Possible sleep bruxism and hair cortisol in children: A birth cohort study
Laís Anschau Pauli
Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Formal analysis, Writing - original draft, Writing - review & editing
Search for more papers by this authorJoseph Murray
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Data curation, Funding acquisition, Writing - review & editing, Project administration, Investigation
Search for more papers by this authorLuciana Tovo-Rodrigues
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Data curation, Project administration, Writing - review & editing, Funding acquisition, Investigation
Search for more papers by this authorMarcos Britto Correa
Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Investigation, Writing - review & editing
Search for more papers by this authorFernando Barros
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Investigation, Methodology, Writing - review & editing
Search for more papers by this authorIsabel Oliveira de Oliveira
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Investigation, Methodology, Writing - review & editing
Search for more papers by this authorMarlos Rodrigues Domingues
Graduate Program in Physical Education, Federal University of Pelotas, Pelotas, Brazil
Contribution: Writing - review & editing, Conceptualization, Methodology, Investigation
Search for more papers by this authorFlavio Fernando Demarco
Graduate Programs in Dentistry and Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Investigation, Writing - review & editing, Funding acquisition
Search for more papers by this authorCorresponding Author
Marília Leão Goettems
Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
Correspondence
Marília Leão Goettems, Federal University of Pelotas, Graduate Program in Dentistry, Pelotas, RS, Brazil.
Email: [email protected]
Contribution: Conceptualization, Methodology, Writing - original draft, Writing - review & editing, Formal analysis, Investigation
Search for more papers by this authorLaís Anschau Pauli
Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Formal analysis, Writing - original draft, Writing - review & editing
Search for more papers by this authorJoseph Murray
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Data curation, Funding acquisition, Writing - review & editing, Project administration, Investigation
Search for more papers by this authorLuciana Tovo-Rodrigues
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Data curation, Project administration, Writing - review & editing, Funding acquisition, Investigation
Search for more papers by this authorMarcos Britto Correa
Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Investigation, Writing - review & editing
Search for more papers by this authorFernando Barros
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Investigation, Methodology, Writing - review & editing
Search for more papers by this authorIsabel Oliveira de Oliveira
Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Investigation, Methodology, Writing - review & editing
Search for more papers by this authorMarlos Rodrigues Domingues
Graduate Program in Physical Education, Federal University of Pelotas, Pelotas, Brazil
Contribution: Writing - review & editing, Conceptualization, Methodology, Investigation
Search for more papers by this authorFlavio Fernando Demarco
Graduate Programs in Dentistry and Epidemiology, Federal University of Pelotas, Pelotas, Brazil
Contribution: Conceptualization, Methodology, Investigation, Writing - review & editing, Funding acquisition
Search for more papers by this authorCorresponding Author
Marília Leão Goettems
Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
Correspondence
Marília Leão Goettems, Federal University of Pelotas, Graduate Program in Dentistry, Pelotas, RS, Brazil.
Email: [email protected]
Contribution: Conceptualization, Methodology, Writing - original draft, Writing - review & editing, Formal analysis, Investigation
Search for more papers by this authorSummary
This study aimed to test for an association between hair cortisol, as an indicator of chronic stress, and possible sleep bruxism among children participating in the 2015 Pelotas Birth Cohort Study. Data from 3229 children were analysed. Possible sleep bruxism was identified based on caregivers' reports when the child was 4 years old. Trained fieldworkers collected hair samples from children, and a standardized protocol was used for hormone extraction and cortisol quantification from the hair. Information on socioeconomic, demographic, psychological and behavioural characteristics was gathered through questionnaires. Poisson regression with robust variance was used to evaluate the impact of hair cortisol concentration on the occurrence of possible sleep bruxism, guided by a directed acyclic graph. The prevalence of possible sleep bruxism was 21.46% (n = 693); median hair cortisol concentration was 7.8 pg mg−1. Hair cortisol concentration was not found to be associated with the occurrence of sleep bruxism. However, the presence of sleep bruxism was linked to higher maternal education (p = 0.027), maternal stress level (p = 0.032), excessive use of electronic devices (p = 0.007), and child emotional and behavioural problems (p = 0.003). Furthermore, female sex was associated with a lower frequency of possible sleep bruxism (p = 0.003). There was no association between chronic stress, as measured by hair cortisol concentration, and the occurrence of possible sleep bruxism. This study underscores the role of sociodemographic factors and children's mental health in the occurrence of sleep bruxism among children in this population.
