• About
  • Editorial Board
  • Current Issue
  • Early access
  • Archive
Search
EJPD
  • About
  • Editorial Board
  • Current Issue
  • Early access
  • Archive
  • Sioi
  • Guidelines for Authors
  • Article submission
  • Terms of use
  • Privacy
Home Breastfeeding and sleep-disordered breathing in children: systematic review and proposal of...

Breastfeeding and sleep-disordered breathing in children: systematic review and proposal of underlying interaction models

Authors:

  • M. Storari
    Department of Surgical Science, Institute of Dentistry, Division of Orthodontics, University of Cagliari, Cagliari, Italy
  • F. Yanez-Regonesi
    Orofacial Pain Center, College of Dentistry, University of Kentucky, Lexington, Kentucky, USA
  • G. Denotti
    Department of Surgical Science, Institute of Dentistry, Division of Pediatric Dentistry, University of Cagliari, Cagliari, Italy
  • L. Paglia
    Istituto Stomatologico Italiano, Milan, Italy
  • D. Viscuso
    Department of Surgical Science, Institute of Dentistry, Division of Orthodontics, University of Cagliari, Cagliari, Italy

DOI:

https://doi.org/10.23804/ejpd.2021.22.04.10

ABSTRACT


Aim

Paediatric sleep breathing disorders represent an emerging paediatric health concern. Despite risk factors are widely discussed in literature, evidences about protective factors are lacking. The aim of this systematic review was to examine the available evidence about the effect of breastfeeding on snoring and obstructive sleep apnea in childhood, and to methodically describe the underlying mechanism of interaction.

Methods

The study protocol was registered in advance in PROSPERO (CRD42020212529). Electronic search of the literature was performed up to October 10th, 2020 using four databases: PubMed, ScienceDirect, Medline and Scopus. Two authors independently retrieved potentially relevant articles to meet eligibility criteria. PRISMA guidelines were followed. Prospective, retrospective, case-control, cohort, clinical trial and cross-sectional studies investigating the association between breastfeeding and paediatric sleep-disordered breathing were included and data were extracted. No restrictions on language or date of publication were set. Subsequently, a search in the literature was further done to investigate underlying mechanisms of interaction.

Results

Fifteen studies were included. The evidence supports a protective dose-response effect of breastfeeding on sleep breathing disorders in children and adolescents. Exclusive breastfeeding emerged to prevent habitual snoring when compared to formula-fed or non-breastfed children. Breastfeeding promotes harmonious development of oral cavity, trains oral muscles and tongue posture, coordinates nose breathing and prevents adenotonsillar hypertrophy.

Conclusion

This review suggests that breastfeeding can effectively protect children and adolescents from sleep-disordered breathing, especially from habitual snoring, by preventing the associated risk factors. Future prospective studies with more efficient design are required.

PLUMX METRICS

Download PDF

Publication date:

December /2021

Issue:

Vol.22 – n.4/2021

Page:

309 – 313

Publisher:

Ariesdue

Topic:

Paediatric oral pathology

Cite:


Harvard: M. Storari, F. Yanez-Regonesi, G. Denotti, L. Paglia, D. Viscuso (2021) "Breastfeeding and sleep-disordered breathing in children: systematic review and proposal of underlying interaction models", European Journal of Paediatric Dentistry, 22(4), pp309-313. doi: 10.23804/ejpd.2021.22.04.10
Vancouver: M. Storari, F. Yanez-Regonesi, G. Denotti, L. Paglia, D. Viscuso. Breastfeeding and sleep-disordered breathing in children: systematic review and proposal of underlying interaction models. European Journal of Paediatric Dentistry [Internet]. 2021Dec.20 [cited 2025May.17];22(4):309-313. Available from: https://www.ejpd.eu/abstract-pubmed/breastfeeding-and-sleep-disordered-breathing-in-children-systematic-review-and-proposal-of-underlying-interaction-models/
MLA: M. Storari, F. Yanez-Regonesi, G. Denotti, L. Paglia, D. Viscuso Breastfeeding and sleep-disordered breathing in children: systematic review and proposal of underlying interaction models. European Journal of Paediatric Dentistry. 2021;22(4):309-313

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Facebook
Twitter
Pinterest
Linkedin
WhatsApp
Email
Print
    Cristina Calchera
    Editor in chief: dott. Luigi Paglia
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    powered by Ariesdue

    CONTACT US
    • About
    • Editorial Board
    • Current Issue
    • Early access
    • Archive
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
    /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - inizio */ /* ----------------------------------------- */ /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - fine */ /* ----------------------------------------- */