco para distúrbios respiratórios do sono
Sleep habits and orofacial myofunctional self-assessment of children at risk for sleep breathing disorders
Melissa Picinato-Pirola; Amanda Lima e Lira; Giovanna Régis Viana; Thaynara Lemos Batista Santos; Camila de Castro Corrêa
Resumo
Palavras-chave
Abstract
Purpose: To identify orofacial myofunctional complaints and sleep-disordered breathing and correlate them with sleep habits in childhood.
Methods: The study included 71 parents/guardians of public school children aged 6 to 11 years. They answered a form with semi-structured medical history questions and the Nordic Orofacial Test-Screening - interview, the Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, and the Children’s Sleep Habits Questionnaire – all of them in their Portuguese/Brazilian versions in an online format. Statistical analyses used Spearman’s correlation, setting the significance level at 5%.
Results: There were 29 female children (40.8%) and 42 male ones (59.2%), with a mean age of 8.52 years. The study found orofacial myofunctional complaints related to breathing functions (35.2%), chewing and swallowing (32.4%), and deleterious habits (33.8%). All children were at a low risk of sleep-disordered breathing. As for sleep habits, 23 children (32.39%) had a lower total score, whereas 48 children (67.61%) exceeded 41 points.
Conclusion: There was a correlation between the risk of sleep-disordered breathing in children with complaints of orofacial myofunctional disorders and poor sleep quality/habits.
Keywords
Referências
1 Bitners AC, Arens R. Evaluation and management of children with obstructive sleep apnea syndrome. Lung. 2020;198(2):257-70.
2 Xu Z, Wu Y, Tai J, Feng G, Ge W, Zheng L, et al. Risk factors of obstructive sleep apnea syndrome in children. J Otolaryngol Head Neck Surg. 2020;49(1):11-7.
3 Kuok CM, Liu JR, Liang JS, Chang SH, Yang MT. Sleep problems in preschool children at the child development center with different developmental status: A questionnaire survey. Front Pediatr. 2022;10:949161.
4 Miranda VGS, Buffon G, Vidor DDGM. Orofacial myofunctional profile of patients with sleep disorders: relationship with result of polysomnografhy. CoDAS. 2019;31(3):e20180183.
5 Gios TS, Owens J, Mecca TP, Uchida RR, Belisario Filho JF, Lowenthal R. Translation and adaptation into Brazilian Portuguese and investigation of the psychometric properties of the Children’s Sleep Habits Questionnaire (CSHQ-BR). Sleep Med. 2022;100:550-7.
6 Koa TB, Seah JX, Ong JQW, Lo JC. Short sleep duration in school-age children: differential factors on weekdays and weekends. Behav Sleep Med. 2023;21(6):774-86.
7 Kljajić Z, Roje Ž, Bečić K, Čapkun V, Vilović K, Ivanišević P, et al. Formula for the prediction of apnea/hypopnea index in children with obstructive sleep apnea without polysomnography according to the clinical parameters: is it reliable? Int J Pediatr Otorhinolaryngol. 2017;100:168-73.
8 Cavalheiro MG, Corrêa CC, Maximino LP, Weber SAT. Sleep quality in children: questionnaires available in Brazil. Sleep Sci. 2017;10(4):154-60.
9 Riha RL, Celmina M, Cooper B, Hamutcu-Ersu R, Kaditis A, Morley A, et al. ERS technical standards for using type III devices (limited channel studies) in the diagnosis of sleep disordered breathing in adults and children. Eur Respir J. 2023;61(1):2200422.
10 Ioan I, Renard E, Da Mota S, Bonabel C, Tiotiu A, Franco P, et al. Unattended home sleep studies for the diagnosis of obstructive sleep apnea in a population of French children. Sleep Med. 2023;102:117-22.
11 Pires PJS, Mattielo R, Lumertz MS, Morsch TP, Fagondes SC, Nunes ML, et al. Validation of the Brazilian version of the Pediatric Obstructive Sleep Apnea Screening Tool questionnaire. J Pediatr (Rio J). 2019;95(2):231-7.
12 de Felício CM, Dias FVS, Folha GA, Almeida LA, Souza JF, Anselmo-Lima WT, et al. Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofuctional therapy. Int J Pediatr Otorhinolaryngol. 2016;90:5-11.
13 Hotwani K, Sharma K, Jaiswal A. Evaluation of tongue/mandible volume ratio in children with obstructive sleep apnea. Dental Press J Orthod. 2018;23(4):72-8.
14 Cheng SY, Kwong SHW, Pang WM, Wan LY. Effects of an oral-pharyngeal motor training programme on children with obstructive sleep apnea syndrome in Hong Kong: A retrospective pilot study. Hong Kong J Occup Ther. 2017;30(1):1-5.
15 Soares JP, Giacomin A, Cardoso M, Serra-Negra JM, Bolan M. Association of gender, oral habits, and poor sleep quality with possible sleep bruxism in schoolchildren. Braz Oral Res. 2020;34:e019.
16 Leme MS, Barbosa TS, Gavião MBD. Versão brasileira do
17 Andersen IG, Holm JC, Homoe P. Obstructive sleep apnea in children and adolescentes with and without obesity. Eur Arch Otorhinolaryngol. 2019;276(3):871-8.
18 Abtahi S, Witmans M, Alsufyani NA, Major MP, Major PW. Pediatric sleep- disordered brathing in the orthodontic population: prevalence of positive risk and associations. Am J Orthod Dentofacial Orthop. 2020;157(4):466-73.
19 Cardoso FB, Zanette LCN, Sônego M, Madeira K. Hipertrofia de adenoide correlacionada com outras patologias respiratórias em crianças de 2 a 7 anos. Journal Health NPEPS. 2020;5(2):89-102.
20 Linas N, Peyron MA, Hennequin M, Eschevins C, Nicolas E, Delfosse C, et al. Masticatory behavior for different solid foods in preschool children according to their oral state. J Texture Stud. 2019;50(3):224-36.
21 Cavalcante-Leão BP, Todero SRB, Ferreira FM, Gavião MB, Fraiz FC. Profile of orofacial dysfunction in Brazilian children using the Nordic Orofacial Test-Screening. Acta Odontol Scand. 2017;75(4):262-7.
22 Leite JMRS, Ferreira VR, Prado LF, do Prado GF, de Carvalho LBC. Instrumento de Tucson (TuCASA) para avaliação de apneia do sono em crianças. Tradução e Adaptação Transcultural. 2014;22(3):395-403.
23 Corrêa CC, Weber SAT, Evangelisti M, Villa MP. The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea. Int J Pediatr Otorhinolaryngol. 2020;137:110240.
24 Baidas L, Al-Jobair A, Al-Kawari H, AlShehri A, Al-Madani S, Al-Balbeesi H. Prevalence of sleep-disordered breathing and associations with orofacial symptoms among Saudi primary school children. BMC Oral Health. 2019;19(1):43.
25 Weyrich CC, Santos AHL, Carvalho SS, Hapner AVP, Stechman-Neto J, Cavalcante-Leão BL. Evaluation of sleep quality and relationship with orofacial dysfunction in children. OMDH. 2018;17(4):1-5.
26 Haci C, Açikalin RM, Gezginadam Z, Coşkun SÇ. Uyku apnesi hastalarinda gündüz aşırı uykululuk halinin değerlendirilmesi ve hayat kalitesi ile olan ilişkisinin saptanması. Med Bull Haseki. 2019;57:79-84.
Submetido em:
23/07/2022
Aceito em:
23/06/2023
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