CONFLICT OF INTEREST STATEMENT
The authors declare that there are no conflicts of interest related to this research.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Supporting Information
Filename | Description |
---|---|
jsr14427-sup-0001-supinfo.pdfPDF document, 84.5 KB | DATA S1. Supporting Information. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- Aguilar Cordero, M. J., Sánchez López, A. M., Mur Villar, N., García García, I., Rodríguez López, M. A., Ortegón Piñero, A., & Castell, E. C. (2014). Cortisol salival como indicador de estrés fisiológico en niños y adultos; revisión sistemática. Nutricion Hospitalaria, 29, 960–968.
- AIS: The American Institute of Stress. (2020). What is stress? [WWW Document]. www.stress.org/what-is-stress-blog.
- Alfano, C. A., Bower, J. L., & Meers, J. M. (2018). Polysomnography-detected bruxism in children is associated with somatic complaints but not anxiety. Journal of Clinical Sleep Medicine, 14(1), 23–29.
- Amaral, C. C., Fernandez, M., Jansen, K., da Silva, R. A., Boscato, N., & Goettems, M. L. (2022). Daily screen time, sleep pattern, and probable sleep bruxism in children: A cross-sectional study. Oral Diseases, 29, 2888–2894.
- Amato, J. N., Tuon, R. A., Castelo, P. M., Gavião, M. B. D., & Barbosa, T. D. S. (2015). Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children. Archives of Oral Biology, 60(5), 698–705.
- Anna, S., Joanna, K., Teresa, S., Maria, G., & Aneta, W. (2015). The influence of emotional state on the masticatory muscles function in the group of young healthy adults. BioMed Research International, 2015, 174013.
- Bach, S. D. L., Moreira, F. P., Goettems, M. L., Brancher, L. C., Oses, J. P., da, R., & Jansen, K. (2019). Salivary cortisol levels and biological rhythm in schoolchildren with sleep bruxism. Sleep Medicine, 54, 48–52.
- Brancher, L. C., Cademartori, M. G., Jansen, K., da Silva, R. A., Bach, S., Reyes, A., Boscato, N., & Goettems, M. L. (2020). Social, emotional, and behavioral problems and parent-reported sleep bruxism in schoolchildren. Journal of the American Dental Association, 151(5), 327–333.
- Caparros-Gonzalez, R. A., Romero-Gonzalez, B., Strivens-Vilchez, H., Gonzalez-Perez, R., Martinez-Augustin, O., & Peralta-Ramirez, M. I. (2017). Hair cortisol levels, psychological stress and psychopathological symptoms as predictors of postpartum depression. PLoS One, 12(8), e0182817.
- Castelo, P. M., Barbosa, T. d. S., Pereira, L. J., Fonseca, F. L. A., & G. M. B. D. (2012). Awakening salivary cortisol levels of children with sleep bruxism. Clinical Biochemistry, 45(9), 651–654.
- Chemelo, V., Né, Y. G. D. S., Frazão, D. R., de Souza-Rodrigues, R. D., Fagundes, N. C. F., Magno, M. B., Silva, C. M. T. D., Maia, L. C., & Lima, R. R. (2020). Is there association between stress and bruxism? A systematic review and meta-analysis. Frontiers in Neurology, 11, 590779.
- Claire Buchan, M., Whitney, S., Leatherdale, S. T., Mielke, J. G., Gonzalez, A., & Ferro, M. A. (2021). Hair cortisol and health-related quality of life in children with mental disorder. Chronic. Stress, 5, 5.
- Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385.
- Drumond, C. L., Souza, D. S., Serra-Negra, J. M., Marques, L. S., Ramos-Jorge, M. L., & Ramos-Jorge, J. (2017). Respiratory disorders and the prevalence of sleep bruxism among schoolchildren aged 8 to 11 years. Sleep and Breathing, 21(1), 203–208.
- Ferrari-Piloni, C., Barros, L. A. N., Evangelista, K., Serra-Negra, J. M., Silva, M. A. G., & Valladares-Neto, J. (2022). Prevalence of bruxism in Brazilian children: A systematic review and meta-analysis. Pediatric Dentistry, 44(1), 8–20.
