Evidence map›Paper›PMID 24416321›Full record

Trial reportPloS one2014

Breastfeeding and snoring: a birth cohort study.

Bronwyn K Brew, Guy B Marks, Catarina Almqvist, Peter A Cistulli, Karen Webb, Nathaniel S Marshall

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Early-life NOThe Lancet regional health. Western Pacific · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Associations among High Risk for Sleep-disordered Breathing, Related Risk Factors, and Attention Deficit/Hyperactivity Symptoms in Elementary School Children.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2020
    Article
  10. Risk factors of obstructive sleep apnea syndrome in children.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Article
  11. P4 medicine approach to obstructive sleep apnoea.Respirology (Carlton, Vic.) · 2017
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Bronwyn K BrewWoolcock Institute of Medical Research, Sydney, New South Wales, Australia ; The University of Sydney Medical School, Sydney, New South Wales, Australia.
Guy B MarksWoolcock Institute of Medical Research, Sydney, New South Wales, Australia ; The University of Sydney Medical School, Sydney, New South Wales, Australia.
Catarina AlmqvistDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden ; Astrid Lindgren Children's Hospital, Lung and Allergy Unit, Karolinska University Hospital, Stockholm, Sweden.
Peter A CistulliThe University of Sydney Medical School, Sydney, New South Wales, Australia ; Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Karen WebbAtkins Center for Weight and Health, University of California, Berkeley, California, United States of America.
Nathaniel S MarshallWoolcock Institute of Medical Research, Sydney, New South Wales, Australia ; The University of Sydney Medical School, Sydney, New South Wales, Australia ; The University of Sydney Nursing School, Sydney, New South Wales, Australia.
University of Sydney · AUKarolinska University Hospital · SERoyal North Shore Hospital · AUUniversity of California, Berkeley · USWoolcock Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relationship between breastfeeding and snoring in childhood.

methodsIn a cohort of children with a family history of asthma who were recruited antenatally we prospectively recorded data on infant feeding practices throughout the first year of life. Snoring status and witnessed sleep apnea were measured at age 8 years by parent-completed questionnaire. Associations were estimated by logistic regression with, and without, adjustment for sets of confounders designed to exclude biasing effects.

resultsHabitual snoring was reported in 18.8% of the sample, and witnessed apnea in 2.7%. Any breastfeeding for longer than one month was associated with a reduced risk of habitual snoring at age 8 (adjusted OR 0.48, 95% CI 0.29 to 0.81) and duration of breastfeeding was inversely associated with the prevalence of habitual snoring (adjusted OR 0.79, 95% CI 0.62 to 1.00). Any breastfeeding for longer than 1 month was associated with a lower risk of witnessed sleep apnea (adjusted OR 0.17, 95% CI 0.04 to 0.71). The protective associations were not mediated by BMI, current asthma, atopy or rhinitis at age 8 years.

conclusionsBreastfeeding for longer than one month decreases the risk of habitual snoring and witnessed apneas in this cohort of children with a family history of asthma. The underlying mechanism remains unclear but the finding would be consistent with a beneficial effect of the breast in the mouth on oropharyngeal development with consequent protection against upper airway dysfunction causing sleep-disordered breathing.

Indexed as

AsthmaAustraliaBody Mass IndexBreast FeedingChildChild, PreschoolFemaleHumansInfantLogistic ModelsLongitudinal StudiesMaleParentsPrevalenceRisk FactorsSleep Apnea Syndromes

Identifiers

PMID24416321
PMCPMC3885662
OpenAlexW1991385916

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.