Impacts of body weight after surgery for obstructive sleep apnea in children
Journal
International Journal of Obesity
Journal Volume
37
Journal Issue
4
Pages
527-531
Date Issued
2013
Author(s)
Abstract
Objective:To investigate the impacts of body weight status on surgical outcomes and shifts of body weight status after adenotonsillectomy(T&A) in children with obstructive sleep apnea (OSA).Methods:From 2009 to 2011, 161 children (mean age, 7.0±3.4 years; 78% boys) were included. All the children had clinical symptoms and preoperative polysomnographic evaluations diagnosis of OSA. Children were divided into four weight status groups (underweight, normal weight, overweight and obese), based on age and gender corrected body mass index (BMI).Results:Following T&A, the four different weight status groups significantly improved in apnea/hypopnea index (AHI) and minimum oxygen saturation. However, 49.1% of the children (79/161) had residual OSA (AHI ?1). The incidence of residual OSA (AHI ?1) in the obese group was 75%, which was significantly higher than the other three groups (P<0.01). Weight status changes after T&A were documented, and 54% (13/24) of the underweight children shifted to normal weight status within 6 months after surgery.Conclusion:Although sleep parameters improved in all weight statuses, obese children had a higher incidence of residual OSA postoperatively. About half of the underweight children shifted to normal weight status after T&A. ? 2013 Macmillan Publishers Limited. All rights reserved.
SDGs
Other Subjects
adenotonsillectomy; apnea hypopnea index; article; body mass; body weight; child; childhood disease; controlled study; female; human; major clinical study; male; nervous system parameters; obesity; outcome assessment; oxygen saturation; preoperative period; preschool child; priority journal; school child; sleep; sleep disordered breathing; Adenoidectomy; Body Mass Index; Body Weight; Child; Child, Preschool; Female; Humans; Male; Overweight; Polysomnography; Postoperative Period; Preoperative Period; Recurrence; Sleep Apnea, Obstructive; Taiwan; Thinness; Tonsillectomy; Treatment Outcome
Type
journal article