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Research Article| Volume 33, ISSUE 5, P801.e21-801.e25, September 2019

Respiratory Tract Infections and Voice Quality in 4-Year-old Children in the STEPS Study

  • Emma Kallvik
    Correspondence
    Address correspondence and reprint requests to Emma Kallvik, Logopedics, Faculty of Arts, Psychology and Theology, Abo Akademi University, Fabriksgatan 2, 20500 Åbo, Finland.
    Affiliations
    Logopedics, Faculty of Arts, Psychology and Theology, Abo Akademi University, Åbo, Finland

    Turku Institute for Child and Youth Research (Cyri), University of Turku, Åbo, Finland
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  • Laura Toivonen
    Affiliations
    Turku Institute for Child and Youth Research (Cyri), University of Turku, Åbo, Finland

    Department of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Åbo, Finland
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  • Ville Peltola
    Affiliations
    Turku Institute for Child and Youth Research (Cyri), University of Turku, Åbo, Finland

    Department of Pediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Åbo, Finland
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  • Anne Kaljonen
    Affiliations
    Turku Institute for Child and Youth Research (Cyri), University of Turku, Åbo, Finland
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  • Susanna Simberg
    Affiliations
    Logopedics, Faculty of Arts, Psychology and Theology, Abo Akademi University, Åbo, Finland

    Turku Institute for Child and Youth Research (Cyri), University of Turku, Åbo, Finland

    Department of Special Needs Education, Faculty of Educational Sciences, University of Oslo, Oslo, Norway
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      Summary

      Objectives

      Health-related factors are part of the multifactorial background of dysphonia in children. Respiratory tract infections affect the same systems and structures that are used for voice production. The purpose of this study was to investigate if the number of respiratory tract infections or the viral etiology were significant predictors for a more hoarse voice quality.

      Methods

      The participants were 4-year-old children who participated in the multidisciplinary STEPS study (Steps to the Healthy Development and Well-being of Children) where they were followed up from pregnancy or birth to 4 years of age. Data were collected through questionnaires and a health diary filled in by the parents. Some of the children were followed up more intensively for respiratory tract infections during the first 2 years of life, and nasal swab samples were taken at the onset of respiratory symptoms. Our participants were 489 of these children who had participated in the follow-up for at least 1 year and for whom data on respiratory tract infections and data on voice quality were available.

      Results

      The number of hospitalizations due to respiratory tract infections was a significant predictor for a more hoarse voice quality. Neither the number of rhinovirus infections nor the number of respiratory syncytial virus infections was statistically significant predictors for a more hoarse voice quality.

      Conclusions

      Based on our results, we would suggest including questions on the presence of respiratory tract infections that have led to hospitalization in the pediatric voice anamnesis. Whether the viral etiology of respiratory tract infections is of importance or not requires further research.

      Key Words

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