- Ferro, M. A., & Gonzalez, A. (2020). Hair cortisol concentration mediates the association between parent and child psychopathology. Psychoneuroendocrinology, 114, 104613.
- Fluerașu, M. I., Bocsan, I. C., Buduru, S., Pop, R. M., Vesa, S. C., Zaharia, A., Negucioiu, M., & Iacob, S. M. (2021). The correlation between sleep bruxism, salivary cortisol, and psychological status in young, Caucasian healthy adults. Cranio – Journal of Craniomandibular Practice, 39(3), 218–224.
- Fritzen, V. M., Colonetti, T. A. M. Y., Cruz, M. V. B., Ferraz, S. D., Ceretta, L., Tuon, L., Da Rosa, M. I., & Ceretta, R. A. (2022). Levels of salivary cortisol in adults and children with bruxism diagnosis: A systematic review and meta-analysis. Journal of Evidence-Based Dental Practice, 22, 101634.
- Goettems, M. L., Poletto-Neto, V., Shqair, A. Q., Pinheiro, R. T., & Demarco, F. F. (2017). Influence of maternal psychological traits on sleep bruxism in children. International Journal of Paediatric Dentistry, 27(6), 475.
- Goodman, R. (2001). Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 40(11), 1337–1345.
- Guo, H., Wang, T., Niu, X., Wang, H., Yang, W., Qiu, J., & Yang, L. (2018). The risk factors related to bruxism in children: A systematic review and meta-analysis. Archives of Oral Biology, 86(143), 18–34. https://doi.org/10.1016/j.archoralbio.2017.11.004
- Hallal, P. C., Bertoldi, A. D., Domingues, M. R., da, M., Demarco, F. F., da, I., Barros, F., Victora, C., & Bassani, D. (2018). Cohort profile: The 2015 Pelotas (Brazil) birth cohort study. International Journal of Epidemiology, 47, 1048–1048h.
- Kao, K., Doan, S. N., St John, A. M., Meyer, J. S., & Tarullo, A. R. (2018). Salivary cortisol reactivity in preschoolers is associated with hair cortisol and behavioral problems. Stress, 21(1), 28–35.
- Lobbezoo, F., Ahlberg, J., Raphael, K. G., Wetselaar, P., Glaros, A. G., Kato, T., Santiago, V., Winocur, E., de Laat, A., de Leeuw, R., Koyano, K., Lavigne, G. J., Svensson, P., & Manfredini, D. (2018). International consensus on the assessment of bruxism: Report of a work in progress. Journal of Oral Rehabilitation, 45(11), 837–844.
- Lobbezoo, F., & Naeije, M. (2001). Bruxism is mainly regulated centrally, not peripherally. Journal of Oral Rehabilitation, 28(12), 1085–1091.
- Manfredini, D., & Lobbezoo, F. (2021). Sleep bruxism and temporomandibular disorders: A scoping review of the literature. Journal of Dentistry, 111, 103711.
- Manfredini, D., Restrepo, C., Diaz-Serrano, K., Winocur, E., & Lobbezoo, F. (2013). Prevalence of sleep bruxism in children: A systematic review of the literature. Journal of Oral Rehabilitation, 40(8), 631–642.
- Manfredini, D., Serra-Negra, J., Carboncini, F., & Lobbezoo, F. (2017). Current concepts of bruxism. The International Journal of Prosthodontics, 30(5), 437–438.
- Marceliano, C. R. V., & Gavião, M. B. D. (2023). Possible sleep bruxism and biological rhythm in school children. Clinical Oral Investigations, 27(6), 2992.
- Martins, R. C., Tovo-Rodrigues, L., Oliveira, I., Blumenberg, C., Bertoldi, A. D., Silveira, M. F., Domingues, M. R., Silveira, M. P. T., Gonzalez, A., & Murray, J. (2023). Determinants of hair cortisol in preschool children and their mothers: A Brazilian birth cohort study. Psychoneuroendocrinology, 150, 106027.
- Michalek-zrabkowska, M., Martynowicz, H., Wieckiewicz, M., Smardz, J., Poreba, R., & Mazur, G. (2021). Cardiovascular implications of sleep bruxism—A systematic review with narrative summary and future perspectives. Journal of Clinical Medicine, 10(11), 1–13.
