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  • Mouth Breathing Linked...

Mouth Breathing Linked to Sleep-Disordered Breathing in Children, finds study

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2025-09-11T21:00:57+05:30  |  Updated On 12 Sept 2025 11:34 AM IST
Mouth Breathing Linked to Sleep-Disordered Breathing in Children, finds study
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Sleep-disordered breathing (SDB) in children is a common but often underdiagnosed condition that can impact growth, behavior, and long-term health. Identifying modifiable risk factors is therefore critical.

A new study published in Frontiers in Pediatrics has highlighted a strong association between mouth breathing and sleep-disordered breathing in school-aged children, pointing toward the importance of early detection and intervention.

The study evaluated school-aged children for breathing patterns, sleep symptoms, and clinical indicators of airway obstruction. Researchers found that children who habitually breathed through the mouth had a markedly higher risk of developing Sleep-disordered breathing compared to those who primarily breathed nasally.

Mouth breathing was associated with increased rates of snoring, restless sleep, and observed breathing pauses during the night, which are hallmark features of Sleep-disordered breathing. Importantly, the link between mouth breathing and Sleep-disordered breathing persisted even after accounting for confounding variables such as age, sex, and body mass index.

This suggests that mouth breathing itself is an independent risk factor for sleep-related breathing disorders. Researchers emphasized that chronic mouth breathing may reflect underlying nasal obstruction, enlarged tonsils or adenoids, or allergic rhinitis, which in turn contribute to airway collapse during sleep.

The findings underscore the need for pediatricians, dentists, and caregivers to pay closer attention to children’s breathing habits. Simple screening for habitual mouth breathing in school-aged children could serve as an early marker for those at risk of Sleep-disordered breathing, facilitating timely referral for further evaluation and management. Researchers concluded that targeted interventions—such as managing nasal obstruction, orthodontic evaluation, or adenotonsillectomy in select cases—may help reduce the burden of Sleep-disordered breathing in children.

However, they also cautioned that longitudinal studies are required to better understand causality and the long-term outcomes of early intervention strategies. Overall, the study provides strong evidence that mouth breathing is not a benign habit but a clinically relevant marker of potential sleep-disordered breathing, highlighting the importance of early recognition in improving pediatric health outcomes.

Reference

Zheng, Y., Zhang, J., Li, Z., Li, Y., & Chen, R. (2025). Association between mouth breathing and sleep-disordered breathing in school-aged children: A cross-sectional study. Frontiers in Pediatrics, 13, 12412591. https://doi.org/10.3389/fped.2025.12412591

mouth breathingsleep-disordered breathingpediatric sleepairway obstructionsnoringchildrenadenotonsillectomynasal obstructionorthodonticspediatric healthClinical
Source : Clinical, Cosmetic and Investigational Dentistry
Dr. Shravani Dali
Dr. Shravani Dali

    Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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