Correlation between feeding methods, non-nutritive sucking and orofacial behaviors.

Ana Paula Magalhães Medeiros, José Tarcísio Lima Ferreira, Cláudia Maria de Felício
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引用次数: 33

Abstract

Background: The development of oral motor control depends partially on motor and sensory experiences.

Aim: To analyze the relationship between the duration of breastfeeding, artificial feeding and sucking habits, and of these parameters with the orofacial motor performance.

Method: Participants of this study were one hundred and seventy-six children aged 6 to 12 years. All subjects were submitted to an orofacial myofunctional clinical examination, using a protocol with scores, and parents/care takers were interviewed in respect to the feeding and sucking habits of their children. Correlations were calculated using the Spearman Test.

Results: In the studied sample, the mean duration of breastfeeding was of 10.30 months (ranging from zero to 60 months), of artificial feeding was of 44.12 months (zero to 122 months) and of sucking habits was of 39.32 months (0 to 144 months). There was a negative correlation of breastfeeding duration with artificial feeding duration and sucking habits duration (p < 0001). The duration of the artificial feeding was positively correlated to the duration of sucking habits (p < 0001). The duration of breastfeeding was positively correlated with the mobility of the tongue and jaw (p = 0.05). There was a negative correlation of the duration of artificial feeding and the duration of sucking habits with the performance in mastication and swallowing, respectively, as well as with the duration of both types of sucking with the performance in the diadochokinesia test (p = 0.05).

Conclusion: The duration of natural breastfeeding presented a positive effect over the mobility of the orofacial structures. Deleterious effects of the prolonged duration of artificial feeding and sucking habits in the oral motor control were confirmed.

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喂养方式、非营养性吸吮与口面部行为的相关性。
背景:口腔运动控制的发展部分依赖于运动和感觉经验。目的:分析母乳喂养时间、人工喂养习惯、吸吮习惯及其与口面部运动表现的关系。方法:研究对象为176名6 ~ 12岁的儿童。所有受试者均接受口腔面部肌功能临床检查,采用评分方案,并就其孩子的喂养和吸吮习惯对父母/照顾者进行访谈。使用Spearman检验计算相关性。结果:本组婴儿母乳喂养时间平均为10.30个月(0 ~ 60个月),人工喂养时间平均为44.12个月(0 ~ 122个月),吸吮时间平均为39.32个月(0 ~ 144个月)。母乳喂养时间与人工喂养时间、吸吮习惯时间呈负相关(p < 0001)。人工喂养持续时间与吸吮习惯持续时间呈正相关(p < 0001)。母乳喂养时间与舌颌活动度呈正相关(p = 0.05)。人工喂养的持续时间和吸吮习惯的持续时间分别与咀嚼和吞咽的表现呈负相关,两种吸吮方式的持续时间与diadochokinia测试的表现呈负相关(p = 0.05)。结论:自然母乳喂养的持续时间对口腔面部结构的流动性有积极的影响。人工喂养时间过长和吸吮习惯对口腔运动控制的不良影响得到证实。
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