- Radesky, J. S., Weeks, H. M., Ball, R., Schaller, A., Yeo, S., Durnez, J., Tamayo-Rios, M., Epstein, M., Kirkorian, H., Coyne, S., & Barr, R. (2020). Young Children's use of smartphones and tablets. Pediatrics, 146(1), 1–8.
- Renner, A. C., da, A., Rodriguez, J. D. M., Simões, V. M. F., Barbieri, M. A., Bettiol, H., Thomaz, E., & da, M. (2012). Are mental health problems and depression associated with bruxism in children? Community Dentistry and Oral Epidemiology, 40(3), 277–287.
- Restrepo, C., Santamaría, A., & Manrique, R. (2021a). Sleep bruxism in children: Relationship with screen-time and sugar consumption. Sleep Medicine X, 3, 1–5.
10.1016/j.sleepx.2021.100035 Google Scholar
- Rippe, R. C. A., Noppe, G., Windhorst, D. A., Tiemeier, H., van Rossum, E. F. C., Jaddoe, V. W. V., Verhulst, F. C., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & van den Akker, E. L. T. (2016). Splitting hair for cortisol? Associations of socio-economic status, ethnicity, hair color, gender and other child characteristics with hair cortisol and cortisone. Psychoneuroendocrinology, 66, 56–64.
- Russell, E., Koren, G., Rieder, M., & Van Uum, S. (2012). Hair cortisol as a biological marker of chronic stress: Current status, future directions and unanswered questions. Psychoneuroendocrinology, 37, 589–601.
- Sampaio, N. M., Oliveira, M. C., Andrade, A. C., Santos, L. B., Sampaio, M., & Ortega, A. (2018). Relationship between stress and sleep bruxism in children and their mothers: A case control study. Sleep. Science, 11(4), 239–244.
- Santaularia, N. J., Kunin-Batson, A., Sherwood, N. E., Gunnar, M. R., French, S. A., & Mason, S. M. (2023). Is economic hardship associated with young children's cortisol levels? Developmental Psychobiology, 65(4), e22390.
- Serra-Negra, J. M., Paiva, S. M., Flores-Mendoza, C. E., Ramos-Jorge, M. L., & Pordeus, I. A. (2012). Association among stress, personality traits, and sleep bruxism in children. Pediatric Dentistry, 34(2), e30–e34.
- Serra-Negra, J. M., Paiva, S. M., Fulgêncio, L. B., Chavez, B. A., Lage, C. F., & Pordeus, I. A. (2014). Environmental factors, sleep duration, and sleep bruxism in Brazilian schoolchildren: A case-control study. Sleep Medicine, 15(2), 236–239. https://doi.org/10.1016/j.sleep.2013.08.797
- Stalder, T., Steudte-Schmiedgen, S., Alexander, N., Vater, A., Wichmann, S., Kirschbaum, C., & Miller, R. (2016). Stress-related and basic determinants of hair cortisol in humans: A meta-analysis. Psychoneuroendocrinology, 71, 74–75.
- Takaoka, R., Ishigaki, S., Yatani, H., Ogata, S., & Hayakawa, K. (2017). Evaluation of genetic factors involved in nocturnal electromyographic activity of masticatory muscles in twins. Clinical Oral Investigations, 21(1), 319–325.
- Tosato, J. D. P., Caria, P. H. F., Gomes, C. A. F. D. P., Berzin, F., Politti, F., Gonzalez, T. D. O., & Biasotto-Gonzalez, D. (2015). Correlation of stress and muscle activity of patients with different degrees of temporomandibular disorder. Journal of Physical Therapy Science, 27, 1227–1231.
- Vaghri, Z., Guhn, M., Weinberg, J., Grunau, R. E., Yu, W., & Hertzman, C. (2013). Hair cortisol reflects socio-economic factors and hair zinc in preschoolers. Psychoneuroendocrinology, 38(3), 331–340.
- Vanaelst, B., Huybrechts, I., Bammann, K., Michels, N., de Vriendt, T., Vyncke, K., Sioen, I., Iacoviello, L., Günther, K., Molnar, D., & Lissner, L. (2012). Intercorrelations between serum-, salivary- and hair-cortisol and child-reported estimates of stress in elementary school girls. European Journal of Psychotraumatology, 49(8), 1072–1081.
- von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2014). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. International Journal of Surgery, 12, 1495–1499.