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Could Breastfeeding Be a Protective Factor for Sleep Apnea?

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Breastfeeding and Metabolic Programming

Abstract

Obstructive sleep apnea (OSA) is more than expected in children, such as 1–6% of children and adolescents have obstructive sleep apnea [1]. Most of the kids that get it are between the ages of 2 and 8. The likelihood of upper airway collapse, and therefore of pediatric OSA, may be decreased or raised by a number of variables. Obesity is a major contributor to the risk. The incidence of OSA rises to 19–61% when the population is broken down into obese children [2–5]. According to studies, the chance of developing OSA increases by 10–12% for every percentage point over the 50th percentile that a person’s body mass index (BMI) resides in [6, 7]. There is a possibility of upper airway reduction with adenoids and tonsils that have grown too large; therefore, this condition has been described as a risk factor as well. Pediatric obstructive sleep apnea is often treated by adenotonsillectomy [8]. While inflammation of the nasal mucosa is thought to cause congestion, which in turn may raise airway resistance, allergic rhinitis (AR) is also considered a risk factor [9]. Moreover, maxillofacial anomalies and malocclusion have been linked to pediatric OSA [10]. Changes in the size, location, or shape of the jaws and/or tongue may limit the upper airway, increasing the risk of blockage [9].

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References

  1. Storari M, Yanez-Regonesi F, Denotti G, Paglia L, Viscuso D. Breastfeeding and sleep-disordered breathing in children: systematic review and proposal of underlying interaction models. Eur J Paediatr Dent. 2021 Dec;22(4):309–13.

    CAS  PubMed  Google Scholar 

  2. Verhulst SL, Schrauwen N, Haentjens D, Suys B, Rooman RP, Van Gaal L, et al. Sleep-disordered breathing in overweight and obese children and adolescents: prevalence, characteristics and the role of fat distribution. Arch Dis Child. 2007;92(3):205–8.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wing YK, Hui SH, Pak WM, Ho CK, Cheung A, Li AM, et al. A controlled study of sleep related disordered breathing in obese children. Arch Dis Child. 2003;88(12):1043–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Kalra M, Inge T, Garcia V, Daniels S, Lawson L, Curti R, et al. Obstructive sleep apnea in extremely overweight adolescents undergoing bariatric surgery. Obes Res. 2005;13(7):1175–9.

    Article  PubMed  Google Scholar 

  5. Siegfried W, Siegfried A, Rabenbauer M, Hebebrand J. Snoring and sleep apnea in obese adolescents: effect of long-term weight loss-rehabilitation. Sleep Breath. 1999;3(3):83–8.

    Article  PubMed  Google Scholar 

  6. Hannon TS, Rofey DL, Ryan CM, Clapper DA, Chakravorty S, Arslanian SA. Relationships among obstructive sleep apnea, anthropometric measures, and neurocognitive functioning in adolescents with severe obesity. J Pediatr. 2012;160:732–5.

    Article  PubMed  Google Scholar 

  7. Tan HL, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep. 2013;5:109–23.

    PubMed  PubMed Central  Google Scholar 

  8. Venekamp RP, Hearne BJ, Chandrasekharan D, Blackshaw H, Lim J, Schilder AGM. Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Cochrane Database Syst Rev. 2015;10:CD011165.

    Google Scholar 

  9. Gulotta G, Iannella G, Vicini C, Polimeni A, Greco A, de Vincentiis M, et al. Risk factors for obstructive sleep apnea syndrome in children: state of the art. Int J Environ Res Public Health. 2019;16(18):3235.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Pirelli P, Saponara M, De Rosa C, Fanucci E. Orthodontics and obstructive sleep apnea in children. Med Clin North Am. 2010;94(3):517–29.

