Snoring, noisy breathing in sleep and daytime behaviour in 2–4-month-old infants

Kelmanson, Igor A.

doi:10.1007/pl00008337

Cited by 29 publications

(23 citation statements)

References 34 publications

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“…More infants aged 2–3 months were reported to habitually snore than younger infants. In another community sample of infants, mothers reported habitual snoring in 5% of infants, noisy breathing other than snoring in 24%, and snoring and noisy breathing in 6.5% of infants aged 2–4 months 42. In the present study, there were no significant differences between snoring and non-snoring infants with respect to infant or maternal characteristics, including feeding and maternal smoking.…”

Section: Discussioncontrasting

confidence: 66%

The spectrum of sleep-disordered breathing symptoms and respiratory events in infants with cleft lip and/or palate

et al. 2012

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Section: Discussioncontrasting

confidence: 66%

The spectrum of sleep-disordered breathing symptoms and respiratory events in infants with cleft lip and/or palate

et al. 2012

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“…Infants with prolonged apnea may also have increased lethargy, abnormal spontaneous movements, feeding difficulty, failure to thrive, and developmental delay [11,18]. It has been shown that failure to thrive could be reversible in some infants with LM, and limited studies suggest that neurocognitive and behavioral sequelae may be at least partially reversible [18].…”

Section: Discussionmentioning

confidence: 97%

“…Indications for surgery in this group can be more ambiguous, and PSG may play an important role in the decision making process for some of these patients [3]. While the accuracy of subjective caregiver reports and clinical assessment by physicians in predicting sleep apnea in children is unclear [11,12], PSG is an effective ''gold standard'' in identifying and quantifying sleep apnea and may provide valuable information in the workup of infants with moderate LM [2,13]. In this study, nine children with a non-severe LM were found to have moderate or severe OSA and subsequently underwent a SGP.…”

Section: Discussionmentioning

confidence: 98%

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Changes in sleep apnea after supraglottoplasty in infants with laryngomalacia

Powitzky¹,

Stoner²,

Fisher³

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…16 Prevalence rates of snoring similar to those of preschool-and early school-aged children have been reported among infants. Indeed, habitual snoring was found in 5% of 2-to 4-month-olds 30 and in 6-to 12-month-olds, 26 with higher rates in infants who are aged 1 to 8 months (16 -26%). 31 More recently, we found habitual snoring in 1% to 9% of infants and toddlers (2-24 months of age).…”

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Snore-Associated Sleep Fragmentation in Infancy: Mental Development Effects and Contribution of Secondhand Cigarette Smoke Exposure

2006

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OBJECTIVE. The link between sleep-disordered breathing and neurocognitive functioning in preschool and school-aged children now has been established clearly. Within these age groups, isolated studies have examined the potential effect of snoring without gas exchange abnormalities on aspects of cognitive competence. The goal of the study was to test the potential association between snoring and decrements in developmental performance among infants.METHODS. Thirty-five healthy community infants (8.2 Ϯ 0.4 months) were administered the Bayley Scales of Infant Development, including the Mental Development Index (MDI), after standard, overnight research polysomnography.RESULTS. The apnea-hypopnea index for all infants was 0. Respiratory arousal index was significantly correlated with MDI. Snoring-associated arousals accounted exclusively for this relationship; spontaneous arousals and those that were associated with central apnea and oxyhemoglobin desaturation episodes (Ն4%) were not significantly correlated with MDI. Living in a smoking household was not significantly associated with the presence of objectively recorded snoring but was associated with an increase in arousal frequency in snoring infants.CONCLUSIONS. Infants with lower scores on a standardized mental development assessment had higher snoring-arousal indices. Because neither apnea nor hypopnea was present, these findings constitute additional evidence that snoring is not just an innocent noise during sleep in infants but may in fact represent the lower end of the disease spectrum associated with sleep-disordered breathing. Secondhand exposure to cigarette smoke may increase the deleterious effects of infant snoring. e496MONTGOMERY-DOWNS and GOZAL by guest on May 12, 2018 http://pediatrics.aappublications.org/ Downloaded from T HERE IS NOW substantial and compelling evidence indicating that sleep-disordered breathing (SDB) during early childhood is deleterious to cognition. Furthermore, SDB in early childhood leads to greater utilization of health care resources, 1 more frequent dosedependent cardiovascular morbidity 2,3 and comorbid chronic illnesses, 4,5 as well as greater psychiatric and behavioral comorbidities. 6-10 Impairments associated with SDB have been shown on cognition and school performance. 6,9,[11][12][13][14][15][16] The cumulative evidence points to at least partial reversibility of many of these effects in children [17][18][19][20] and in animal models, 21,22 highlighting the importance of early detection of pediatric SDB. Indeed, failure to thrive associated with SDB, which has been reported in up to 52% of patient samples, has been shown to be reversible in infants who are younger than 18 months after treatment. 23 Although report of snoring history is insufficient for diagnosis of SDB, it is known that snoring is reliably present in children with obstructive sleep apnea (OSA). 24 The prevalence of SDB among school-aged children is estimated at 2% to 3%, 25,26 and symptoms that are consistent with risk for SDB have been repo...

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Snoring, noisy breathing in sleep and daytime behaviour in 2–4-month-old infants

Abstract: Snoring and noisy breathing during sleep, rather common symptoms in young infants, may be associated with specific behavioural disturbances, and moody infants should be investigated carefully for possible obscure respiratory problems.

Cited by 29 publications

References 34 publications

The spectrum of sleep-disordered breathing symptoms and respiratory events in infants with cleft lip and/or palate

The spectrum of sleep-disordered breathing symptoms and respiratory events in infants with cleft lip and/or palate

Changes in sleep apnea after supraglottoplasty in infants with laryngomalacia

Snore-Associated Sleep Fragmentation in Infancy: Mental Development Effects and Contribution of Secondhand Cigarette Smoke Exposure

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