Hoarseness in Children and its Relation to Sports Activities

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  • Takahara Yui
    Department of Otolaryngology, University of Tokushima School of Medicine Udaka ENT Clinic
  • Sato Kumi
    Department of Otolaryngology, University of Tokushima School of Medicine Udaka ENT Clinic
  • Takeyama Takaaki
    Department of Otolaryngology, University of Tokushima School of Medicine Udaka ENT Clinic
  • Sakamoto Yuki
    Department of Otolaryngology, University of Tokushima School of Medicine Udaka ENT Clinic
  • Aoki Toshihito
    Department of Otolaryngology, University of Tokushima School of Medicine Udaka ENT Clinic
  • Ito Miyuki
    Udaka ENT Clinic
  • Ikeda Miho
    Udaka ENT Clinic
  • Tanoue Maki
    Udaka ENT Clinic
  • Yoshida Mitsuki
    Udaka ENT Clinic
  • Okada Norihide
    Udaka ENT Clinic
  • Udaka Jiro
    Department of Otolaryngology, University of Tokushima School of Medicine Udaka ENT Clinic
  • Shimada Aki
    Department of Otolaryngology, University of Tokushima School of Medicine
  • Takeda Noriaki
    Department of Otolaryngology, University of Tokushima School of Medicine

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Other Title
  • 学校健診における嗄声の出現率とスポーツ活動との関連
  • —A Cross-Sectional Study based on Speech Disorders Detected in School Health Checks of the ENT Region—

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Abstract

<p>In the present study, we examined the relationship between prevalence of hoarseness and sports activities in 1,384 children who received health checks at their elementary or junior high schools. The prevalence of hoarseness was higher in boys (17.7%) than in girls (5.2%). At the elementary school level, boys had higher risk of hoarseness than girls. The prevalence of hoarseness in boys was high until the third grade and then turned to a decreasing trend. In girls, the prevalence of hoarseness was high until the second grade, here again followed by a decreasing trend, but at the junior high school level their rate turned high again in second and third year students. With senior elementary school boys, the prevalence of hoarseness was 21.2% with sports activities and 4.9% without sports activities, and was significantly higher than the corresponding 5.8% with sports and 0.6% without sports in senior elementary school girls. In junior elementary school boys, baseball was accompanied by a significantly high risk of hoarseness (odds ratio: 2.88), while in senior elementary school boys, playing baseball (odds ratio: 2.92) or soccer (odds ratio: 2.29) brought significant high risk of hoarseness. These results suggest that outdoor team sports associated with strong glottal closure at kicking, batting or vocalizing, such as baseball and soccer, lead to the development of hoarseness in elementary school boys. We concluded that voice hygiene education is needed for boys who play baseball or soccer to prevent the development of hoarseness.</p>

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