Volume 34, Issue 4 e14427
RESEARCH ARTICLE

Possible sleep bruxism and hair cortisol in children: A birth cohort study

Laís Anschau Pauli

Laís Anschau Pauli

Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil

Contribution: Conceptualization, Methodology, Formal analysis, Writing - original draft, Writing - review & editing

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Joseph Murray

Joseph Murray

Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil

Contribution: Conceptualization, Methodology, Data curation, Funding acquisition, Writing - review & editing, Project administration, ​Investigation

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Luciana Tovo-Rodrigues

Luciana 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

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Marcos Britto Correa

Marcos Britto Correa

Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil

Contribution: Conceptualization, Methodology, ​Investigation, Writing - review & editing

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Fernando Barros

Fernando Barros

Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil

Contribution: Conceptualization, ​Investigation, Methodology, Writing - review & editing

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Isabel Oliveira de Oliveira

Isabel Oliveira de Oliveira

Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil

Contribution: Conceptualization, ​Investigation, Methodology, Writing - review & editing

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Marlos Rodrigues Domingues

Marlos Rodrigues Domingues

Graduate Program in Physical Education, Federal University of Pelotas, Pelotas, Brazil

Contribution: Writing - review & editing, Conceptualization, Methodology, ​Investigation

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Flavio Fernando Demarco

Flavio Fernando Demarco

Graduate Programs in Dentistry and Epidemiology, Federal University of Pelotas, Pelotas, Brazil

Contribution: Conceptualization, Methodology, ​Investigation, Writing - review & editing, Funding acquisition

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Marília Leão Goettems

Corresponding 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

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First published: 28 November 2024

Summary

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.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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