Snoring and atopic disease: A strong association

Snoring and atopic disease: A strong association

The prevalence and factors associated with snoring and habitual snoring in Asian children are largely unknown. Our objectives were to evaluate the prevalence and factors associated with snoring and habitual snoring in preschool and primary school children in Singapore. A self‐response questionnaire...

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Published in:Pediatric pulmonology Vol. 38; no. 3; pp. 210 - 216
Main Authors: Chng, Seo Yi, Goh, Daniel Yam Thiam, Wang, Xiao Shan, Tan, Teng Nging, Ong, Natalie Bee Hwa
Format: Journal Article
Language:English
Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-09-2004
Wiley-Liss
Subjects:
atopy
Biological and medical sciences
breastfeeding
Child
Child, Preschool
Female
General aspects
Humans
Hypersensitivity - epidemiology
Logistic Models
Male
Medical sciences
Metabolic diseases
Obesity
Pneumology
Prevalence
Singapore - epidemiology
smoking
snoring
Snoring - epidemiology
Tobacco, tobacco smoking
Toxicology
Singapore
Allergy
Immunopathology
Obesity
Pediatrics
Disease
Respiratory disease
Nutrition disorder
Tobacco smoking
Breast feeding
Strong
Atopy
Snoring
Association
smoking
breastfeeding
Nutritional status
Pneumology
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Summary:The prevalence and factors associated with snoring and habitual snoring in Asian children are largely unknown. Our objectives were to evaluate the prevalence and factors associated with snoring and habitual snoring in preschool and primary school children in Singapore. A self‐response questionnaire on snoring was administered to parents of children aged 4–7 years in randomly selected preschools and primary schools in Singapore. The overall response rate was 91.3% (nt = 11,114). Snoring and habitual snoring were reported in 28.1% and in 6.0% of the children, respectively. On multivariate logistic regression analysis, snoring was significantly associated with male gender, race, atopy (asthma, allergic rhinitis, or atopic dermatitis), maternal atopy (allergic rhinitis or atopic dermatitis), maternal smoking, and breastfeeding. Habitual snoring was significantly associated with obesity (odds ratio (OR), 3.75; 95% confidence interval (CI), 1.67–8.42), allergic rhinitis (OR, 2.90; 95% CI, 2.06–4.08), atopic dermatitis (OR, 1.80; 95% CI, 1.28–2.54), maternal smoking (OR, 2.22; 95% CI, 1.09–4.53), and breastfeeding (OR, 1.49; 95% CI, 1.11–1.98). Atopy was the strongest risk factor for habitual snoring, and the effect was cumulative. The odds ratio of a child with all three atopic diseases (asthma, allergic rhinitis, and atopic dermatitis) to have habitual snoring was 7.45 (95% CI, 3.48–15.97). In conclusion, snoring and habitual snoring are common in Asian children. Atopy is strongly associated with snoring and habitual snoring. We suggest that children who are significantly atopic receive additional attention during screening for snoring, habitual snoring, and other features of obstructive sleep apnea syndrome. © 2004 Wiley‐Liss, Inc.
Bibliography:This work was presented in part at the 5th International Congress on Pediatric Pulmonology, 2002, in Nice, France and was awarded the Young Investigator's Award.
National Medical Research Council, Singapore - No. NMRC/0386/1999
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ArticleID:PPUL20075
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:8755-6863
1099-0496
DOI:10.1002/ppul.20075