    Article  PubMed  Google Scholar 

  11. Sanches MT. Clinical management of oral disorders in breastfeeding. J Pediatr. 2004;80:155–62.

    Article  Google Scholar 

  12. Agarwal M, Ghousia S, Konde S, Rai S. Breastfeeding: nature’s safety net. Int J Clin Pediatr Dent. 2012;5(1):49–53.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Peres KG, Cascaes AM, Giacomelli Nascimento G, Gomes VC. Effect of breastfeeding on malocclusions: a systematic review and metaanalysis. Acta Paediatr. 2015;104:54–61.

    Article  PubMed  Google Scholar 

  14. Boronat-Catalá M, Montiel-Company JM, Bellot-Arcís C, Almerich-Silla JM, Catalá-Pizarro M. Association between duration of breastfeeding and malocclusions in primary and mixed dentition: a systematic review and meta-analysis. Sci Rep. 2017;7(1):5048.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Folayan MO, Sowole CA. Association between breastfeeding and eruption of the first tooth in preschool children in Nigeria. Eur J Paediatr Dent. 2013;14(1):51–4.

    CAS  PubMed  Google Scholar 

  16. Löfstrand-Tideström B, Thilander B, Ahlqvist-Rastad J, Jakobsson O, Hultcrantz E. Breathing obstruction in relation to craniofacial and dental arch morphology in 4-year-old children. Eur J Orthod. 1999;21(4):323–32.

    Article  PubMed  Google Scholar 

  17. Huynh N, Morton PD, Rompre PH, Papadakis A, Remise C. Associations between sleep-disordered breathing symptoms and facial and dental morphometry, assessed with screening examinations. Am J Orthod Dentofac Orthop. 2011;140:762–70.

    Article  Google Scholar 

  18. Marino A, Malagnino I, Ranieri R, Malagola C, Villa MP. Craniofacial morphology in preschool children with obstructive sleep apnoea syndrome. Eur J Paediatr Dent. 2009;10(4):181–4.

    CAS  PubMed  Google Scholar 

  19. Galeotti A, Festa P, Viarani V, Pavone M, Sitzia E, Piga S, et al. Correlation between cephalometric variables and obstructive sleep apnoea severity in children. Eur J Paediatr Dent. 2019;20(1):43–7.

    CAS  PubMed  Google Scholar 

  20. Guilleminault C, Abad VC, Chiu HY, Peters BR, Quo S. Missing teeth and pediatric obstructive sleep apnea. Sleep Breath. 2016;20(2):561–8.

    Article  PubMed  Google Scholar 

  21. Bahuguna R, Younis Khan S, Jain A. Influence of feeding practices on dental caries. A case–control study. Eur J Paediatr Dent. 2013;14(1):55–8.

    CAS  PubMed  Google Scholar 

  22. Sakalidis VS, Geddes DT. Suck-swallow-breathe dynamics in breastfed infants. J Hum Lact. 2016;32(2):201–11.

    Article  PubMed  Google Scholar 

  23. Hornell A, Lagstrom H, Lande B, Thorsdottir I. Breastfeeding, introduction of other foods and effects on health: a systematic literature review for the 5th Nordic Nutrition Recommendations. Food Nutr Res. 2013;57:20823.

    Article  Google Scholar 

  24. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8:CD003517.

    Google Scholar 

  25. Handelman CS, Osborne G. Growth of the nasopharynx and adenoid development from one to eighteen years. Angle Orthod. 1976;46(3):243–59.

    CAS  PubMed  Google Scholar 

  26. Goldbart AD, Goldman JL, Li RC, Brittian KR, Tauman R, Gozal D. Differential expression of cysteinyl leukotriene receptors 1 and 2 in tonsils of children with obstructive sleep apnea syndrome or recurrent infection. Chest. 2004;126:13–8.

    Article  CAS  PubMed  Google Scholar 

  27. Piedimonte G. Contribution of neuroimmune mechanisms to airway inflammation and remodeling during and after respiratory syncytial virus infection. Pediatr Infect Dis J. 2003;22(2):S66–75.

