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  [in Japanese] Hoarseness in Children and its Relation to Sports Activities:—A Cross-Sectional Study based on Speech Disorders Detected in School Health Checks of the ENT Region—  [in Japanese]

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Abstract

<p>小中学校の耳鼻咽喉科定期健康診断を受診した1384名について,嗄声の出現率とスポーツ活動との関連を検討した.嗄声の出現率は,女児(5.2%)に比べて男児(17.7%)が高く,男児は小学校3年生まで高く4年生以降に減少し,女児は小学校2年生まで高く以降減少したが中学校2,3年生では高かった.小学校の高学年ではスポーツ活動を行っていない児童(男児4.9%,女児0.6%)に比べて,スポーツ活動を行っている児童(男児21.2%,女児5.8%)は嗄声の出現率が有意に高かった.スポーツの種類と嗄声とのオッズ比は,男児の小学校低学年の野球が2.88,小学校高学年でサッカー2.29,野球2.92で高く,強い声門閉鎖を伴う屋外の団体スポーツであることが要因と考えられた.小学校の男児に野球やサッカーを行わせる場合には,声の衛生を行い嗄声の予防が必要である.中学生は,対象者を増やして再検討が必要である.</p>

<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>

Journal

  • The Japan Journal of Logopedics and Phoniatrics

    The Japan Journal of Logopedics and Phoniatrics 58(4), 326-332, 2017

    The Japan Society of Logopedics and Phoniatrics

Codes

  • NII Article ID (NAID)
    130006177892
  • Text Lang
    JPN
  • ISSN
    0030-2813
  • Data Source
    J-STAGE 
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