Association between the habitual lip and tongue posture, clinical characteristics, and sleep-related problems in infants with Trisomy 21.

IF 0.9 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

CoDAS Pub Date : 2025-03-31 eCollection Date: 2025-01-01 DOI:10.1590/2317-1782/e20240095pt

Gabriella Marra Guimarães Rezende, Ana Elisa Ribeiro Fernandes, Anna Vitória Mendes Viana Silva, Larissa Melgaço Campos, Yasmim Carvalho Telson, Andréa Rodrigues Motta, Henrique Pretti, Renata Maria Moreira Moraes Furlan

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Abstract

Purpose: To analyze the association of habitual lip and tongue posture and clinical characteristics with sleep-related problems in infants with Trisomy 21 (T21).

Methods: This cross-sectional observational study with a non-probabilistic sample included 87 infants with T21 with a mean age of 8.8 months. The infants' parents answered the Brief Infant Sleep Questionnaire (BISQ) and questions about signs and symptoms related to obstructive sleep apnea. The habitual lip and tongue posture was obtained by analyzing videos of the infants' faces. Information on personal data and health history was extracted from medical records, and information about feeding and oral habits was obtained by interviewing the parents. Descriptive analysis approached the infants' sleep data and the association between sleep quality, snoring, witnessed respiratory pauses, unusual sleeping positions, restless sleep, and the other variables, using Pearson's chi-square test with a 5% significance level.

Results: Most infants (82.7%) had good sleep quality. Prematurity was associated with witnessed respiratory pauses; unusual sleeping positions were associated with being a female and with the tongue habitually contained in the oral cavity; and restless sleep was associated with choking.

Conclusion: Prematurity, sex, habitual tongue posture, and choking were associated with the aspects of sleep investigated in infants with T21.

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21三体婴儿习惯性唇舌姿势、临床特征与睡眠相关问题的关系

目的：分析21三体（T21）患儿习惯性唇舌姿势及临床特征与睡眠相关问题的关系。方法：采用非概率抽样的横断面观察研究纳入87例T21患儿，平均年龄8.8个月。婴儿的父母回答了简短的婴儿睡眠问卷（BISQ）和有关阻塞性睡眠呼吸暂停的体征和症状的问题。通过分析婴儿面部的视频，获得了习惯性的唇舌姿势。从医疗记录中提取个人资料和健康史信息，并通过与父母面谈获取喂养和口腔习惯信息。描述性分析对婴儿的睡眠数据和睡眠质量、打鼾、呼吸暂停、不寻常的睡姿、不安的睡眠和其他变量之间的关系，使用Pearson卡方检验，显著性水平为5%。结果：大多数婴幼儿（82.7%）睡眠质量良好。早产与呼吸暂停有关；不寻常的睡姿与女性和舌头习惯性地包含在口腔内有关；睡眠不安稳与窒息有关。结论：早产、性别、习惯性舌位和窒息与T21患儿的睡眠有关。

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