    Article  PubMed  Google Scholar 

  28. Yeshuroon-Koffler K, Shemer-Avni Y, Keren-Naus A, Goldbart AD. Detection of common respiratory viruses in tonsillar tissue of children with obstructive sleep apnea. Pediatr Pulmonol. 2015;50(2):187–95.

    Article  PubMed  Google Scholar 

  29. Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146:1387–94.

    Article  PubMed  Google Scholar 

  30. Kaditis AG, Alexopoulos EI, Hatzi F, et al. Adiposity in relation to age as predictor of severity of sleep apnea in children with snoring. Sleep Breath. 2008;12:25–31.

    Article  PubMed  Google Scholar 

  31. Kohler MJ, Thormaehlen S, Kennedy JD, et al. Differences in the association between obesity and obstructive sleep apnea among children and adolescents. J Clin Sleep Med. 2009;5:506–11.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Bhatia R, Lesser DJ, Oliveira FG, et al. Body fat composition: apredictive factor for sleep related breathing disorder in obese children. J Clin Sleep Med. 2015;11:1039–45.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Xu Z, Wu Y, Tai J, et al. Risk factors of obstructive sleep apnea syndrome in children. J Otolaryngol Head Neck Surg. 2020;49:11. https://doi.org/10.1186/s40463-020-0404-1.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Katz SL, Vaccani JP, Barrowman N, Momoli F, Bradbury CL, Murto K. Does neck-to-waist ratio predict obstructive sleep apnea in children? J Clin Sleep Med. 2014;10:1303–8.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Tagaya M, Nakata S, Yasuma F, et al. Relationship between adenoid size and severity of obstructive sleep apnea in preschool children. Int J Pediatr Otorhinolaryngol. 2012;76:1827–30.

    Article  PubMed  Google Scholar 

  36. Rosen CL, Larkin EK, Kirchner HL, et al. Prevalence and riskfactors for sleep-disordered breathing in 8- to 11-year-old children:association with race and prematurity. J Pediatr. 2003;142:383–9.

    Article  PubMed  Google Scholar 

  37. Lin SY, Melvin TA, Boss EF, Ishman SL. The association between allergic rhinitis and sleep-disordered breathing in children: a systematic review. Int Forum Allergy Rhinol. 2013;3:504–9.

    Article  PubMed  Google Scholar 

  38. Chng SY, Goh DY, Wang XS, Tan TN, Ong NB. Snoring and atopic disease: a strong association. Pediatr Pulmonol. 2004;38:210–6.

    Article  PubMed  Google Scholar 

  39. Kuehni CE, Strippoli MP, Chauliac ES, Silverman M. Snoring in preschool children: prevalence, severity and risk factors. Eur Respir J. 2008;31:326–33.

    Article  CAS  PubMed  Google Scholar 

  40. Bixler EO, Vgontzas AN, Lin HM, et al. Sleep disordered breathing in children in a general population sample: prevalence and risk factors. Sleep. 2009;32:731–6.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Weinstock TG, Rosen CL, Marcus CL, et al. Predictors of obstructive sleep apnea severity in adenotonsillectomy candidates. Sleep. 2014;37:261–9.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Bonuck K, Chervin RD, Cole TJ, Emond A, Henderson J, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep. 2011;34:875–84.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Beebe DW, Rausch J, Byars KC, Lanphear B, Yolton K. Persistent snoring in preschool children: predictors and behavioral and developmental correlates. Pediatrics. 2012;130:382–9.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Li AM, Au CT, So HK, Lau J, Ng PC, et al. Prevalence and risk factors of habitual snoring in primary school children. Chest. 2010;138:519–27.

    Article  PubMed  Google Scholar 

  45. Lofstrand-Tidestrom B, Thilander B, Ahlqvist-Rastad J, Jakobsson O, Hulcrantz E. Breathing obstruction in relation to craniofacial and dental arch morphology in 4-year-old children. Eur J Orthod. 1999;21:323–32.

