Evidence map›Paper›PMID 33506425›Full record

SynthesisClinical oral investigations2021

Do breastfed children have a lower chance of developing mouth breathing? A systematic review and meta-analysis.

Cristiane Medianeira Savian, Gabriela Bohrer Bolsson, Graziela Botton, Raquel Pippi Antoniazzi, Rachel de Oliveira Rocha, Fabrício Batistin Zanatta, Bianca Zimmermann Santos

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 21 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Cristiane Medianeira SavianMaster's Course in Mother and Child Health, Universidade Franciscana, UFN, Santa Maria, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0003-0608-2409
Gabriela Bohrer BolssonDentistry Course and Postgraduate Program in Health Sciences, Universidade Federal de Santa Maria, UFSM, Santa Maria, Rio Grande do Sul, Brazil.
Graziela BottonDentistry Course and Postgraduate Program in Health Sciences, Universidade Federal de Santa Maria, UFSM, Santa Maria, Rio Grande do Sul, Brazil.
Raquel Pippi AntoniazziDentistry Course and Postgraduate Program in Health Sciences, Universidade Federal de Santa Maria, UFSM, Santa Maria, Rio Grande do Sul, Brazil.
Rachel de Oliveira RochaDentistry Course and Postgraduate Program in Health Sciences, Universidade Federal de Santa Maria, UFSM, Santa Maria, Rio Grande do Sul, Brazil.
Fabrício Batistin ZanattaDentistry Course and Postgraduate Program in Health Sciences, Universidade Federal de Santa Maria, UFSM, Santa Maria, Rio Grande do Sul, Brazil.
Bianca Zimmermann SantosDentistry Course and Postgraduate Program in Mother and Child Health, Universidade Franciscana, UFN, 1175 Silva Jardim Street, Santa Maria, RS, 97010-491, Brazil. biancazsantos@hotmail.com.
Universidade Federal de Santa Maria · BRUniversidade Franciscana · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDetermine the association between breastfeeding and the development of mouth breathing in children. MATERIALS AND

methodsSeven databases were searched for studies investigating the association between the type of feeding and the development of the breathing pattern in children. Descriptive analysis and meta-analysis were performed, with the calculation of the prevalence and likelihood (odds ratios (95% CI)) of mouth breathing according to the duration of breastfeeding.

resultsThe overall prevalence of mouth breathing was 44% (95% CI: 38-49) (N total = 1182). Breastfeeding was a protection factor against the development of mouth breathing (OR = 0.62; 95% CI: 0.41-0.93). The likelihood of developing mouth breathing was 41% and 34% lower among children that were breastfed for more than 12 and more than 24 months, respectively. No association was found between exclusive breastfeeding for up to 6 months and the occurrence of mouth breathing (OR = 0.60; 95% CI: 0.31-1.18).

conclusionsDue to the scarcity of cohort studies that met the inclusion criteria and the low certainty of the evidence, no strong evidence-based conclusion can be drawn. However, breastfeeding should be encouraged due to its possible protective effect, evidenced by the substantial reduction in the prevalence of mouth breathing pattern when performed for up to 2 years. Exclusive breastfeeding was not associated with the development of the breathing pattern. CLINICAL RELEVANCE: The results reveal that breastfeeding can protect children from the development of mouth breathing. Thus, healthcare providers should offer support so that mothers feel prepared and encouraged to perform breastfeeding.

trial registrationPROSPERO registry: CRD42017062172.

Indexed as

Breast FeedingMouth BreathingChildFemaleHumansInfantMothersMouthPrevalenceBottle feedingBreastfeedingChildMeta-analysisMouth breathing

Identifiers

PMID33506425
OpenAlexW3124763902

What OpenQuestion holds

Textmetadata
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.