    Article  CAS  PubMed  Google Scholar 

  46. Marshall N, Almqvist C, Grunstein R, Marks GB. Predictors for snoring in children with rhinitis at age 5. Pediatr Pulmonol. 2007;42:584–91.

    Article  PubMed  Google Scholar 

  47. Brew BK, Marks GB, Almqvist C, Cistulli PA, Webb K, Marshall NS. Breastfeeding and snoring: a birth cohort study. PLoS One. 2014;9(1):e84956. https://doi.org/10.1371/journal.pone.0084956.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Sanchez-Molins M, Carbo JG, Gaig CL, Torrent JM. Comparitive study of the craniofacial growth depending on the type of lactation received. Eur J Paediatr Dent. 2010;11:87–92.

    CAS  PubMed  Google Scholar 

  49. Diouf J, Ngom P, Badiane A, Cisse B, Ndoye C, et al. Influence of the mode of nutritive and non-nutritive sucking on the dimensions of primary dental arches. Int Orthod. 2010;8:372–85.

    PubMed  Google Scholar 

  50. Palmer B. Snoring and sleep apnoea: how it can be prevented in childhood. Breastfeed Rev. 2006;14:11–4.

    PubMed  Google Scholar 

  51. Montaldo L, Montaldo P, Cuccaro P, Caramico N, Minervini G. Effects of feeding on non-nutritive sucking habits and implications on occlusion in mixed dentition. Int J Paediatr Dent. 2011;21:68–73.

    Article  PubMed  Google Scholar 

  52. Vazquez-Nava F, Quezada-Castillo JA, Oviedo-Trevino S, Saldivar-Gonzalez AH, Sanchez-Nuncio HR, et al. Association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition. Arch Dis Child. 2006;91:836–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Labbok M, Hendershot G. Does breastfeeding protect against malocclusion? An analysis of the 1981 Child Health Supplement to the National Health Interview Survey. Am J Prev Med. 1987;3:227–32.

    Article  CAS  PubMed  Google Scholar 

  54. Pirila-Parkkinen K, Pirttiniemi P, Nieminen P, Tolonen U, Pelttari U, et al. Dental arch morphology in children with sleep-disordered breathing. Eur J Orthod. 2009;31:160–7.

    Article  PubMed  Google Scholar 

  55. Darendeliler MA, Cheng L, Pirelli P, Cistulli PA. Dentofacial orthopedics. In: Lavigne G, Cistulli PA, editors. Sleep medicine for dentists: a practical overview. Sydney: Quintessence Publishing Co; 2009. p. 85–91.

    Google Scholar 

  56. Montgomery-Downs HE, Crabtree VM, Capdevila OS, Gozal D. Infant-feeding methods and childhood sleep-disordered breathing. Pediatrics. 2007;120:1030–5.

    Article  PubMed  Google Scholar 

  57. Woolridge M. The ‘anatomy’ of infant sucking. Midwifery. 1986;2:164–71.

    Article  CAS  PubMed  Google Scholar 

  58. Urschitz MS, Guenther A, Eggebrecht E, et al. Snoring, intermittent hypoxia and academic performance in primary school children. Am J Respir Crit Care Med. 2003;168:464–8.

    Article  PubMed  Google Scholar 

  59. Montgomery-Downs HE, Jones VF, Molfese VJ, Gozal D. Snoring in preschoolers: associations with sleepiness, ethnicity, and learning. Clin Pediatr (Phila). 2003;42:719–26.

    Article  PubMed  Google Scholar 

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Kilinc, S.B., Muluk, N.B., Sallavaci, S. (2023). Could Breastfeeding Be a Protective Factor for Sleep Apnea?. In: Şahin, Ö.N., Briana, D.D., Di Renzo, G.C. (eds) Breastfeeding and Metabolic Programming. Springer, Cham. https://doi.org/10.1007/978-3-031-33278-4_41

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  • DOI: https://doi.org/10.1007/978-3-031-33278-4_41

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